Children’s Oral Health Initiative (COHI) Overview Presented by Lorna Lisowski October 13, 2016
Who Are We? • First Nations and Inuit Health Branch (FNIHB) • Responsible for the health of First Nations and Inuit people in Canada
The Dental Team Regional Dental Unit • Dental Program Manager • COHI Coordinator Field Dental Providers • Dental Therapists • Dental Worker Aides • Contract Dentists
Objective of Presentation • Provide an overview and the delivery of the Children’s Oral Health Initiative (COHI) in Manitoba Region
COHI Background Previous Initiatives and Programs • FNIHB Alberta Region- Care for a Smile (CFAS) • Manitoba – Circle of Smiles • Children’s Dental programs in Manitoba, Saskatchewan and PEI
What We Know • Greater ability to prevent disease • Improved products with proven results • Less painful techniques • Ability to build capacity at the community level • With a focus on infants and young children
COHI Chronology • Spring of 2004 – Pilot Project was approved by Senior Management and rolled out to the Regions • Manitoba had 3 FN communities that participated • Fall of 2005 COHI expands and continues to roll out to 27 FN communities in Manitoba
Ultimate Goals of COHI • Improve oral health for children which supports the overall general health • Increase the number of children free of tooth decay • Reduce the need to use general anaesthetics for treatment of tooth decay • Teach and support the parent/caregiver to prevent dental disease for themselves and their children • Introduce children to dentistry in a positive way
Six Fundamental Ideas of COHI 1. Encourage early first dental visits 2. Prevent and manage tooth decay 3. Promote regular dental visits 4. Explain the disease process – stressing the infectious nature 5. Teach and promote the use of simple preventive techniques 6. Develop strong partnerships within the communities to promote good oral health
Who is Eligible for COHI • First Nations and Inuit Children age 0-7 years • Parents/caregivers of children age 0-7 years • Prenatal women
Who Delivers COHI in Manitoba Region? • Dental Therapists – community based oral health providers • Dental Worker Aide (DWA) – non dental person from the community who works with the Dental Therapist and provides defined COHI services
COHI Training Includes: 1. Knowledge of COHI 2. Basic Oral Health Care and Dental Knowledge 3. Delivery of COHI Oral Health Care Services 4. Organizational and Communication Skills 5. Professionalism and Community Health
Dental Worker Aide Activities • Collecting consents of children who enroll in program • Provide one-on-one oral health sessions • Establish links with existing programs and community • Apply Fluoride Varnish • Overall work closely with the dental therapist to improve the dental health of children and families
COHI Services 1. Dental Screening 2. Fluoride Varnish Application 3. Sealants 4. ART (Alternative Restorative Treatment) 5. One-on-one education sessions on oral self care practices – part of every COHI interaction
Dental Screening
Fluoride Varnish Application
Sealants
ART – Alternative Restorative Therapy
One-on-One Oral Health Sessions
Lift the Lip
Dental Clinic Set-up 1. Permanent Clinic 2. Portable Clinic
Permanent Dental Clinics
Portable Dental Clinic
COHI Resources • COHI Kits • Pamphlets, tear sheets and posters • Children’s dental books and puppets • Toothbrushes and toothpaste
COHI Resources • COHI Kits • Pamphlets, Tear Sheets and Posters
COHI Resources • Children’s dental books, puppets and mouth models • Toothbrushes and toothpaste
Toothbrushing Program
Meet the Dental Team
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