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Incidence of cleft lip and palate in Uganda

Marieke Dreise, George Galiwango, Andrew Hodges

    The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
    |October 29, 2010
    PubMed

    Insights

    The incidence of oral-facial clefts in Uganda is 0.73 per 1000 births. This study estimates the need for 1800 cleft repairs annually, highlighting resource allocation requirements for effective treatment.

    Area of Science:

    • Pediatric Surgery
    • Public Health
    • Genetics

    Background:

    • Oral-facial clefts are common congenital anomalies requiring surgical intervention.
    • Accurate incidence data is crucial for healthcare resource planning in developing nations.

    Purpose of the Study:

    • To determine the incidence of oral-facial clefts in Uganda.
    • To analyze the ratio of different cleft types (cleft lip, cleft palate, cleft lip and palate).
    • To estimate the demand for cleft repair surgeries in Uganda.

    Main Methods:

    • A 1-year prospective study conducted in seven hospitals in Kampala, Uganda.
    • Examination of all live-born neonates for oral-facial clefts within 24 hours of delivery.
    • Collection of monthly maternity data to establish the birth population denominator.

    Main Results:

    • A total of 26,186 births were recorded over the study period.
    • The incidence of oral-facial clefts was found to be 0.73 per 1000 births.
    • Cleft lip and palate occurred in 63.2% of cases, isolated cleft lip in 31.2%, and isolated cleft palate in 5.3%.

    Conclusions:

    • The incidence of oral-facial clefts in Uganda is estimated at 0.73 per 1000 births.
    • An estimated 1100 babies born with clefts annually require approximately 1800 surgical repairs.
    • These findings provide essential data for advocating and planning resources for cleft treatment in Uganda.
    Abstract

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