Dental Care Utilization and Satisfaction of Residential University Students

Aim: The objective of this study was to provide information on the level of utilization and satisfaction of residential university students with the dental services provided by the dental clinic of a teaching hospital. Volunteers and Material: A stratified sampling technique was used to recruit volunteers from the outpatient clinic of the Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria. Information was collected by a self-administered questionnaire composed of questions that measure the level of utilization and satisfaction with the dental services provided. Questionnaires were provided to 650 randomly chosen students residing in the University hostels. There were 39 refusals, and 6 incomplete questionnaires were discarded. This left a sample size of 605 volunteers. Results: Forty seven students (7.8%) indicated that they visited the dental hospital within the last 12 months. Males and females utilized the dental services equally, and utilization increased with age and the number of years spent on campus. Anticipation of painful dental treatment, high dental charges, long waiting times and being too busy for a dental visit were cited as the most important impediments to seeking dental treatment. Females expressed greater satisfaction with the services. Conclusion: Dental service utilization among the students was found to be low. Oral health awareness campaigns, improving the quality of the services, and shortening the waiting time are expected to increase service utilization and satisfaction. Keywords: dental care, utilization, satisfaction, young adults, Nigeria Libyan Journal of Medicine Vol. 3 (3) 2008: pp. 20-2

Predicting intention to treat HIV-infected patients among Tanzanian and Sudanese medical and dental students using the theory of planned behaviour - a cross sectional study

<p>Abstract</p> <p>Background</p> <p>The HIV epidemic poses significant challenges to the low income countries in sub Saharan Africa (SSA), affecting the attrition rate among health care workers, their level of motivation, and absenteeism from work. Little is known about how to deal with deterioration of human resources in the health care systems. This study aimed to predict the intention to provide surgical treatment to HIV infected patients among medical- and dental students in Tanzania and Sudan using an extended version of the Theory of Planned Behaviour (TPB).</p> <p>Methods</p> <p>Four hundred and seventy five medical- and dental students at the University of Dar es Salaam (mean age, 25 yr) and 642 dental students attending 6 public and private dental faculties in Khartoum (mean age 21.7 yr) completed self-administered TPB questionnaires in 2005 and 2007, respectively.</p> <p>Results</p> <p>Both Tanzanian and Sudanese students demonstrated strong intentions to provide care for people with HIV and AIDS. Stepwise linear regression revealed that the TPB accounted for 51% (43% in Tanzania and Sudan) of the variance in intention across study sites. After having controlled for country and past behaviour, the TPB in terms of attitudes, subjective norms and perceived behavioural control accounted for 34% and moral norms for an additional 2,3% of the explainable variance in intention. Across both study sites, attitudes were the strongest predictor of intention followed in descending order by subjective norms, moral norms and perceived behavioural control.</p> <p>Conclusion</p> <p>The TPB is applicable to students' care delivery intentions in the context of HIV and AIDS across the two SSA countries investigated. It is suggested that attitudes, subjective norms, moral norms and perceived behavioural control are key factors in students' willingness to treat AIDS and HIV infected patients and should be targets of interventions aimed at improving the quality of health care delivery in this context.</p

Oral maxillofacial neoplasms in an East African population a 10 year retrospective study of 1863 cases using histopathological reports

<p>Abstract</p> <p>Background</p> <p>Neoplasms of the oral maxillofacial area are an interesting entity characterized by differences in nomenclature and classification at different centers.</p> <p>We report neoplastic histopathological diagnoses seen at the departments of oral maxillofacial surgery of Muhimbili and Mulago referral hospitals in Tanzania and Uganda respectively over a 10-year period.</p> <p>Methods</p> <p>We retrieved histopathological reports archived at the departments of oral maxillofacial surgery of Muhimbili and Mulago referral hospitals in Tanzania and Uganda respectively over a 10-year period from June 1989–July 1999.</p> <p>Results</p> <p>In the period between June 1989 and July 1999, 565 and 1298 neoplastic oro-facial cases were retrieved of which 284 (50.53%) and 967 (74.54%) were malignant neoplasms at Muhimbili and Mulago hospitals respectively. Overall 67.28% of the diagnoses recorded were malignant with Kaposi's sarcoma (21.98%), Burkiits lymphoma (20.45%), and squamous cell carcinoma (15.22%) dominating that group while ameloblastoma (9.23%), fibromas (7.3%) and pleomorphic adenoma (4.95%) dominated the benign group.</p> <p>The high frequency of malignancies could be due to inclusion criteria and the clinical practice of selective histopathology investigation. However, it may also be due to higher chances of referrals in case of malignancies.</p> <p>Conclusion</p> <p>There is need to reexamine the slides in these two centers in order to bring them in line with the most recent WHO classification so as to allow for comparison with reports from else where.</p

'I believe that the staff have reduced their closeness to patients': an exploratory study on the impact of HIV/AIDS on staff in four rural hospitals in Uganda

<p>Abstract</p> <p>Background</p> <p>Staff shortages could harm the provision and quality of health care in Uganda, so staff retention and motivation are crucial. Understanding the impact of HIV/AIDS on staff contributes to designing appropriate retention and motivation strategies. This research aimed 'to identify the influence of HIV/AIDS on staff working in general hospitals at district level in rural areas and to explore support required and offered to deal with HIV/AIDS in the workplace'. Its results were to inform strategies to mitigate the impact of HIV/AIDS on hospital staff.</p> <p>Methods</p> <p>A cross-sectional study with qualitative and quantitative components was implemented during two weeks in September 2005. Data were collected in two government and two faith-based private not-for-profit hospitals purposively selected in rural districts in Uganda's Central Region. Researchers interviewed 237 people using a structured questionnaire and held four focus group discussions and 44 in-depth interviews.</p> <p>Results</p> <p>HIV/AIDS places both physical and, to some extent, emotional demands on health workers. Eighty-six per cent of respondents reported an increased workload, with 48 per cent regularly working overtime, while 83 per cent feared infection at work, and 36 per cent reported suffering an injury in the previous year. HIV-positive staff remained in hiding, and most staff did not want to get tested as they feared stigmatization. Organizational responses were implemented haphazardly and were limited to providing protective materials and the HIV/AIDS-related services offered to patients. Although most staff felt motivated to work, not being motivated was associated with a lack of daily supervision, a lack of awareness on the availability of HIV/AIDS counselling, using antiretrovirals and working overtime. The specific hospital context influenced staff perceptions and experiences.</p> <p>Conclusion</p> <p>HIV/AIDS is a crucially important contextual factor, impacting on working conditions in various ways. Therefore, organizational responses should be integrated into responses to other problematic working conditions and adapted to the local context. Opportunities already exist, such as better use of supervision, educational sessions and staff meetings. However, exchanges on interventions to improve staff motivation and address HIV/AIDS in the health sector are urgently required, including information on results and details of the context and implementation process.</p

Dental Erosion: Immediate pH Changes of Commercial Soft Drinks in Nigeria

Aim: To observe the pH changes of commercial soft drinks in the Nigerian market, at different time intervals after opening the can. Material and Methods: Two cola soft drinks, six non-cola soft drinks and two canned or bottled fruit juices were selected based on their popularity. About 250 milliliters of each of the drinks were poured inside a beaker containing the probe of a digital pH meter and the initial pH recorded. The pH readings were then taken at 30 seconds interval for 3 minutes. Results: The pH ranged from 2.74 - 2.76 for cola drinks, 2.68- 4.48 for non-cola drinks and 3.55 - 3.91 for fruit juices. LaCasera®; t0 (on opening) was 2.68, t3 (3 minutes) was 2.72. Seven up®; t0=3.15, t3=3.15. Cocacola®; t0=2.76, t3=2.74. Schweppes®; t0=2.94, t3=2.83. Krest®; t0=4.48, t3=4.54. Pepsicola®; t0=2.74, t3=2.70. Mirinda®; t0=3.04, t3=2.95. Fanta®; t0=3.12, t3=3.01. Fuman®; t0=3.55, t3=3.51. 5-Alive®; t0=3.91, t3=3.91. A tendency to pH increase was observed in LaCasera® and Krest®; no changes observed in Seven up® and 5Alive®; a tendency to decrease in pH was observed in Cocacola®, Schweppes®, Pepsicola®, Mirinda®, Fanta® and Fuman®. This study showed that all the soft drinks assessed had pH on opening lower than critical pH for enamel to dissolve and therefore erosive in nature. A significant number of them showed a tendency to decrease in pH after opening. Conclusion: This study revealed that popular soft drinks in Nigeria had pH below the critical dissolving pH of enamel and a tendency to decrease in pH after opening. Key words: Dental Erosion, Soft drinks, pH changes, Nigeria

An assessment of the role of government health related policies in improving the oral health status of Nigerians

Achieving good oral health is now considered an important component of good health for any population and the inclusion of an oral health component in national health policies is a good strategy for promoting oral health. This paper sought to examine the existing health-related policies of the Nigerian government in order to determine the position accorded oral health within the policy framework and to determine the role of these policies in improving the oral health status of Nigerians. A detailed search of electronic sources and Nigerian government documents to identify the major health related policies of the government in the last decade was conducted. The policies identified and analysed were the Millennium Development Goals (MDG’s), Vision 20:2020, National Economic Empowerment and Development strategy (NEEDS), the seven point agenda and the primary health care policy. The analysis from this report indicates an exclusion of oral health from the framework of most of the policies designed by the Nigerian government. The most important barrier identified for excluding oral health is the inability of the oral health workforce to influence the policy process in Nigeria since policymaking is largely a political issue. Oral healthcare professionals in Nigeria need to be actively engaged in the politics of policymaking in order to promote the inclusion of oral health in the health related policies of government. This should stimulate positive action concerning oral health in the Nigerian polity.Keywords: Oral health, health policy, politics, powerNig Dent J Vol 20 No. 1 Jan - June 201

Dental caries in six, 12 and 15 year old Venda children in South Africa

Background: Oral diseases is still a major problem in most developing countries. Within the Republic of South Africa, there remains areas where few or no studies have been done on the oral health status. The emerging district health system with decentralisation of health services to address past inequity in health care in South Africa also provides compelling case for data collection at regional levels. Objectives: To assess the prevalence and severity of dental caries of school children; determine the caries patterns of the study population and to provide useful data for the planning of oral health services in this region. Design: Descriptive analytical study. Setting: School children in the Donald Fraser Health District, Venda in the Northern province, Republic of South Africa. Subjects/Methods: A total of 519 school children in the age groups 6, 12 and 15 years were examined by a calibrated examiner for dental caries using WHO diagnostic criteria. Both the schools, which were divided into rural and peri-urban locations and the children that participated were randomly selected. Results: A mean dmft(sd) of 2.68(3.29) in six year olds and a mean DMFT (sd) scores of 0.61(1.50) and 1.26 (2.18) were recorded in the 12 and 15 year olds respectively. In the six year olds the upper anterior teeth showed highest susceptibility to caries, clearly indicating that black children suffer from early infant caries. At ages of 12 and 15 the mandibular molars were the teeth most affected. The decayed component constituted the main part of the dmft and DMFT scores. Ninety-nine percent of these lesions were untreated and the restorative care was almost nil. Conclusion: An important finding was the doubling of the mean DMFT from the 12-yearolds to 15-year olds and the caries levels for all age groups was higher than the provincial average. The treatment required were mostly extractions and simple fillings, the majority of which could be managed by dental auxillaries using the Atraumatic Restorative Treatment Technique. This study indicates that preventive oral health measures should be implemented on the younger age groups in order to control dental caries. East African Medical Journal Vol. 81 No. 5 May 2004: 236-24