“Barriers to Care Associated with Pediatric Orofacial Clefts Global Disease Burden”

Decreased internet use, lower road density, and decreased physician workforce were independently associated with increased cleft burden. Lower surgical workforce was associated with decreased rates of cleft repair. Efforts to address these barriers to care include using alternative methods of information dissemination, spreading telehealth efforts in areas with adequate technological infrastructure, and bolstering surgical and physician workforce.