Influence of Individual Factors on The Utilization of Dental Services Among Patients Attending Public Health Facilities in Nairobi City County, Kenya

Authors

  • Amos Chebon Kipsumbai P. O. Box 43844-00100. Nairobi ((BTech. Dental Technology), Msc Health Management student, Department of Health Management and Informatics, Kenyatta University
  • Dr. Joyce Kirui P. O. Box 43844-00100. Nairobi Senior Lecturer, PhD, Department of Health Management and Informatics, Kenyatta University
  • Eliphas Gitonga P. O. Box 43844-00100. Nairobi Senior Lecturer, PhD, Department of Population and Reproductive Health, Kenyatta University

Keywords:

Dental services, Utilization, Patients, Individual, Public health facilities

Abstract

Background: Approximately 3.5 billion people of all ages and races globally are affected by dental diseases. Overall human health, well-being and quality of life can fundamentally be measure by an individual dental health. Despite the wide distribution of dental diseases, few individuals seek dental care services mostly for treatment. To tackle this problem, the populace requires to utilize health facilities to receive basic preventive services.

Objective: This study was carried out to examine the influence of individual factors on the utilization of dental services among patients attending public health facilities in Nairobi City County, Kenya.

Methods: A cross-sectional analytical study was conducted among 384 randomly selected respondents using structured questionnaires, and the data were analyzed using the Statistical Package for the Social Sciences (SPSS) and spreadsheet software.

Results: Findings indicated sociodemographic factors have no significant impact on the utilization of dental services in public facilities, P-values greater than 0.05 across all variables. Individual preferences, awareness, time availability, perceptions, psychological factors, and health needs are critical determinants in seeking dental services with p-value of 0.001. Individual perceptions significantly guide decision-making in dental care p = 0.001. Individuals’ awareness of dental services offered in county health facilities significantly influence dental service utilization, p=0.001. Statistically significant relationship p=0.045 was observed that general health conditions influence dental care-seeking behaviors. Necessity-driven utilization was significant p=0.001 but barriers like high costs and patients’ busy schedules hamper individuals from seeking timely dental services.

Conclusion: Individual preferences, awareness, time availability, perceptions, psychological factors, and health needs are critical determinants in seeking of dental services.

Recommendations: Focus should be placed on the key determinants of utilization of dental services – proximity to health facilities, awareness, affordability, and patient satisfaction to enhance utilization. Further Nairobi City County government should prioritize integration of primary dental care into primary health care.

References

World Health Organization. Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030. Geneva: World Health Organization; 2022

World Health Organization. Global strategy and action plan on oral health 2023–2030. Geneva: World Health Organization; 2024. ISBN: 9789240090538.

World Health Organization. The world oral health report 2003: continuous improvement of oral health in the 21st century – the approach of the WHO Global Oral Health Programme. Geneva: World Health Organization; 2003.

Lutfiyya MN, Gross AJ, Soffe B, Lipsky MS. Dental care utilization: examining the associations between health services deficits and not having a dental visit in the past 12 months. BMC Public Health. 2019; 19:265.

Zardak AN, Amini-Rarani M, Abdollahpour I. Utilization of dental care among adult populations: a scoping review of applied models. BMC Oral Health. 2023; 23:596.

World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva. World Health Organization; 2018

Cha AE, Cohen RA. Dental care utilization among adults aged 18–64: United States, 2020. NCHS Data Brief. 2022 Apr;(435):1–8. PMID: 35575758.

Osadolor OO, Akaji EA, Otakhoigbogie U, Amuta HC, Obi D, Osadolor AJ. Dental Service Utilization of a Rural Population in Nigeria. International Journal of Dentistry Research 4(2): 62-65; 2019.

Ministry of Health Kenya. Kenya National Oral Health Survey. Nairobi. 2015

Gliedt JA, Spector AL, Schneider MJ, Williams J, Young S. A Description of Theoretical Models for Health Service Utilization: A Scoping Review of the Literature. PMID: 37248694; PMCID: PMC10240870; 2023

World Health Organization. World health statistics 2019: monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2019.

Mallik PGRP, Dar AA, Shaktawat N, Nagarjuna P, Shaik R, Bhati RS. Utilization of dental health care services and its barriers among the white-collar port workers in Visakhapatnam, India: a cross-sectional questionnaire study; 2022.

Ahmed W, Bukhari SF, Aslam M, Irfan F, Fatima R, Ali M. Barriers in access and utilization of dental care: assessment and recommendations using Delphi technique. J Pak Dent Assoc. 2019;28(1):13–17. doi:10.25301/JPDA.281.13.

Pengpid S, Peltzer K. Prevalence and correlates of dental service utilization among a national general adult population sample in Sudan. BMC Oral Health; 2021.

Brigg N, Patterson S, Pradhan A. Enabling people with severe mental illness to overcome barriers to access dental treatment: a qualitative study applying COM-B framework analysis. Journal of Mental Health, 1-9; 2020.

Quadri FA, Jafari FAM, Albeshri ATS, Zailai AM. Factors influencing patients’ utilization of dental health services in Jazan, Kingdom of Saudi Arabia. Int J Clin Pediatr Dent. 2018;11(1):29–33. doi:10.5005/jp-journals-10005-1479.

World Health Organization. World health statistics 2020: monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2020. ISBN: 9789240005105.

Vozza I. Oral Prevention and Management of Oral Healthcare. Int J Environ Res Public Health. Feb 18;18(4); 2021.

World Health Organization. World health statistics 2021: Monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2021. ISBN: 9789240027053.

Mao W, Wu B, Yang W, Chi I. Factors of dental care utilization in foreign-born older Chinese Americans. J Dent Res. 2023;102(8):895–900. doi:10.1177/00220345231170845

Mittal R, Wong LM, Koh GC, Ong DLS, Lee YH, Tan MN, Allen PF. Factors affecting dental service utilization among older Singaporeans eligible for subsidized dental care: a qualitative study. BMC Oral Health. 2019; 19:266.

Ferreira RC, Souza JGS, Soares ARDS, Vieira RV, Kawachi I. Income- and education-based inequalities of edentulism and dental services utilization in Brazil. Community Dent Oral Epidemiol. 2023 Oct;51(5):829-837. doi: 10.1111/cdoe.12771. Epub 2022 Jul 7. PMID: 35801281.

Masiga MA, Wandibba S. Navigating the healthcare system in Nairobi City County: perspectives and experiences in the utilization of oral healthcare by caregivers of children with HIV/AIDS. BMC Health Serv Res. 2022; 22:964. doi:10.1186/s12913-022-08260-3.

Nepaul P, Mahomed O. Influence of Parents' Oral Health Knowledge and Attitudes on Oral Health Practices of Children (5-12 Years) in a Rural School in KwaZulu-Natal, South Africa. J Int Soc Prev Community Dentistry; 2020 Sep 28;10(5):605-612. doi: 10.4103/jispcd.JISPCD_273_20. PMID: 33282770; PMCID: PMC7685284.

Gao X, Ding M, Xu M. Utilization of dental services and associated factors among preschool children in China. BMC Oral Health; 2020. 20:9. doi:10.1186/s12903-019-0996-x.

Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas. 1970;30(3):607–610.

Babbie E. The practice of social research. 10th ed. Belmont (CA): Wadsworth/Thomson Learning; 2004.

Adeniyi AA, Oyapero A. Predisposing, enabling and need factors influencing dental service utilization among a sample of adult Nigerians. Population Medicine. 2020; 2:44. doi:10.18332/popmed/128504.

Corović S, Janicijević K, Radovanović S, Vukomanović IS, Mihaljević O, Đorđević J, et al. Socioeconomic inequalities in the use of dental health care among the adult population in Serbia. Front Public Health. 2023; 11:1244663. doi:10.3389/fpubh.2023.1244663.

Chikuni W, Amalimeh BE, Agholor CN. Utilization of Oral Health Services and Associated Factors in a Sub-Urban Population in Western Uganda, International Journal of Medical Sciences & Pharma Research; 2023; 9(2):1-12

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Published

2026-02-11