Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution
Background: The study investigated the common dental conditions of children seen in a Nigerian tertiary hospital. The referral patterns were also determined to know how many of the patients had sought care at the lower levels of health before visiting a tertiary hospital. Methods: All the children a...
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Wolters Kluwer Medknow Publications
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doaj-0ad3d06f133f4a1eaccc82a78da52bb82020-11-24T23:38:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032018-01-0129562262610.4103/ijdr.IJDR_734_16Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institutionOlawunmi Adedoyin FatusiEyitope OgunbodedeChristiana Ayomide SowoleMorenike Oluwatoyin FolayanBackground: The study investigated the common dental conditions of children seen in a Nigerian tertiary hospital. The referral patterns were also determined to know how many of the patients had sought care at the lower levels of health before visiting a tertiary hospital. Methods: All the children aged 0–15 years seen at the Dental hospital, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a 4-year period were included in the study. Information retrieved from their case notes including patterns of referral, presenting complaints, diagnosis, and treatment were extracted from the case records of the patients. Treatment plans for patients seen at this tertiary hospital were categorized into primary, secondary, and tertiary health-care services. Results: A total of 1,866 children sought treatment over a 4-year period at this tertiary hospital of which 1715 (91.9%) sought treatment without referral from lower levels of care. Only 102 (5.4%) children were referred from primary health care (PHC) centers. Six hundred and seventy-five (36.2%) children presented with pain while 502 (26.9%) attended for a “check-up.” Furthermore, 779 (41.8%) children were diagnosed with periodontal disease (including gingivitis) and 539 (28.9%) with dental caries. Scaling and polishing with oral hygiene instruction was the most common treatment recommended. Only 5% of children seen at this tertiary health facility required specialized oral health-care services provided by tertiary health institutions. Conclusions: The range of oral health care needed and service provided by and for patients who visited this tertiary health-care institution can be effectively provided in a primary or secondary oral health-care delivery center. The poor integration of oral health care into PHC services in Osun State burdens the tertiary health-care institutions to provide nonspecialized oral health-care services.http://www.ijdr.in/article.asp?issn=0970-9290;year=2018;volume=29;issue=5;spage=622;epage=626;aulast=FatusiDental cariesgingivitisprimary health carereferral patterns |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Olawunmi Adedoyin Fatusi Eyitope Ogunbodede Christiana Ayomide Sowole Morenike Oluwatoyin Folayan |
spellingShingle |
Olawunmi Adedoyin Fatusi Eyitope Ogunbodede Christiana Ayomide Sowole Morenike Oluwatoyin Folayan Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution Indian Journal of Dental Research Dental caries gingivitis primary health care referral patterns |
author_facet |
Olawunmi Adedoyin Fatusi Eyitope Ogunbodede Christiana Ayomide Sowole Morenike Oluwatoyin Folayan |
author_sort |
Olawunmi Adedoyin Fatusi |
title |
Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution |
title_short |
Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution |
title_full |
Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution |
title_fullStr |
Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution |
title_full_unstemmed |
Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution |
title_sort |
gaps in oral health-care service provision systems for children in nigeria: a case study of a tertiary health institution |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Dental Research |
issn |
0970-9290 1998-3603 |
publishDate |
2018-01-01 |
description |
Background: The study investigated the common dental conditions of children seen in a Nigerian tertiary hospital. The referral patterns were also determined to know how many of the patients had sought care at the lower levels of health before visiting a tertiary hospital. Methods: All the children aged 0–15 years seen at the Dental hospital, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a 4-year period were included in the study. Information retrieved from their case notes including patterns of referral, presenting complaints, diagnosis, and treatment were extracted from the case records of the patients. Treatment plans for patients seen at this tertiary hospital were categorized into primary, secondary, and tertiary health-care services. Results: A total of 1,866 children sought treatment over a 4-year period at this tertiary hospital of which 1715 (91.9%) sought treatment without referral from lower levels of care. Only 102 (5.4%) children were referred from primary health care (PHC) centers. Six hundred and seventy-five (36.2%) children presented with pain while 502 (26.9%) attended for a “check-up.” Furthermore, 779 (41.8%) children were diagnosed with periodontal disease (including gingivitis) and 539 (28.9%) with dental caries. Scaling and polishing with oral hygiene instruction was the most common treatment recommended. Only 5% of children seen at this tertiary health facility required specialized oral health-care services provided by tertiary health institutions. Conclusions: The range of oral health care needed and service provided by and for patients who visited this tertiary health-care institution can be effectively provided in a primary or secondary oral health-care delivery center. The poor integration of oral health care into PHC services in Osun State burdens the tertiary health-care institutions to provide nonspecialized oral health-care services. |
topic |
Dental caries gingivitis primary health care referral patterns |
url |
http://www.ijdr.in/article.asp?issn=0970-9290;year=2018;volume=29;issue=5;spage=622;epage=626;aulast=Fatusi |
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