School Dental Service in Sri Lanka: geo-spatial analysis of access to oral health care

2018 ◽  
Vol 28 (5) ◽  
pp. 490-496 ◽  
Author(s):  
Nirosha Ranasinghe ◽  
Estie Kruger ◽  
Marc Tennant
2017 ◽  
Vol 23 (5) ◽  
pp. 407 ◽  
Author(s):  
Martin Hall ◽  
Bradley Christian

Despite the best efforts and commitment of oral health programs, there is no evidence that the current surgical output-based model of oral health care is delivering better oral health outcomes to the community. In fact, Australian evidence indicates the oral health of the community could be getting worse. It is now well-understood that this traditional surgical model of oral health care will never successfully manage the disease itself. It is proposed that a health-promoting, minimally invasive oral disease management model of care may lead to a sustainable benefit to the oral health status of the individual and community groups. The aim of this paper is to describe such a model of oral health care (MoC) currently being implemented by the North Richmond Community Health Oral Health (NRCH-OH) program in Melbourne, Victoria, Australia; this model may serve as a template for other services to re-orient their healthcare delivery towards health promotion and prevention. The paper describes the guiding principles and theories for the model and also its operational components, which are: pre-engagement while on the waitlist; client engagement at the reception area; the assessment phase; oral health education (high-risk clients only); disease management; and reviews and recall.


Author(s):  
Pearl Pei Liu ◽  
Weiye Wen ◽  
Ka Fung Yu ◽  
Xiaoli Gao ◽  
May Chun Mei Wong

Background: Pregnant women are at risk of oral health problems. This qualitative study aims to understand dental care-seeking behaviours of pregnant women and their oral health-related information acquisition, to identify barriers to and motivators for, dental visits, and further explore their expectations and possible strategies to improve oral health care during pregnancy. Methods: Semi-structured interviews were conducted with 30 pregnant women (after 32 gestational weeks) enrolled in the antenatal care programme in a public hospital in Hong Kong. Two main areas of interest were probed: Dental care-seeking behaviour and oral health information acquisition. Their expectations and suggestions on oral health care service for pregnant women were also explored. An inductive thematic approach was adopted to analyse the data. Results: Pregnant women’s dental care-seeking behaviour was deterred by some internal factors, such as misunderstandings on oral health, and priority on other issues over oral health. External factors such as inconvenient access to dental service during pregnancy also affected their care-seeking behaviours. Oral health information was passively absorbed by pregnant women through mass media and the social environment, which sometimes led to confusion. Oral health information acquisition from antenatal institutions and care providers was rare. Greater attention was paid to dental visit when they obtained proper information from previous dental visit experience or family members. A potential strategy to improve oral health care suggested by the interviewees is to develop a health care system strengthened by inter-professional (antenatal-dental) collaboration. Efficient oral health information delivery, convenient access to dental service, and improved ‘quality’ of dental care targeting the needs of pregnant women were identified as possible approaches to improve dental care for this population. Conclusion: Dental care-seeking behaviour during pregnancy was altered by various internal and external factors. A lack of, or conflict between, information sources result in confusion that can restrict utilisation of dental service. Integrating dental care into antenatal service would be a viable way to improve dental service utilisation.


2017 ◽  
Vol 15 (2) ◽  
pp. 151 ◽  
Author(s):  
Nneka Kate Onyejaka ◽  
Morenike Oluwatoyin Folayan ◽  
Nkiruka Folaranmi

Aim: To determine how one dental education session and referral of study participants aged 8-11 years would affect utilization of oral-health care services. Methods: This descriptive prospective study recruited 1,406 pupils aged 8-11 years from randomly selected primary schools in Enugu metropolis. All pupils received one oral-health education and referral letters for treatment. Data were collected on the pupils’ socio-demographic profile, family structure, and history of oral-health care utilization in the 12 months preceding the study and within 12 months of receipt of referral letter. The effect of these factors as predictors of past and recent dental service utilization was determined using logistic regression. Results: Only 4.3% of the study participants had ever used oral-health services in the 12 months prior to the study. Within 12 months of issuing the referral letters, 9.0% of pupils used the oral-health services. Children from middle (AOR: 0.46; CI: 0.29-0.73; p=0.001) and low socioeconomic strata (AOR: 0.21; CI: 0.11-0.39; p<0.001) and those living with relatives/guardians (AOR: 0.08, CI: 0.01-0.56; p=0.01) were still less likely to have utilized oral-health services. Conclusions: Referral of children for oral-health care increased the number of children who utilized oral health care services.


2018 ◽  
Vol 12 (3) ◽  
pp. 79-84 ◽  
Author(s):  
Shakeel Anjum ◽  
Yadav Kopula ◽  
Monica Mocherrla ◽  
Parthasarthi Peddireddy ◽  
Irram Hameed ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Peres Neto ◽  
K Laura Cortellazzi Mendes ◽  
M da Luz Rosario Sousa

Abstract The objective of this study is to analyze vulnerability/family risk instruments with socio-demographic and dental care factors, and to approach spatially the instrument. This was a cross-sectional study carried out in 2017 that included 114 families from Ubirajara, Sao Paulo, Brazil. The dependent variable was vulnerability/family risk instruments proposed by Coelho and Savassi, classified as “no risk” and “presence of risk”. The independent factors were selected based on theoretical model of access concept proposed by Andersen and organized into three hierarchical blocks: predisposing factors, facilitators and perceived needs. We conducted a bivariate analysis and estimated hierarchical logistic regression model, which was adjusted and evaluated using the Akaike's information criterion (AICC), remaining in the final model a p ≤ 0.05. The Kernel density estimation was used for spatial analysis of concentration of families. In bivariate analysis, vulnerability/family risk was associated with less years of formal education (OR = 2,42; 1.13-5.19), household with more than 4 individuals (OR = 3.25; 1.47-7.20), lower family income (OR = 2.53; 1.04-6.13), dissatisfaction with oral health (OR = 3.18; 1.45-6.98), shame to smile and to speak (OR = 4.08; 1.52-10.94) and inability to sleep (OR = 2.90; 1.10-7.60). Household with more than 4 individuals (OR = 3.46; 4.66-8.16), individuals who were unsatisfied with oral health (OR = 2.38; 1.00-5.67), and who had shame to smile and to speak (OR = 3.03; 1.01-9.13) had more chance of “familial risk”. Spatial analysis enabled to observe great concentration area “familial risk”, which indicated that this area has priority for development of actions. The association of the analyzed instrument, by including socio-demographic and dental care factors, in addition to help to observe and determine the most vulnerable areas, also helped us to conclude that such instrument may be adopted by oral health care teams in order to promote high equity access Key messages Help to observe and determine the most vulnerable areas. The instrument may be adopted by oral health care teams in order to promote high equity access.


2014 ◽  
Vol 43 (4) ◽  
pp. 676-690 ◽  
Author(s):  
Debra A. Murphy ◽  
Lauren Harrell ◽  
Rachel Fintzy ◽  
Thomas R. Belin ◽  
Alexis Gutierrez ◽  
...  

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