Effect of referral for dental service on dental-service utilization by primary school children aged 8 to 11 years in Enugu, Nigeria

  • Nneka Kate Onyejaka Universidade da Nigéria
  • Morenike Oluwatoyin Folayan Obafemi Awolowo University Teaching Hospital Osogbo
  • Nkiruka Folaranmi University Of Nigeria


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.


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Author Biographies

Nneka Kate Onyejaka, Universidade da Nigéria

Professor do Departamento de Saúde Dentária da Criança, Universidade da Nigéria, Enugu. Ela também é dentista pediátrica no Hospital Universitário da Universidade da Nigéria, Ituku-Ozalla, Enugu. Ela é atualmente a Dean associado, Preclinical, Faculdade de Odontologia. Ela obteve seu primeiro grau (BDS) na Universidade de Benin, Estado de Edo. Ela é membro do Colégio de Cirurgiões da África Ocidental e membro associado do Colégio Médico Nacional de Pós-Graduação da Nigéria.

Morenike Oluwatoyin Folayan, Obafemi Awolowo University Teaching Hospital Osogbo
Institute of Public Health and Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
Nkiruka Folaranmi, University Of Nigeria

Recebeu a sua formação em Odontologia na Faculdade de Odontologia da Universidade de Benin. Ela iniciou o seu curso de pós-graduação em Ortodontia em 1996 no Hospital Universitário da Benin-Benin. Ela se tornou uma companheira do Colégio de Cirurgiões da África Ocidental, tendo completado o treinamento de pós-graduação em Ortodontia em 2003. O Dr. Folaranmi foi contratado na Universidade da Nigéria em 2005 e tornou-se a equipe Pioneer e Chefe do Departamento de Saúde Dental Infantil. Ela foi pioneira no treinamento de ortodontia de graduação e pós-graduação e na prestação de cuidados na Região Sudeste da Nigéria. Atualmente é professora de Ortodontia. Publicou vários artigos em revistas internacionais locais e revisadas por pares. Participou de vários workshops / treinamentos e conferências locais e internacionais.


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How to Cite
Onyejaka, N. K., Folayan, M. O., & Folaranmi, N. (2017). Effect of referral for dental service on dental-service utilization by primary school children aged 8 to 11 years in Enugu, Nigeria. Brazilian Journal of Oral Sciences, 15(2), 151-157. https://doi.org/10.20396/bjos.v15i2.8648767