A proposed one-stop-shop approach for the delivery of integrated oral, mental, sexual and reproductive healthcare to adolescents in Nigeria

Pan Afr Med J. 2020 Oct 21:37:172. doi: 10.11604/pamj.2020.37.172.22824. eCollection 2020.

Abstract

The interconnectedness of oral, mental, sexual, and reproductive health (OMSRH) in adolescents prompts exploration of novel approaches to facilitate comprehensive access of this population to the relevant health services. This paper proposes an integrated one-stop-shop approach to increasing adolescents' access to OMSRH care by leveraging on dental clinics as a template for integration, using a non-stigmatized platform to deliver stigmatized healthcare. Novel healthcare delivery models are needed to enhance adolescents' access to the comprehensive prevention and treatment services that they critically need. Effective, integrated health care for this population is lacking, especially across various health areas. This is a proposal for leveraging dental clinics for integrated OMSRH care, using facility-based services, to adolescents. Emphasis will be placed on reducing stigma as a barrier to service accessibility, acceptability, equitability and appropriateness. Empirical studies will be required to test the feasibility, validity and effectiveness of this proposed model.

Keywords: Nigeria; Oral health; adolescent; integrated health service delivery; mental health; sexual and reproductive health.

MeSH terms

  • Adolescent
  • Adolescent Health Services / organization & administration*
  • Delivery of Health Care, Integrated / organization & administration*
  • Dental Health Services / organization & administration
  • Health Services Accessibility*
  • Humans
  • Mental Health Services / organization & administration
  • Models, Organizational
  • Nigeria
  • Reproductive Health Services / organization & administration