Clubfoot, also known as Congenital Talipes Equinovarus, is a complex, congenital deformity of the foot, that left untreated can limit a person’s mobility by making it difficult and painful to walk. [1] It is defined as a deformity characterized by complex, malalignment of the foot involving soft and bony structures in the hindfoot, midfoot and forefoot. [2] The deformity affects the structure and position of the foot, presenting as an adductus and cavus (an inward turning) of the midfoot and a varus hindfoot. At the subtalar joint, the foot is held in a fixed equinus, or downward pointing position[3]. The foot affected by clubfoot is shorter, and the calf circumference is less than a normal, unaffected foot[3]. On presentation, the clubfoot deformity is not passively correctable and presents with varying degrees of rigidity[4]. Clubfoot may occur in one or both feet with 50% of cases being bilateral. It affects males more commonly than females with reported ratios ranging from 1.6:1 to 3:1[5][6][7]. It is one of the most common serious congenital abnormalities to affect the foot. Most often it is an isolated abnormality, but occasionally it is associated with other congenital malformations or syndromes. Talipes Equinovarus comes from the following: [8] “Tali” means Ankle, “Pes” means Foot “Equinus” means foot pointing down (like a horse’s foot) “Varus” means deviated towards midline Global Burden of Clubfoot If clubfoot is not treated or managed successfully, it can progress to a severe deformity causing lifelong impairment affecting participation in activities of daily living. As the child grows and puts weight on their feet they will bear weight through the sides, or even the tops of their feet. A large callus of thickened skin forms on the weight-bearing surface and the deformed position causes pain and leaves the feet open to injury and infection. In an adult, this often means the individual is unable be able to wear normal footwear with most cases experiencing severe restriction in walking by the time they are in their 20's or 30's with visible deformity of the foot. This, in turn, often leads to discrimination and the inability to access education and employment, which further impacts the individual's capacity to contribute economically which may affect both the individual and their family members. It is estimated that 80% of cases of clubfoot occur in Low and Middle Income Countries[9] . Lack of resources and medical services in these countries mean that there are high levels of disability from potentially treatable congenital anomalies such as clubfoot (Kushner et al, 2010; WHO, 2007). Many children born with clubfoot in Low and Middle Income Countries do not receive any treatment[9]. Untreated, the clubfoot deformity progresses to become a ‘Neglected Clubfoot’ as the child with clubfoot eventually begins to walk. Due to the position of the foot the child weight-bears through the lateral and dorsal side of the affected foot, where a large bursa and callous form. As the child continues to walk the soft and bony tissues are stretched further and the deformity worsens resulting in pain and reduced mobility[9]. The consequences of the clubfoot deformity can have a great impact on the life of an individual. In some countries girls with clubfoot may be less likely to marry[10], in others, the deformity is viewed by sectors of society as being the result of a curse[11]. Lack of mobility is extremely disabling in environments with poor transport infrastructure and where agriculture is the main source of income[9]. Treatment of clubfoot in Low and Middle Income Countries is a challenge; large numbers of children and adults with neglected clubfoot observed by surgeons visiting Low and Middle Income Countries are indicative of the scale of the problem[9]. The current state of services for clubfoot in most Low and Middle Income Countries is not well documented. However, it has been reported that in some countries, the predominant treatment option being offered is the Kite Method, as in Brazil (Lourenco, 2007). In others, such as Malawi prior to 2007 there are almost no services for clubfoot and no unified, nationwide approach to clubfoot management[11]. Lack of services and belief that clubfoot is due to fate or is not treatable also mean that parents often do not seek treatment for their children[11]. Epidemiology Clubfoot is more common in males with a 2.5 to 2.8:1 Male:Female ratio.[12] Various incidences have been noted between countries and regions ranging from 1-1.50 per 1000 live births, rising up to 3 per 1000 live births.[12][13][14] Similarly, ethnic differences in occurrence have been reported with the lowest incidence (0.6%) among the Chinese Population, while the highest incidence (6.8%) in the Polynesian Region. The accumulative incidence is approximately 1 per 1000 live births among Caucasians.[15] Worldwide 80% of children born with clubfoot are in low-and middle-income countries. The Ponseti Method is a simple, cost-effective treatment that has become widely used around the world. Numerous research studies in countries across the globe in the last 20 years have shown that in more than 90% of cases of newborn children with idiopathic clubfoot it can be treated effectively with the Ponseti technique. The Ponseti Method’s efficacy is backed up by a large and growing body of evidence, and has now become the treatment of choice for clubfoot