Perspectives on the state of cleft lip and cleft palate patient care in Africa.

Autor:	Liu RH; Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA., Manana W; Division of Oral and Maxillofacial Surgery, Department of Dentistry, College of Health Science, University of Zimbabwe, Harare, Zimbabwe., Tollefson TT; Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California Davis, Sacramento, California, USA., Ntirenganya F; Department of Surgery, University Teaching Hospital Kigali.; School of Medicine and Pharmacy, College of Medicine & Health Sciences, University of Rwanda, Kigali, Rwanda., Shaye DA; Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.; Department of Surgery, University Teaching Hospital Kigali.; School of Medicine and Pharmacy, College of Medicine & Health Sciences, University of Rwanda, Kigali, Rwanda.
Jazyk:	angličtina
Zdroj:	Current opinion in otolaryngology & head and neck surgery [Curr Opin Otolaryngol Head Neck Surg] 2024 Aug 01; Vol. 32 (4), pp. 202-208. Date of Electronic Publication: 2024 Apr 23.
DOI:	10.1097/MOO.0000000000000979
Abstrakt:	Purpose of Review: Patients with cleft lip -palate (CLP) experience morbidity and social stigma, particularly in low-income and middle-income countries (LMICs) such as those of sub-Saharan Africa (SSA). Delays in treatment secondary either to lack of awareness, skills, equipment and consumables; poor health infrastructure, limited resources or a combination of them, has led to SSA having the highest rates of death and second highest rates of disability-adjusted life years in patients with CLP globally. Here we review current perspectives on the state of comprehensive cleft lip and palate repair in Africa. Recent Findings: To bridge gaps in government health services, nongovernmental organizations (NGOs) have emerged to provide care through short-term surgical interventions (STSIs). These groups can effect change through direct provision of care, whereas others strengthen internal system. However, sustainability is lacking as there continue to be barriers to achieving comprehensive and longitudinal cleft care in SSA, including a lack of awareness of CLP as a treatable condition, prohibitive costs, poor follow-up, and insufficient surgical infrastructure. With dedicated local champions, a comprehensive approach, and reliable partners, establishing sustainable CLP services is possible in countries with limited resources. Summary: The replacement of CLP 'missions' with locally initiated, internationally supported capacity building initiatives, integrated into local healthcare systems will prove sustainable in the long-term. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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