title: An appraisal of the oral health care system in Nigeria.
abstract: OBJECTIVE
  This study aimed to assess the strengths and weaknesses of the oral health care system in Nigeria and to outline broad policy options for strengthening the system.
  
  
  METHODS
  A critical appraisal of the oral health care system in Nigeria was conducted. The Maxwell criteria were used to assess performance.
  
  
  RESULTS
  There has been some progress and growth in the oral health care system in Nigeria. However, it is clear that the system falls short on many desirable attributes. The system is neither effective nor efficient and the resources available are grossly inadequate and are overstretched in many areas. The oral health care system is unresponsive to the needs of the populace and there is little stewardship of the system.
  
  
  CONCLUSIONS
  Urgent action in the Nigerian oral health care system is required on the part of all stakeholders. The first step should involve the provision of adequate resources for the immediate implementation of the national oral health policy. There is also a need for more research on oral health-related issues in the country. Efforts towards improving the system must be properly coordinated by the Federal Ministry of Health and involve all stakeholders in the sector in order to achieve success.
authors.affiliation: Department of Preventive Dentistry, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria. biolawal@yahoo.com
authors.forename: Abiola A
authors.initials: AA
authors.lastname: Adeniyi
authors.forename: Oyinkan O
authors.initials: OO
authors.lastname: Sofola
authors.forename: Ricky V
authors.initials: RV
authors.lastname: Kalliecharan
mesh_terms: D003659:Decision Making, Organizational; D003695:Delivery of Health Care / Q000592:standards*; D003731:Dental Caries / Q000453:epidemiology; D003752:Dental Health Services / Q000458:organization & administration / Q000592:standards*; D004497:Education, Dental; D017598:Efficiency, Organizational; D005380:Financing, Government; D015438:Health Behavior; D006291:Health Policy; D006295:Health Resources; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008507:Medically Underserved Area; D009549:Nigeria / Q000453:epidemiology; D009909:Oral Health; D009937:Organizational Objectives; D010043:Outcome and Process Assessment, Health Care; D010510:Periodontal Diseases / Q000453:epidemiology; D011050:Policy Making; D011787:Quality of Health Care