Strengthening the oral health system in Nigeria: A health systems building block approach
Aim: The present study aimed to describe the building blocks of the oral health system, including the role that the community plays in strengthening the oral health system in Nigeria. Methodology: This research was a scoping review of the existing literature retrieved from search engines and databas...
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| Vydáno v: | The Nigerian postgraduate medical journal Ročník 29; číslo 3; s. 173 - 182 |
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| Hlavní autoři: | , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Mumbai
Wolters Kluwer India Pvt. Ltd
01.07.2022
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Wolters Kluwer Medknow Publications |
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| ISSN: | 1117-1936, 2468-6875 |
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| Abstract | Aim: The present study aimed to describe the building blocks of the oral health system, including the role that the community plays in strengthening the oral health system in Nigeria. Methodology: This research was a scoping review of the existing literature retrieved from search engines and databases. Thus, we utilised grey literature, peer-reviewed literature, policy documents and websites. The oral health system was analysed using the World Health Organisation's Health systems framework, and we adapted this framework by introducing a seventh block, community participation. We also inserted the links between the oral health service delivery and oral health workforce blocks of the framework to improve the oral health outcomes. Results: More dental clinics are required to improve the availability and accessibility of oral health services. Dental workforce expansion is imperative. This can be approached by training of junior cadre dental professionals and incorporating community health practitioners to deliver basic oral care. There is an unregulated access to medication to treat dental conditions; hence, oral disease treatments need to be included in the country's treatment guidelines to improve standard of care. The government needs to improve on overall health spending and invariably increase oral health care allocation urgently. Furthermore, the country's stewardship of oral health care is hinged on well disseminated and implemented national policies on oral health. The oral health system can achieve its overall goals with community participation, engagement and ownership. Conclusion: Strengthening the oral health system in Nigeria requires urgent attention on each building block and cross-cutting interventions across the system's building blocks. The role of the community will need to be recognised because it is vital in sustaining any organisational change. |
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| AbstractList | The present study aimed to describe the building blocks of the oral health system, including the role that the community plays in strengthening the oral health system in Nigeria.AimThe present study aimed to describe the building blocks of the oral health system, including the role that the community plays in strengthening the oral health system in Nigeria.This research was a scoping review of the existing literature retrieved from search engines and databases. Thus, we utilised grey literature, peer-reviewed literature, policy documents and websites. The oral health system was analysed using the World Health Organisation's Health systems framework, and we adapted this framework by introducing a seventh block, community participation. We also inserted the links between the oral health service delivery and oral health workforce blocks of the framework to improve the oral health outcomes.MethodologyThis research was a scoping review of the existing literature retrieved from search engines and databases. Thus, we utilised grey literature, peer-reviewed literature, policy documents and websites. The oral health system was analysed using the World Health Organisation's Health systems framework, and we adapted this framework by introducing a seventh block, community participation. We also inserted the links between the oral health service delivery and oral health workforce blocks of the framework to improve the oral health outcomes.More dental clinics are required to improve the availability and accessibility of oral health services. Dental workforce expansion is imperative. This can be approached by training of junior cadre dental professionals and incorporating community health practitioners to deliver basic oral care. There is an unregulated access to medication to treat dental conditions; hence, oral disease treatments need to be included in the country's treatment guidelines to improve standard of care. The government needs to improve on overall health spending and invariably increase oral health care allocation urgently. Furthermore, the country's stewardship of oral health care is hinged on well disseminated and implemented national policies on oral health. The oral health system can achieve its overall goals with community participation, engagement and ownership.ResultsMore dental clinics are required to improve the availability and accessibility of oral health services. Dental workforce expansion is imperative. This can be approached by training of junior cadre dental professionals and incorporating community health practitioners to deliver basic oral care. There is an unregulated access to medication to treat dental conditions; hence, oral disease treatments need to be included in the country's treatment guidelines to improve standard of care. The government needs to improve on overall health spending and invariably increase oral health care allocation urgently. Furthermore, the country's stewardship of oral health care is hinged on well disseminated and implemented national policies on oral health. The oral health system can achieve its overall goals with community participation, engagement and ownership.Strengthening the oral health system in Nigeria requires urgent attention on each building block and cross-cutting interventions across the system's building blocks. The role of the community will need to be recognised because it is vital in sustaining any organisational change.ConclusionStrengthening the oral health system in Nigeria requires urgent attention on each building block and cross-cutting interventions across the system's building blocks. The role of the community will need to be recognised because it is vital in sustaining any organisational change. Aim: The present study aimed to describe the building blocks of the oral health system, including the role that the community plays in strengthening the oral health system in Nigeria. Methodology: This research was a scoping review of the existing literature retrieved from search engines and databases. Thus, we utilised grey literature, peer-reviewed literature, policy documents and websites. The oral health system was analysed using the World Health Organisation's Health systems framework, and we adapted this framework by introducing a seventh block, community participation. We also inserted the links between the oral health service delivery and oral health workforce blocks of the framework to improve the oral health outcomes. Results: More dental clinics are required to improve the availability and accessibility of oral health services. Dental workforce expansion is imperative. This can be approached by training of junior cadre dental professionals and incorporating community health practitioners to deliver basic oral care. There is an unregulated access to medication to treat dental conditions; hence, oral disease treatments need to be included in the country's treatment guidelines to improve standard of care. The government needs to improve on overall health spending and invariably increase oral health care allocation urgently. Furthermore, the country's stewardship of oral health care is hinged on well disseminated and implemented national policies on oral health. The oral health system can achieve its overall goals with community participation, engagement and ownership. Conclusion: Strengthening the oral health system in Nigeria requires urgent attention on each building block and cross-cutting interventions across the system's building blocks. The role of the community will need to be recognised because it is vital in sustaining any organisational change. |
| Audience | Academic |
| Author | Amedari, Mcking Ogunbodede, Eyitope Aborisade, Adetayo Amedari, Ifeoma Uti, Omolara |
| Author_xml | – sequence: 1 givenname: Mcking surname: Amedari fullname: Amedari, Mcking organization: Department of Preventive and Community Dentistry, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State – sequence: 2 givenname: Eyitope surname: Ogunbodede fullname: Ogunbodede, Eyitope organization: Department of Preventive and Community Dentistry, Obafemi Awolowo University, Ile-Ife, Osun State – sequence: 3 givenname: Omolara surname: Uti fullname: Uti, Omolara organization: Department of Preventive and Community Dentistry, Faculty of Dental Science, College of Medicine, University of Lagos, Lagos – sequence: 4 givenname: Adetayo surname: Aborisade fullname: Aborisade, Adetayo organization: Department of Oral Diagnostic Sciences, Aminu Kano Teaching Hospital, Kano – sequence: 5 givenname: Ifeoma surname: Amedari fullname: Amedari, Ifeoma organization: Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State |
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| Cites_doi | 10.24966/OHNS-010X/100018 10.1186/s12903-018-0548-9 10.1177/0734242X10366273 10.1111/j.1875-595X.2004.tb00012.x 10.7196/AJHPE.2017.v9i1.670 10.1186/s12903-020-01135-1 10.11604/pamj-oh.2020.2.13.24357 10.1111/eje.12654 10.1186/1472-6831-14-140 10.4103/2141-9248.144896 10.1111/eje.12554 10.1016/j.healthpol.2010.12.003 10.1002/hpm.2122 10.4081/jphia.2014.328 10.1080/1364557032000119616 10.1177/0022034515578909 10.1016/S0140-6736(19)31133-X 10.1111/j.1875-595X.2012.00122.x 10.1186/s12903-015-0040-8 10.1002/j.0022-0337.2004.68.7_suppl.tb03809.x 10.1016/S0140-6736(18)31707-0 10.11604/pamj.2020.37.172.22824 10.1016/j.heliyon.2021.e05977 10.1177/0022034515599979 10.1080/00016357.2017.1347822 10.4314/ajoh.v7i2.172403 10.1111/idj.12383 10.1186/1471-2458-14-278 10.1186/s12903-021-01860-1 10.4103/NJM.NJM_185_20 10.1111/ipd.12143 10.1177/0022034517693566 10.1159/000356937 10.1177/0022034515575538 |
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low oral health awareness in Nigeria publication-title: Niger Med J – volume: 28 start-page: 1 year: 2020 ident: R7-1-20240908 article-title: COVID-19 pandemic: The implication for the practice of restorative dentistry in Nigeria publication-title: Niger Dent J – volume: 14 start-page: 278 year: 2014 ident: R23-1-20240908 article-title: Measuring the health systems impact of disease control programmes: A critical reflection on the WHO building blocks framework publication-title: BMC Public Health doi: 10.1186/1471-2458-14-278 – volume: 21 start-page: 493 year: 2021 ident: R9-1-20240908 article-title: COVID-19 outbreak and dental health care provision in Nigeria: A national survey publication-title: BMC Oral Health doi: 10.1186/s12903-021-01860-1 – volume: 30 start-page: 160 year: 2021 ident: R6-1-20240908 article-title: Impact of the COVID-19 pandemic on the psychosocial wellbeing of dental therapists in Nigeria publication-title: Niger J Med doi: 10.4103/NJM.NJM_185_20 – volume: 25 start-page: 282 year: 2015 ident: R67-1-20240908 article-title: Effect of a school-based oral health education programme on use of recommended oral self-care for reducing the risk of caries by children in Nigeria publication-title: Int J Paediatr Dent doi: 10.1111/ipd.12143 – volume: 96 start-page: 380 year: 2017 ident: R1-1-20240908 article-title: Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: A systematic analysis for the global burden of diseases, injuries, and risk factors publication-title: J Dent Res doi: 10.1177/0022034517693566 – volume: 23 start-page: 3 year: 2014 ident: R15-1-20240908 article-title: Strengthening of oral health systems: Oral health through primary health care publication-title: Med Princ Pract doi: 10.1159/000356937 – volume: 27 start-page: 18 year: 2015 ident: R39-1-20240908 article-title: Oral health inequalities between rural and urban populations of the African and Middle East Region publication-title: Adv Dent Res doi: 10.1177/0022034515575538 |
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| SubjectTerms | Citizen participation Dental insurance dental workforce Health care industry Health care reform Human resource management Oral health oral health outcomes oral health system Oral hygiene Public health Quality management the community world health organisation health system building blocks |
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| Title | Strengthening the oral health system in Nigeria: A health systems building block approach |
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