IADR Abstract Archives

Service Patterns in Delivery of the Basic Package of Oral Care in Rural Nepal

Objectives: To review service use and treatment patterns using the Basic Package of Oral Cares (BPOC) in a primary health care setting in Nepal.
Methods: This program evaluation used treatment data aggregated from seven Health Posts in Nepal where primary oral health providers (POHPs) were delivering the BPOC in the Jevaia Oral Health Care model. The model includes service delivery across three access points: in a weekly Health Post clinic, at school-based seminars, and in community spaces through outreach activities. Data on service delivery were submitted to administrative staff by POHPs across the year 2019, and analyzed to examine service use and treatment types by age-groups and access points.
Results: Across the eight health posts there were 5072 patients who received treatment. There was a gradient whereby younger age groups required lower proportions of referral. There were 109 (5.1%) children referred for additional care compared to 183 (21.6%) of teenagers and 407 (19.6%) of adults. The Health Post accounted for just 26.3% of patient contact (N=1332), while 2654 patients (52.3%) were seen in school seminars which target children and their parents, and 1086 patients (21.4%) were seen in outreach activities. There was a difference in the proportions of treatment types performed across the different access points and the highest proprtion of extractions were performed in the Health Post setting.
Conclusions: Most of the care was delivered outside of the Health Post setting, and all three access points demontstrated different patterns of service use and proportions of treatment types. The health post space delivered the lowest proportion of preventive care and the school setting appeared to be able to meet the majority of treatment needs among the child age-group.

2020 South East Asia Division Meeting (Virtual)

2020
S018
Behavioral, Epidemiologic and Health Services Research
  • Sapkota, Rajendra  ( Jevaia Foundation , Hartford , Connecticut , United States )
  • Spero, Laura  ( Jevaia Foundation , Hartford , Connecticut , United States )
  • Both authors work with Jevaia Foundation, the organization where the program evaluation was conducted.
    Oral Session
    Oral 1
    Thursday, 11/26/2020 , 03:15PM - 05:00PM