Qualitative Assessment of the Challenges to the Treatment of Idiopathic Clubfoot by the Ponseti Method in Urban India

K Gadhok; M V Belthur; A J Aroojis; T Cook; Florin I Oprescu; A S Ranade; J A Morcuende

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Qualitative Assessment of the Challenges to the Treatment of Idiopathic Clubfoot by the Ponseti Method in Urban India

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Qualitative Assessment of the Challenges to the Treatment of Idiopathic Clubfoot by the Ponseti Method in Urban India

K Gadhok, M V Belthur, A J Aroojis, T Cook, Florin I Oprescu, A S Ranade and J A Morcuende

Iowa Orthopaedic Journal, Vol.32, pp.135-140

2012

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Abstract

The Ponseti method of clubfoot treatment has been shown to be a very safe, effective and minimally invasive technique when performed in medical centers in Europe and North America. However, only a limited number of studies have helped identify the challenges for effective treatment with the Ponseti method in India. In this study a qualitative approach was used through distribution of questionnaires, personal interviews and focus groups with orthopedic surgeons (in urban centers) and parents of patients with clubfoot. The following factors were evaluated: (i) physician education, (ii) alternative methods of treatment/ modification of the Ponseti technique, (iii) compliance by parents, (iv) treatment in underserved areas, (v) culture, (vi) community knowledge of clubfoot, and (vii) the health care system in India. The results showed that all of the factors evaluated hindered outcomes for patients; however, parentâ€™s compliance with bracing, lack of proper rural clubfoot treatment clinics, poverty and physician education were the most prominent challenges. The results of this study can be used to implement specific strategies to improve the diffusion and implementation of the Ponseti method for treating clubfoot throughout India.

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Title: Qualitative Assessment of the Challenges to the Treatment of Idiopathic Clubfoot by the Ponseti Method in Urban India
Authors: K Gadhok (Author) - University of Iowa, United States
M V Belthur (Author) - Maryland Pediatric Orthopedic Center, United States
A J Aroojis (Author) - Kokilaben Dhirubhai Ambani Hospital, India
T Cook (Author) - University of Iowa, United States
Florin I Oprescu (Author) - University of Iowa, United States
A S Ranade (Author) - Kashibai Navale Medical College, United States
J A Morcuende (Author) - Kashibai Navale Medical College, United States
Publication details: Iowa Orthopaedic Journal, Vol.32, pp.135-140
Publisher: University of Iowa, Department of Orthopaedics
Date published: 2012
ISSN: 1541-5457; 1541-5457
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; Engage Research Lab; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
Language: English
Record Identifier: 99450493002621
Output Type: Journal article
Research Statement: false

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