Health system factors associated with access to oral healthcare among adults in Asamankese, Eastern Region, Ghana

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Abstract Introduction : The aim of this study was to assess factors associated with access to oral healthcare among adults in Asamankese, Eastern Region, Ghana. Materials and Methods A cross-sectional design was used in this study involving 310 adults. Descriptive statistics were used to describe demographic characteristics of the study population. Access to oral healthcare was described using the five dimensions of access on a five-point Likert scale: affordability, availability, accessibility, accommodation and acceptability. The chi square test was used to determine association between the independent variable; health system factors and the dependent variable (access to oral healthcare). Multiple logistic regression was used to determine the strength of association between the dependent variable and independent variables. The level of statistical significance was accepted at p < 0.05 at 95% confidence interval. Results The results showed that access to quality oral healthcare was moderate (69%). Distance to oral health was a factor that influenced access (p < 0.05). Affordability was the major health system factor that significantly associated with access to quality oral healthcare (p < 0.05). Conclusion The study concludes and recommends that there will be the need to setup a dental facility closer to the community, make the National Health Insurance Scheme effective to fully cover dental procedures to improve affordability. The study suggests that policy makers should consider these factors to improve access to quality oral healthcare.

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