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January 18, 2026Tropical Doctor

The unfinished journey: A narrative review of inequities in secondary cleft lip and palate care in low- and middle-income countries

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Authors

PAPawan AgarwalGovernment Medical CollegeSYSanjay K YadavDSD. SharmaNetaji Subhash Chandra Bose Medical College

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Implication

Narrative review highlights inequities in secondary cleft lip and palate services in low- and middle-income countries, suggesting urgent improvements are needed.

Key Points

  • This review aims to assess the availability and effectiveness of secondary cleft lip and palate services in low- and middle-income countries.
  • Conducted a narrative review of literature in PubMed and Embase
  • Identified 17 relevant studies on secondary CLP services
  • Mapped existing evidence and explored service delivery models
  • Analyzed barriers to service availability, including workforce and financial constraints
  • Limited access to secondary services such as speech therapy and orthodontic care identified
  • Evidence of suboptimal long-term outcomes reported due to inadequate support services
  • Gaps in workforce training and infrastructure highlighted as major barriers
  • Suggestions for improving care include tele-health models and community interventions

Cite This Study

Agarwal et al. (2026) studied this question.

synapsesocial.com/papers/696c772aeb60fb80d1395660https://doi.org/10.1177/00494755251405583
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Addressing Cleft Care in Low- and Middle-Income Countries Beyond Cleft Lip and Palate with Improvement of Otolaryngology, Audiology, and Speech Services2025 · 4 citations
  2. 2The impact of orofacial clefts on quality of life and healthcare use and costs2009 · 459 citations