While recognizing the medical limitations in the developing world, one must also capitalize on the "assets" present there. "Specialists" are rare, unavailable, and/or too expensive for most of the poor, disabled people. "State-of-the-art", while the aspiration of the west, is usually unavailable in the developing world. How do we capitalize on the assets and provide a reasonable alternative for the numerous disabled of the developing world? Some African countries have modified their medical approach and have found their solutions in alternative medical practitioners with less training and credentials but sufficient skills and judgment to reasonably meet the needs of many of the disabled. Some of these objectives were achieved in a mission hospital in Africa not because it was the first choice, but it was seemingly the only choice. Now, at that facility, a higher level of care has been achieved. However, can such a model be replicated in other settings in Africa?
