変化する顔,変化する未来:CLAPPの人道的な割れ目のプログラムモデル

Muhammad Daiem^1,2,3, Ghulam Q Fayyaz¹, Hanan Raja³

¹Department of Plastic Surgery, CLAPP Hospital, Lahore, Pakistan.

The Journal of craniofacial surgery

|September 1, 2025

まとめ

パキスタンの口唇裂け症協会 (CLAPP) は持続可能で費用対効果の高い口唇裂け症のケアモデルを提供していますこのプログラムは数千人に総合的な治療を提供し高い成功率と地元の労働力の統合を示しています

科学分野:

世界保健
生まれつきの異常
手術医療

背景:

唇と天口の裂け目 (CLP) は一般的な先天性異常であり,LMICに不釣り合いに影響します.
既存の裂け目のケアモデルは持続不可能な国際的ミッションに依存しています
資源が限られた環境で地域主導の総合的な裂け目のケアソリューションが必要です

研究の目的:

CLAPPの人道的プログラムの運営構造,臨床プロトコル,成果を記述する.
LMICにおける包括的な裂口ケアのための再現可能な枠組みを提供すること.
地元で管理される裂け目のケアモデルの持続性と費用対効果を評価する.

主な方法:

移動手術のインフラとハブ・アンド・スポークの戦略を利用した.
手術前スクリーニングと構造化されたフォローアップを含む標準化された臨床ワークフローを実施.
国際チームや地元の病院への依存を避け,地元の訓練と労働力の統合に焦点を当てた.

主要な成果:

2004年以来,パキスタンとアフガニスタンで205の手術プログラムを実施し,25,028人の患者を治療しました.
高い手続き量 (平均) を達成した合併症の発生率は低かった
患者1人あたり平均400ドルの費用で,一次および二次的な裂け目の変形を包括的にカバーしていることが実証されています.

結論:

CLAPPモデルは,LMICにおける裂け目の治療に持続可能で,費用対効果が高く,臨床的に有効なアプローチを提供します.
地方の所有権訓練移動インフラストラクチャは伝統的なクラフトプログラムの限界を克服する鍵です
このプログラムモデルは,同様の課題に直面している他の地域での拡大に有効です.

キーワード:

能力構築低・中所得国唇と口腔の裂け目クリフトミッション医療モデル人道的プログラム

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