Keywords
dental care
dontostomatology service
salutogenesis
design
Abstract
With a view to a new request for improvement of the service and to introduce a salutogenic
concept in the service, two studies were carried out in the odontostomatology service of the
CHU PzaGA Androva Mahajanga. The first retrospective cross-sectional study focused on the
analysis of the department's annual activity reports for three consecutive years, 2019 to 2021,
with the objective of identifying the rate of frequentation during the years 2019 to 2021. During
this period, no salutogenic design improvements were made. A second retrospective cross-
sectional study focused on the analysis of the department's annual activity reports for three
consecutive years, 2022 to 2024, with the objective of identifying the rate of frequentation
during the years 2022 to 2024.During this period, salutogenic design improvements have been
introduced in the service. For both studies, study variables focused on the year of attendance,
the age group, and the oral therapeutic offered. During the period of 2019 to 2021, a staff of
690 new users and 1384 therapeutic procedures performed were noted. After analyzing the
data, results showed an increase in the number of patients using the service in 2019 (42.18%)
and a decrease in 2020 (22.32%). The age group most represented was over 25 years old
(59.57%). Users are already familiar with conservative dental care (60.20%).
During the period 2022 to 2024, results showed an increase in the number of patients using the
service in 2022 (40.12%) and in 2023 (41.88%). The age group most represented was over 25
years old (57.84%). After fitting out the treatment rooms, users are motivated with conservative
dental care (50.86%). The population of Mahajanga is already motivated by oral health care,
so does generalizing the design salutogenic to the center oral care environment provide the
performance of this motivation?
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