SASKATCHEWAN REGION
Prepared by: Mary-Lou Sanderson – COHI Coordinator

Oral Health Coalition Meeting
May 1, 2013
Children’s Oral
Health Initiative
(COHI) Program
2
Outline of Presentation:
•What is the COHI Program?
•Goals of the COHI Program
•COHI Targets groups and why they were
chos...
The COHI program is a
population based, early oral
intervention program for
First Nations children (living
on reserve) and...
What is the Children’s Oral
Health Initiative Program?
A dental program designed
to prevent and control early
childhood t...
Rationale: COHI was
developed to focus on the
understanding that tooth
decay is a transmissible
disease and fully
PREVENTA...
Goals of COHI Program
Improve oral health for children, and, in
doing so, improve their overall health
Teach parents and...
 A Health Canada dental initiative
that began in September 2004
 In 2004, COHI was introduced on
a limited basis. There ...
SASKATCHEWAN REGION
NUMBER OF FIRST NATION COMMUNITIES: 40

Children
Eligible Population
AANDC Statistics

0 – 7 Years
5,2...
FNIHB – Health Canada
COHI – SK Region
Dr. Glenn Schnell, Assistant Regional
Dental Officer
Mary-Lou Sanderson, COHI Coo...
11
COHI Target Groups
Children aged 0-7
Parents & caregivers of
children aged 0-7
Pregnant women
12
Children aged 0-7 were chosen
because….
Decayed teeth are painful for children
and can result in a failure to thrive

13
To address the alarming rate
of rampant tooth decay

14
Too many children under the age of 6
require dental surgery under general
anaesthetic (GA)
Some children are receiving m...
Pregnant women, parents, and
caregivers were chosen because….
Tooth decay is caused by a bacterial
infection
When adults...
Benefits of COHI

17
What are the COHI Services?
Screenings (checking the teeth)
Fluoride Varnish Applications

18
 Sealants

19
Alternative Restorative Treatment (ART)

20
One on one or small group oral health
sessions
Promotion of xylitol products

 Referrals as required
21
Who provides COHI services?
COHI Dental Therapist – Health
Canada
COHI Aide – Community Member

22
Role of the COHI Dental Therapist
Provides training, guidance and direction
to the COHI Aide
Completes screenings, seala...
 Build capacity in the community by
linking with other programs to reach
target groups
 The dental therapist may have to...
Role of the COHI Aide
Provides the very important link between
the community and the dental therapist
Requires training ...
 Collects authorization forms
• No COHI services can be provided
without a signed authorization
• Child is in the program...
 Completes medical history
updates
 Application of the all the fluoride
varnishes on the children
 Provides oral health...
COHI Funding Work Plan
Funding is formula-based, utilizing
population numbers of children aged
birth to 7 years of age
T...
 Funds for the Aide are transferred via
Health Funding Agreements to the
community

 37 COHI Aides - not full-time posit...
Reporting Requirements for the HFA
Submission of Dental Services Daily
Records (DSDR) at the end of each month
– COHI Aid...
COHI Deliverables
There are target objectives that have been
identified across Canada for the COHI
Program:
1.Enrol a mini...
2. Complete dental screening for 90% of
all authorized children aged 0-7
(screening done each year)
3. Complete all requir...
How is success measured?
Partnerships are developed between
COHI staff and the community, i.e.
with nurses, school staff, ...
COHI needs community support:
A key factor in the success of COHI
is the “community support”….the
dental therapist and the...
QUESTIONS?

35
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Cohi saskatchewan region

  1. 1. SASKATCHEWAN REGION Prepared by: Mary-Lou Sanderson – COHI Coordinator Oral Health Coalition Meeting May 1, 2013
  2. 2. Children’s Oral Health Initiative (COHI) Program 2
  3. 3. Outline of Presentation: •What is the COHI Program? •Goals of the COHI Program •COHI Targets groups and why they were chosen •What are the COHI services? •Roles of the dental therapist and Aide •COHI Funding Work Plan •COHI Deliverables 3
  4. 4. The COHI program is a population based, early oral intervention program for First Nations children (living on reserve) and eligible Inuit children 4
  5. 5. What is the Children’s Oral Health Initiative Program? A dental program designed to prevent and control early childhood tooth decay 5
  6. 6. Rationale: COHI was developed to focus on the understanding that tooth decay is a transmissible disease and fully PREVENTABLE 6
  7. 7. Goals of COHI Program Improve oral health for children, and, in doing so, improve their overall health Teach parents and caregivers how to prevent dental diseases for themselves and their children Prevent early childhood tooth decay and avoid the need for unpleasant dental treatment Introduce babies and young children to dentistry that is successful, painless and fun 7
  8. 8.  A Health Canada dental initiative that began in September 2004  In 2004, COHI was introduced on a limited basis. There were 5 FN communities involved during this first year  COHI officially became a program in May 2010 8
  9. 9. SASKATCHEWAN REGION NUMBER OF FIRST NATION COMMUNITIES: 40 Children Eligible Population AANDC Statistics 0 – 7 Years 5,236 9
  10. 10. FNIHB – Health Canada COHI – SK Region Dr. Glenn Schnell, Assistant Regional Dental Officer Mary-Lou Sanderson, COHI Coordinator Eight dental therapists, provide service delivery to 40 communities Part-time positions ranging from 13 – 28.5 hours per week 10
  11. 11. 11
  12. 12. COHI Target Groups Children aged 0-7 Parents & caregivers of children aged 0-7 Pregnant women 12
  13. 13. Children aged 0-7 were chosen because…. Decayed teeth are painful for children and can result in a failure to thrive 13
  14. 14. To address the alarming rate of rampant tooth decay 14
  15. 15. Too many children under the age of 6 require dental surgery under general anaesthetic (GA) Some children are receiving more than one GA to treat dental disease H e a lt h C a n a d a F ir s t N a t io n s a n d I n u it H e a lt h B r a n c h C r e d it : D r . T . K r a w a t N a t io n a l P r e s e n t a t i o n 2 0 0 2 5 15
  16. 16. Pregnant women, parents, and caregivers were chosen because…. Tooth decay is caused by a bacterial infection When adults don’t care of their own mouths, they can transmit the bacteria which causes tooth decay to children 16
  17. 17. Benefits of COHI 17
  18. 18. What are the COHI Services? Screenings (checking the teeth) Fluoride Varnish Applications 18
  19. 19.  Sealants 19
  20. 20. Alternative Restorative Treatment (ART) 20
  21. 21. One on one or small group oral health sessions Promotion of xylitol products  Referrals as required 21
  22. 22. Who provides COHI services? COHI Dental Therapist – Health Canada COHI Aide – Community Member 22
  23. 23. Role of the COHI Dental Therapist Provides training, guidance and direction to the COHI Aide Completes screenings, sealants, and temporary fillings (ART) Provides education & information regarding oral health Referrals if necessary 23
  24. 24.  Build capacity in the community by linking with other programs to reach target groups  The dental therapist may have to assume some of the COHI Aide’s role when necessary 24
  25. 25. Role of the COHI Aide Provides the very important link between the community and the dental therapist Requires training as provided by Health Canada Works with the dental therapist when preforming dental services (screenings, ART & Sealant clinics) 25
  26. 26.  Collects authorization forms • No COHI services can be provided without a signed authorization • Child is in the program until no longer eligible • Regardless if there is a completed authorization form a child’s medical history must be updated each COHI year • COHI Year – September 1 to August 31 26
  27. 27.  Completes medical history updates  Application of the all the fluoride varnishes on the children  Provides oral health information sessions (one-on-one) 27
  28. 28. COHI Funding Work Plan Funding is formula-based, utilizing population numbers of children aged birth to 7 years of age This formula determines the number of professional days for the dental therapist and the COHI Aide 28
  29. 29.  Funds for the Aide are transferred via Health Funding Agreements to the community  37 COHI Aides - not full-time positions 29
  30. 30. Reporting Requirements for the HFA Submission of Dental Services Daily Records (DSDR) at the end of each month – COHI Aide Completion of Community-Based Reporting Template at the end of fiscal year - Community Completion of Financial Reporting on as outlined in the HFA - Community 30
  31. 31. COHI Deliverables There are target objectives that have been identified across Canada for the COHI Program: 1.Enrol a minimum of 40% of the eligible children aged 0-4 and 70% of the eligible children aged 5-7 31
  32. 32. 2. Complete dental screening for 90% of all authorized children aged 0-7 (screening done each year) 3. Complete all required fluoride varnish applications (2) for 70% of all authorized children aged 0-7 4. A minimum of 40% of prenatal clients participating in an oral health information session 32
  33. 33. How is success measured? Partnerships are developed between COHI staff and the community, i.e. with nurses, school staff, day care providers, health centre staff, community programs….and especially with the families 33
  34. 34. COHI needs community support: A key factor in the success of COHI is the “community support”….the dental therapist and the COHI Aide need the support of the entire community in delivering the services and the message!! 34
  35. 35. QUESTIONS? 35

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