title: A collaborative public health approach to clubfoot intervention in 10 low-income and middle-income countries:  2-year outcomes and lessons learnt.
abstract: 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.
authors.affiliation: Global Clubfoot Initiative, London, UK. Rosalind.owen@globalclubfoot.org
authors.forename: Rosalind M
authors.initials: RM
authors.lastname: Owen
authors.forename: John Norgrove
authors.initials: JN
authors.lastname: Penny
authors.forename: Andrew
authors.initials: A
authors.lastname: Mayo
authors.forename: José
authors.initials: J
authors.lastname: Morcuende
authors.forename: Christopher B D
authors.initials: CB
authors.lastname: Lavy
mesh_terms: D003025:Clubfoot / Q000628:therapy*; D003906:Developing Countries; D006801:Humans; D008349:Manipulation, Orthopedic; D009313:National Health Programs; D009985:Orthopedics / Q000193:education / Q000379:methods*; D010346:Patient Care Management; D015980:Public Health Practice; D058971:Tenotomy / Q000379:methods; D016896:Treatment Outcome