{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:59:23Z","timestamp":1781261963310,"version":"3.54.1"},"reference-count":0,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To present a sustainable and replicable model for comprehensive cleft lip and palate care in low- and middle-income countries, using the evolution of a cleft care hospital in Pakistan as a case study.\n                    <jats:bold>Design:<\/jats:bold>\n                    Descriptive, retrospective account of the development and implementation of a multidisciplinary cleft care system over a 15-year period.\n                    <jats:bold>Setting:<\/jats:bold>\n                    A purpose-built cleft care hospital in Pakistan, developed from an initial model of surgical camps into a fully operational institution providing year-round care.\n                    <jats:bold>Interventions:<\/jats:bold>\n                    Holistic, lifelong cleft care services delivered under one roof. Services were supported by international collaborations, volunteer expert networks, strategic donor engagement, and a hybrid financial model blending charity with self-sustaining mechanisms.\n                    <jats:bold>Main Outcome Measure(s):<\/jats:bold>\n                    Development and maintenance of a fully functional, multidisciplinary cleft care hospital offering free services to underserved populations, along with system design strategies for long-term sustainability and quality assurance.\n                    <jats:bold>Results:<\/jats:bold>\n                    The institution transitioned from sporadic surgical camps to a stable, comprehensive care facility. Key achievements include establishment of specialized departments, implementation of quality assurance mechanisms, and continued free care for patients through a blended financial approach. The hospital became a recognized model for cleft care in resource-limited settings.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    This hospital-based cleft care model demonstrates that it is possible to deliver safe, timely, and multidisciplinary care in low-resource settings through strategic planning, global partnerships, and sustainable financing. The approach provides a hopeful, adaptable blueprint for global health institutions aiming to address congenital anomalies in similar environments.\n                  <\/jats:p>","DOI":"10.1177\/10556656251369663","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T06:24:05Z","timestamp":1755671045000},"page":"2262-2270","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sustainable Cleft Care: A Blueprint for Low-Resource Settings"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5634-9066","authenticated-orcid":false,"given":"Ayisha","family":"Ayub","sequence":"first","affiliation":[{"name":"Research Department, Cleft Hospital, Gujrat, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1040-846X","authenticated-orcid":false,"given":"Rabia","family":"Ijaz","sequence":"additional","affiliation":[{"name":"Human Resource Department, Cleft Hospital, Gujrat, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,19]]},"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251369663","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656251369663","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251369663","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:16:28Z","timestamp":1781259388000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656251369663"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,19]]},"references-count":0,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/10556656251369663"],"URL":"https:\/\/doi.org\/10.1177\/10556656251369663","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,19]]}}}