Endemicity of cleft lip/palate in a rural community in South-East Ghana

Agbenorku, Pius; Agbenorku, Manolo; Sefenu, Randy; Matondo, P; Osei, Daniel A.

doi:10.4314/just.v27i1.33023

Cited by 15 publications

(27 citation statements)

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“…The various communities where these patients lived had the share of the educational benefit, because the people are now informed that cleft deformities could be repaired and people born with these deformities were not cursed or possessed by evil spirits as they formerly believed. 7 Our study reveals that the attending number of patients to the cleft clinic increased every year. However, comparing the number of surgeries performed on cleft patients to the number of attendance reveals a vast difference in terms of numbers (clinic attendance far outnumbered the number of operations).…”

Section: Discussionmentioning

confidence: 91%

Komfo Anokye Teaching Hospital Multidisciplinary Cleft Clinic

Agbenorku

Ansah²,

Acheampong³

et al. 2011

Journal of Craniofacial Surgery

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Section: Discussionmentioning

confidence: 91%

Komfo Anokye Teaching Hospital Multidisciplinary Cleft Clinic

Agbenorku

Ansah²,

Acheampong³

et al. 2011

Journal of Craniofacial Surgery

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“…There are several reports regarding OC incidence, prevalence, disparities, and long-term patterns in Ghana; however, the findings have been inconsistent [10][11][12]. The inconsistency may be explained in part by unclear classification of clefts and syndromic status, differences in the underlying population, and geographic coverage and time span.…”

Section: Introductionmentioning

confidence: 85%

Incidence of Orofacial Clefts in Kumasi, Ghana

Agbenorku

Yore

Danso

et al. 2013

ISRN Plastic Surgery

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Background. Cleft lip and cleft palate are among the most common orofacial congenital anomalies. This study is to establish Orofacial Clefts Database for Kumasi, Ghana, with a view to extend it to other cities in future to obtain a national orofacial anomaly database. Methods. A descriptive prospective survey was carried out at eleven selected health facilities in Kumasi. Results. The total number of live births recorded was 27,449. Orofacial anomalies recorded were 36, giving an incidence of 1.31/1000 live births or 1 in 763 live births. The mean maternal age of cleft lip/palate babies was 29.85 years (range 18–40 years). The male : female ratio for the orofacial anomalies babies was 1.3 : 1; the male : female ratio was 0.5 : 1 in the cleft lip group, 1.3 : 1 in the cleft lip and palate group, and 4 : 1 in the cleft palate group. The majority of clefts were unilateral (69.4%, n=25), with females (n=14) outnumbering males (n=11). A family history of cleft was recorded with five babies (13.9%). Associated congenital anomalies were recorded in seven (19.4%) cleft lips and/or palates. Conclusion. The incidence of 1 in 763 live births found in this study indicates that cleft lip/palate is a common congenital anomaly in Kumasi.

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“…10 One belief was that the father cut open the mouth of a fish to remove a fish hook whereas the mother was pregnant. 17 Other causes include the effect of “God’s will,” supernatural forces, evil spirits or ancestral spirits, 9.19 exposure to an eclipse, 18 black magic, 8 or a contagion. 17 Further, children with CLP may not be seen as human.…”

Section: Resultsmentioning

confidence: 99%

“…The social implications of CLP included social isolation or ostracism 16 that range from rejection from family, being cutoff from a royal lineage or ascension to the throne, 8 “being cutoff from society and food,” 8,21 not being given a full name, 23 or as a victim of infanticide. 23 This may extend to the parents, in 1 instance the father being named as “the ghost child’s father.” 8 The child may experience “lack of parental love and care from either or both parents,” 23 and a child with CLP could be “terrifying for the mother.” 24 There was 1 study that stated that parents, having the most intimate contact with persons with CLP, showed the most favorable attitude toward them. 9…”

Section: Resultsmentioning

confidence: 99%

The Impact of Social Stigma for Children with Cleft Lip and/or Palate in Low-resource Areas: A Systematic Review

Chung

Sorouri

Wang

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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Summary:There are still children with cleft lip and/or palate (CLP) in low-resource areas who face social rejection. This stigma disadvantages children in education, employment, marriage, and community, and is exacerbated by barriers to care. Our study objective was to conduct a systematic review of the impact of social stigma of CLP for children in low-resource areas. We followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. A systematic search was conducted of 3 databases: Ovid Embase, Ovid Medline, and the African Journal Online from 2000 to October 5 2018. Common themes were identified using a grounded theory approach and quantitatively summarized. The Joanna Briggs Institute criteria were used to evaluate the risk-of-bias assessments. Four hundred seventy-seven articles were screened; 15 articles were included that focused on the impact of social stigma on CLP in low-resource areas. This was limited to English articles. The majority of studies originated in Nigeria or India. Themes were reported as follows: societal beliefs (n = 9; 60%), social impact (n = 7; 46%), marriage (n = 7; 46%), education (n = 6; 40%), employment (n = 5; 33%), and psychological distress (n = 3; 20%). Causes include the effect of “God’s will,” supernatural forces, evil spirits or ancestral spirits, exposure to an eclipse, black magic, or a contagion. Further, children with CLP may not be worth a full name or considered human and killed. Awareness of the impact of social stigma for children with CLP in low-resource areas generates support toward national education and awareness in low-resource areas.

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Endemicity of cleft lip/palate in a rural community in South-East Ghana

Cited by 15 publications

References 0 publications

Komfo Anokye Teaching Hospital Multidisciplinary Cleft Clinic

Komfo Anokye Teaching Hospital Multidisciplinary Cleft Clinic

Incidence of Orofacial Clefts in Kumasi, Ghana

The Impact of Social Stigma for Children with Cleft Lip and/or Palate in Low-resource Areas: A Systematic Review

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