Initiative (COHI) Overview Presented by Lorna Lisowski October 13, - - PowerPoint PPT Presentation

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Initiative (COHI) Overview Presented by Lorna Lisowski October 13, - - PowerPoint PPT Presentation

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Childrens 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

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Children’s Oral Health Initiative (COHI) Overview

Presented by Lorna Lisowski

October 13, 2016

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Who Are We?

  • First Nations and Inuit Health Branch (FNIHB)
  • Responsible for the health of First Nations and Inuit

people in Canada

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The Dental Team

Regional Dental Unit

  • Dental Program Manager
  • COHI Coordinator

Field Dental Providers

  • Dental Therapists
  • Dental Worker Aides
  • Contract Dentists
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Objective of Presentation

  • Provide an overview and the

delivery of the Children’s Oral Health Initiative (COHI) in Manitoba Region

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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

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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
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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

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Ultimate Goals of COHI

  • Improve oral health for children which supports the
  • verall 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
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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

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Who is Eligible for COHI

  • First Nations and Inuit Children age 0-7 years
  • Parents/caregivers of children age 0-7 years
  • Prenatal women
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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

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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
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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

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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

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Dental Screening

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Fluoride Varnish Application

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Sealants

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ART – Alternative Restorative Therapy

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One-on-One Oral Health Sessions

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Lift the Lip

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Dental Clinic Set-up

  • 1. Permanent Clinic
  • 2. Portable Clinic
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Permanent Dental Clinics

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Portable Dental Clinic

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COHI Resources

  • COHI Kits
  • Pamphlets, tear sheets and posters
  • Children’s dental books and puppets
  • Toothbrushes and toothpaste
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COHI Resources

  • COHI Kits
  • Pamphlets, Tear

Sheets and Posters

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COHI Resources

  • Children’s

dental books, puppets and mouth models

  • Toothbrushes

and toothpaste

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Toothbrushing Program

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Meet the Dental Team

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