在搜索量最高的中低收入国家中评估全球裂隙护理计划。

IF 1.2 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Cleft Palate-Craniofacial Journal Pub Date : 2024-07-01 Epub Date: 2023-03-03 DOI:10.1177/10556656231160399
Narainsai K Reddy, Nikhil D Shah, Joshua P Weissman, Emily S Chwa, Arun K Gosain
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引用次数: 0

摘要

目的:唇裂和/或腭裂治疗的国际推广工作历来以外国团体和个人在中低收入国家开展手术推广旅行为特点。然而,这种 "灵丹妙药 "式的方法常常被批评为优先考虑短期效果,可能会扰乱当地的工作流程。关于支持裂隙治疗和开展能力建设活动的当地组织的存在和影响,目前还没有很好的研究:设计:本研究选择了之前在谷歌搜索 "CL/P "需求最高的八个国家作为研究范围。通过网络搜索确定了各地区的当地非政府组织,并收集了有关其位置、目标、合作伙伴关系以及迄今为止所开展工作的信息:加纳、菲律宾、尼泊尔、肯尼亚、巴基斯坦、印度和尼日利亚等国的地方组织和国 际组织结合紧密。当地非政府组织很少或根本没有的国家包括津巴布韦。当地非政府组织通常支持教育和研究、培训提供者和员工、提高社区意识、提供跨学科护理以及开设裂隙诊所和医院。独特的举措包括为患有唇裂/唇腭裂的儿童开办第一所学校,将患者纳入国家医疗保健以涵盖唇裂/唇腭裂护理,以及监测转诊系统以提高医疗保健系统的效率:要培养能力建设思维,不仅需要国际东道国与来访组织之间建立双边合作关系,还需要与深入了解当地社区的当地非政府组织开展合作。成功的合作关系可能有助于解决低收入和中等收入国家在 CL/P 护理方面面临的复杂挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Global Cleft Care Initiatives Among the Top Searched Low- and Middle-Income Countries.

Objective: International outreach for cleft lip and/or palate care has traditionally been characterized by foreign groups and individuals holding surgical outreach trips in low- and middle-income countries. However, this "magic bullet" approach has often been criticized for prioritizing short-term results that may disrupt local workflow. The presence and impact of local organizations that support cleft care and take on capacity building initiatives has not been well explored.

Design: Eight countries previously studied as having the highest Google search demand for CL/P were chosen for the scope of the study. Local NGOs in regions were identified through a web search, and information was collected regarding the location, objectives, partnerships, and work conducted thus far.

Results: Countries with a strong combination of local and international organizations included Ghana, Philippines, Nepal, Kenya, Pakistan, India, and Nigeria. The country with minimal to no local NGO presence included Zimbabwe. Local NGOs often supported education and research, training of providers and staff, spreading community awareness, offering interdisciplinary care, and opening cleft clinics and hospitals. Unique initiatives included starting the first school for children with CL/P, enrolling patients in the national healthcare to cover CL/P care, and monitoring the referral system to improve efficiencies in the healthcare system.

Conclusions: Moving towards a mindset of capacity building not only involves bilateral partnerships between international host sites and visiting organizations, but also collaboration with local NGOs that have a deep understanding of local communities. Successful partnerships may help address the complex challenges regarding CL/P care faced by LMICs.

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来源期刊
CiteScore
2.70
自引率
36.40%
发文量
215
期刊介绍: The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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