title: The Ponseti Method in Low and Middle Income Countries: Challenges and Lessons Learned.
abstract: Diffusing a health care innovation like the Ponseti method in low and middle income countries requires more than the application of the traditional continuing medical education approach of providing lectures on the topic. Challenges include limited personnel, competing priorities, inadequate medical supplies, and limited resources. Experience has indicated that the best chances of success in establishing such a program include identifying and advising in-country "champions" to provide the leadership, energy, and direction to build the program.
authors.affiliation: Department of Orthopedics and Rehabilitation, Carver College of Medicine, The University of Iowa, 116 CMAB, Iowa City, IA 52242, USA. Electronic address: Jose-morcuende@uiowa.edu.
authors.forename: Jose A
authors.initials: JA
authors.lastname: Morcuende
authors.affiliation: Department of Orthopedics and Rehabilitation, Carver College of Medicine and College of Public Health, The University of Iowa, 114 CMAB, Iowa City, IA 52242, USA.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Cook
mesh_terms: D001915:Braces; D002985:Clinical Protocols; D003025:Clubfoot / Q000628:therapy*; D003906:Developing Countries; D004059:Diffusion of Innovation; D006295:Health Resources; D006801:Humans; D009313:National Health Programs; D019637:Orthopedic Procedures; D011203:Poverty
keywords: Clubfoot; Low and middle income countries; National programs; Ponseti method