The Alma-Ata declaration: An appraisal of Nigeria's primary oral health care three decades later

Osazuwa-Peters, Nosayaba

doi:10.1016/j.healthpol.2010.12.003

Cited by 16 publications

(14 citation statements)

References 18 publications

(16 reference statements)

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“…However, this is higher than the 13.2% reported in a previous study conducted among Nigerian oral health care workers 13 . The shaky nature of the National Health Insurance Scheme and the complete integration of Nigerian oral health care workers into the scheme currently remain unresolved 32 . The general perception of oral health care workers of their profession as hazardous 33 is evidently not exaggerated; as this study shows, the profession chosen by oral health care workers involves many factors that impact on their physical, social and mental well‐being and frequently severely stretch their job satisfaction and overall psychosocial utility.…”

Section: Discussionmentioning

confidence: 86%

Occupational health issues of oral health care workers in Edo State, Nigeria

Osazuwa-Peters

Azodo

Obuekwe

2012

International Dental Journal

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Objectives: To assess awareness and prevalences of occupational health problems among oral health care workers in Edo State, Nigeria. Methods: This cross‐sectional survey was conducted among oral health care workers working in two tiers of health care delivery in secondary and tertiary government‐owned dental centres across Edo State from December 2008 to February 2009. A self‐administered questionnaire was used to elicit information on demographic characteristics, awareness and prevalences of occupational problems, and preventive measures. Results: The response rate was 93.8%. Overall, 71.1% of respondents were dentists; other respondent groups included dental nurses and dental surgery assistants (16.7%), dental technologists (8.9%) and dental therapists (3.3%). The occupational health problem for which respondents reported the highest level of awareness was biological hazards (96.7%). The most commonly prevalent occupational health problems were musculoskeletal problems [wrist pain (66.7%), waist pain (76.7%), body pain or weakness (84.4%)]. Infection by biological hazards was reported by 6.6% of respondents, and included infection by HIV/AIDS (2.2%), hepatitis B (1.1%), tuberculosis (1.1%) and other infections (2.2%). Chemical hazards in the form of skin reactions to latex gloves (17.8%), camphorated p‐monochlorophenol (CMCP, 8.9%), X‐ray (7.8%) and other allergies (5.5%) were reported. A few respondents (2.2%) reported occupation‐related malignancies. Overall, 52.2% of respondents possessed a health insurance policy, and 93.3% and 88.9% worked in environments they described as well ventilated and well lit, respectively. A quarter (25.6%) of respondents used a film‐holder when taking intra‐oral radiographs and 23.3% used protective ear plugs when working in close proximity to noisy machines. Conclusions: Occupational health issues were significant among oral health care workers in Edo State. Awareness of biological hazards was very high. However, musculoskeletal issues represented the predominant occupational problem, and their potential negative impact necessitates urgent educational and ergonomic intervention.

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Section: Discussionmentioning

confidence: 86%

Occupational health issues of oral health care workers in Edo State, Nigeria

Osazuwa-Peters

Azodo

Obuekwe

2012

International Dental Journal

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“…Thus a refocusing of service provision towards preventive care, as suggested in the oral health policy, is advocated. One method of achieving this involves using the existing primary health care system, which has been relatively successful in making health care facilities accessible to most Nigerians, as a platform from which to provide preventive oral health care 45,46 . This should make the distribution of oral health services more equitable and increase access to care.…”

Section: Discussionmentioning

confidence: 99%

An appraisal of the oral health care system in Nigeria

Adeniyi

Sofola

Kalliecharan

2012

International Dental Journal

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Urgent action in the Nigerian oral health care system is required on the part of all stakeholders. The first step should involve the provision of adequate resources for the immediate implementation of the national oral health policy. There is also a need for more research on oral health-related issues in the country. Efforts towards improving the system must be properly coordinated by the Federal Ministry of Health and involve all stakeholders in the sector in order to achieve success.

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“…Good oral health is a vital part of general health and wellbeing and has an impact on quality of life, yet this fact is not widely recognized by the general community in Nigeria. The integration of oral health care into the PHC system in the country may therefore be a reasonable answer to promoting oral health care 3,5,6 in Nigeria.…”

Section: Discussionmentioning

confidence: 99%

A Pilot test of an oral health education module for community health workers in Ikeja LGA, Lagos State.

Adeniyi¹,

Ajieroh²,

Sofola³

et al. 2017

Afr. J. Oral. Health

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The purpose of this paper is to report the experience of developing, facilitating, and evaluating a 3-day module on oral health education for Primary Health Care Workers (CHW) in Ikeja LGA Lagos State. Methods: Twenty-one CHW in Ikeja LGA were invited for a 3-day oral health education-training program in January 2015. An oral health education manual and a flip chart developed for this purpose were used during training. Participants received didactic lectures on the first two days and participated in a practical session on the third day. A pretest was done before the training session while a posttest was done immediately and 6 months after the intervention. Data entry, validation and analysis was done using SPSS version 20. Results: Majority of the respondents were female (95.0%), Community Health Officers (65.0%), mean age was 42.1± 10.4 years while mean years of experience was 9.7 ±10.8 years. There was a statistically significant increase (p= 0.000) in the mean knowledge score of participants immediately after the intervention. There was no difference between the results obtained immediately and at 6 months after the training (p= 0.328). All participants reported including oral health education in their routine health education sessions at the 6-month review. They also reported observing changes in client's perception and behavior regarding oral health. They identified the flipchart as a useful tool for the oral health education sessions in the PHC. Conclusion: PHC workers can be easily trained and deployed as oral health educators particularly in areas where there is shortage of oral health care workers.

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The Alma-Ata declaration: An appraisal of Nigeria's primary oral health care three decades later

Cited by 16 publications

References 18 publications

Occupational health issues of oral health care workers in Edo State, Nigeria

Occupational health issues of oral health care workers in Edo State, Nigeria

An appraisal of the oral health care system in Nigeria

A Pilot test of an oral health education module for community health workers in Ikeja LGA, Lagos State.

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