Efficacy of Facilitated Capacity Building in Providing Cleft Lip and Palate Care in Low- and Middle-Income Countries

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorJENNY, Hillary E.
dc.contributor.authorMASSENBURG, Benjamin B.
dc.contributor.authorSALUJA, Saurabh
dc.contributor.authorMEARA, John G.
dc.contributor.authorSHRIME, Mark G.
dc.contributor.authorALONSO, Nivaldo
dc.date.accessioned2018-03-06T15:14:30Z
dc.date.available2018-03-06T15:14:30Z
dc.date.issued2017
dc.description.abstractProviding surgical repair for congenital anomalies such as cleft lip and palate (CLP) can be challenging in low-and middle-income countries. One nonprofit organization seeks to address this need through a partnership model. This model provides long-term aid on multiple levels: surgeon and healthcare provider education, community outreach, and funding. The authors examined the effectiveness of this partnership model in providing CLP care and increasing cleft care capacity over time. This organization maintains data on each partner and procedure and collected data on hospital and patient characteristics through voluntary partner surveys from 2010 to 2014. Effectiveness of care provision outcomes included number of surgeries/partner hospital and patient demographics. Cleft surgical system strengthening was measured by the complexity of repair, waitlist length, and patient follow-up. From 2001 to 2014, the number of procedures/hospital/year grew from 15 to 109, and frequency of alveolar bone grafts increased from 1% to 3.4%. In addition, 97.9% of partners reported that half to most patients come from rural areas. Waitlists decreased, with 9.2% of partners reporting a waitlist of >= 50 in 2011 versus 2.7% in 2014 (P< 0.001). Patient follow-up also improved: 35% of partners in 2011 estimated a follow-up rate of >= 75%, compared with 51% of partners in 2014 (P< 0.001). The increased number of procedures/hospital/year supports the partnership model's effectiveness in providing CLP care. In addition, data supports cleft surgical system strengthening-more repairs use alveolar bone grafts, waitlists decreased, and follow-up improved. These findings demonstrate that the partnership model may be effective in providing cleft care and increasing cleft surgical capacity.
dc.description.indexMEDLINE
dc.identifier.citationJOURNAL OF CRANIOFACIAL SURGERY, v.28, n.7, p.1737-1741, 2017
dc.identifier.doi10.1097/SCS.0000000000003884
dc.identifier.eissn1536-3732
dc.identifier.issn1049-2275
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/25447
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartofJournal of Craniofacial Surgery
dc.rightsrestrictedAccess
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINS
dc.subjectCleft lip and palate
dc.subjectcongenital anomalies
dc.subjectplastic surgery global care models
dc.subject.otherglobal health
dc.subject.otherinternational comparisons
dc.subject.othercost-effectiveness
dc.subject.othersurgical disease
dc.subject.otherplastic-surgery
dc.subject.otherburden
dc.subject.otheraccess
dc.subject.otherepidemiology
dc.subject.otherexperiences
dc.subject.otherservices
dc.subject.wosSurgery
dc.titleEfficacy of Facilitated Capacity Building in Providing Cleft Lip and Palate Care in Low- and Middle-Income Countries
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalJENNY, Hillary E.:Icahn Sch Med Mt Sinai, Dept Med Educ, New York, NY 10029 USA; Harvard Med Sch, Program Global Surg & Social Change, Boston, MA USA; Boston Childrens Hosp, Dept Plast & Oral Surg, Boston, MA USA
hcfmusp.author.externalMASSENBURG, Benjamin B.:Icahn Sch Med Mt Sinai, Dept Med Educ, New York, NY 10029 USA; Harvard Med Sch, Program Global Surg & Social Change, Boston, MA USA; Boston Childrens Hosp, Dept Plast & Oral Surg, Boston, MA USA
hcfmusp.author.externalSALUJA, Saurabh:Harvard Med Sch, Program Global Surg & Social Change, Boston, MA USA; Boston Childrens Hosp, Dept Plast & Oral Surg, Boston, MA USA; Weill Cornell Med Coll, Dept Surg, New York, NY USA
hcfmusp.author.externalMEARA, John G.:Harvard Med Sch, Program Global Surg & Social Change, Boston, MA USA; Boston Childrens Hosp, Dept Plast & Oral Surg, Boston, MA USA
hcfmusp.author.externalSHRIME, Mark G.:Harvard Med Sch, Program Global Surg & Social Change, Boston, MA USA; Massachusetts Eye & Ear, Dept Otolaryngol, Boston, MA USA
hcfmusp.citation.scopus17
hcfmusp.contributor.author-fmusphcNIVALDO ALONSO
hcfmusp.description.beginpage1737
hcfmusp.description.endpage1741
hcfmusp.description.issue7
hcfmusp.description.volume28
hcfmusp.origemWOS
hcfmusp.origem.pubmed28872505
hcfmusp.origem.scopus2-s2.0-85030658173
hcfmusp.origem.wosWOS:000417057300067
hcfmusp.publisher.cityPHILADELPHIA
hcfmusp.publisher.countryUSA
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