An appraisal of the oral health care system in Nigeria

Adeniyi, Abiola; Sofola, OO; Kalliecharan, Ricky Van

doi:10.1111/j.1875-595x.2012.00122.x

Cited by 50 publications

(88 citation statements)

References 18 publications

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“…Currently, the Nigerian government spends about 70% of its budget in urban areas where 30% of the population resides: an investment profile that is inversely related to the need of the population [96]. Of this, only about 0.41% of the national health budget is allocated to oral health [97]. Worse still, very few primary health care centres – the closest unit of health care service provision - provide oral health care services [97].…”

Section: Discussionmentioning

confidence: 99%

“…Of this, only about 0.41% of the national health budget is allocated to oral health [97]. Worse still, very few primary health care centres – the closest unit of health care service provision - provide oral health care services [97]. Where oral health care services are provided, the quality of care is poor resulting in large proportion of the population suffering neglect [97].…”

Section: Discussionmentioning

confidence: 99%

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Appraisal of the national response to the caries epidemic in children in Nigeria

et al. 2014

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BackgroundThis article reviews the caries profile for children in Nigeria and proposes an appropriate framework for addressing the silent caries epidemic.DiscussionWe reviewed the caries prevalence among children in Nigeria, assessed the existing responses to the caries epidemic including the national oral healthcare delivery situation in the country and discussed the current caries management in children. We then proposed a response framework for Nigeria. We argue that successful interventions will require the adoption of a socio-ecological model. This would ensure that the micro-, meso-, exo- and macrosystems required to support the behavioural, structural and biological interventions for promoting caries prevention are addressed. National oral health surveys are required to help understand the epidemiology, social determinants of and factors that undermine the ability of children to access oral health care. A global caries prevention agenda for children would help get the government’s support for a national response agenda. Currently, there is no global call for action on the caries epidemic in children. This lack of an agenda needs to be urgently addressed.SummaryA combination of approaches for the prevention of caries in children in Nigeria is needed. A national survey is needed to generate the needed evidence for the planning of community relevant responses to the national caries epidemic in children. The design of a global health agenda for children is an important first step that can facilitate the development of a national oral health programme for children in Nigeria.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Appraisal of the national response to the caries epidemic in children in Nigeria

et al. 2014

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“…Some of the cost associated with the implementation of a school based caries management programme could however be absorbed by the National Health Insurance Scheme (NHIS). The NHIS presently subsidises costs for restorative treatment, but does not subsidise costs for scaling and polishing [67]. …”

Section: Discussionmentioning

confidence: 99%

Programme guidelines for promoting good oral health for children in Nigeria: a position paper

et al. 2014

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BackgroundThe objective of this paper is to draw attention to the oral health needs of children in Nigeria, and promote the use of appropriate interventions for disease prevention in the population. It also evaluates the value of the ongoing twice-daily tooth brushing campaign, which focuses on promoting good periodontal health and its relevance for children in Nigeria.DiscussionThe main oral health burden for children in Nigeria is untreated dental caries, attributable to low utilization of oral health facilities. While there is a strong association between oral hygiene status and caries occurrence, no research had established an association between frequency of tooth brushing and caries in children in Nigeria. Prevalence of caries and gingivitis is low, despite the fact that a majority of children brush once a day and most of them have fair oral hygiene. Campaigns that promote twice daily brushing to prevent chronic periodontitis in children are not driven by evidences supporting the local epidemic, and therefore cannot be considered as efficient use of the limited resources available.SummaryExisting evidences show that the main oral health need of children in Nigeria is the management of untreated caries. Promoting the treatment of caries should be the primary focus of oral health programmes for children in Nigeria, as this would reduce further risks of developing new carious lesions. Public health campaigns should focus efforts at creating demand for oral health care services, for both preventive and curative purposes.

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“…[1][2][3] This has been attributed to biased levels of interest by dental graduates towards all dental specialties, as a few specialties are preferred above others. [1] Oral and maxillofacial surgery (OMS) has been reported as the most preferred specialty among the majority of Nigerian dental graduates, while prosthetic dentistry (PROS) is the least preferred.…”

Section: Researchmentioning

confidence: 99%

“…[1] This is a significant problem, as some dental specialties persistently have greater manpower than other dental specialties, which hinders the adequate delivery of holistic oral healthcare to the Nigerian population. [1][2][3] Dental students' and graduates' choice of a dental specialty is determined by many factors, including potential financial income, self-employability, personal interest, job security, fear of litigation, and prestige. [4,5] The trend of specialty choice among dental students at the University of Ibadan, Nigeria has yet to be determined.…”

Section: Researchmentioning

confidence: 99%