Owen Rosalind M, Penny John Norgrove, Mayo Andrew, Morcuende José, Lavy Christopher B D
Global Clubfoot Initiative, London, UK.
J Pediatr Orthop B. 2012 Jul;21(4):361-5. doi: 10.1097/BPB.0b013e3283504006.
Untreated clubfoot has been acknowledged as a public health problem in low-income countries. In 2007-2009, a 10-country initiative was implemented by a collaboration of nongovernmental organizations and Ministries of Health to establish and strengthen national programmes for management of clubfoot using the Ponseti technique. Independent evaluation used quantitative data on programme outcomes and qualitative data from service providers and users. Overall, 110 clubfoot clinics were established, 634 practitioners were trained and 7705 children were enrolled for treatment. The public health model of establishing services for clubfoot on a national level was found to be successful in the majority of countries included.
在低收入国家,未经治疗的马蹄内翻足已被视为一个公共卫生问题。2007年至2009年期间,非政府组织和各国卫生部合作开展了一项涉及10个国家的倡议,以建立并加强采用庞塞蒂方法治疗马蹄内翻足的国家项目。独立评估使用了关于项目成果的定量数据以及来自服务提供者和使用者的定性数据。总体而言,共建立了110家马蹄内翻足诊所,培训了634名从业者,7705名儿童登记接受治疗。研究发现,在大多数参与国家中,在国家层面建立马蹄内翻足服务的公共卫生模式是成功的。