ArticlePlastic and reconstructive surgery. Global open2025
Barriers to Comprehensive Cleft Care as Perceived by Healthcare Professionals in Sub-Saharan Africa.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Early cleft lip repair in an infant with cleft lip-palate and ipsilateral microtia identified through a community outreach program.Journal of surgical case reports · 2026Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Cleft lip and palate (CLP) is a common congenital malformation. It results in substantial healthcare utilization and financial burden on families and healthcare services. Research shows that comprehensive cleft care (CCC) leads to better outcomes. To date, little is known about the barriers to CCC in sub-Saharan Africa. Understanding these and their possible solutions is paramount when engaging national policymakers on achieving equity in healthcare. Therefore, the aim of this study was to identify the barriers sub-Saharan African healthcare professionals face in implementing CCC and their potential solutions. Methods: A questionnaire was sent to healthcare professionals representing the Pan African Congress for CLP, Operation Smile, and Smile Train foundations regarding the most important barriers and potential solutions to CCC. Results: A total of 119 professionals participated; 76.5% were men, and 56.3% were surgeons. Most respondents worked in Nigeria or Ethiopia. The most commonly reported barriers were long travel distances and financial constraints, followed by limited public awareness. The most critical improvement identified was financial support for establishing multidisciplinary teams (MDTs). The absence or inadequate function of MDTs was largely attributed to a shortage of trained professionals. Conclusions: Patients' inability to reach hospitals due to travel distance, especially for follow-ups, was the most important barrier. Action to increase geographic accessibility of hospitals is needed. Healthcare professionals overwhelmingly supported establishing MDTs and providing financial aid to patients as the most effective solutions for CCC. To enable MDTs to reach their full potential, a budget for employing and educating healthcare professionals to increase trained staff is needed.
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