Causes: Birth Defects & Genetic Diseases, Children & Youth, Children & Youth Services, Health, International, International Development

Mission: Smile Train is an international children’s charity with a sustainable approach to a single, solvable problem: cleft lip and palate. Many children with clefts around the world live in isolation, but more importantly, have difficulty eating, breathing, hearing, and speaking. Cleft repair surgery is safe, and the transformation is immediate. Our sustainable model provides training, funding, and resources to empower local medical professionals in 85+ countries to provide 100%-free cleft repair surgery and comprehensive cleft care in their own communities. We use the “teach a man to fish” model focusing on training local medical professionals to perform cleft repairs in their communities. Those medical professionals then go on to train others creating a long-term, sustainable system. Patients see their forever smile for the first time, parents cry tears of joy, lives and communities are changed forever. As a result of our efficiency and with the support of our donors and partners around the world, Smile Train has transformed the lives of more than one million children by giving them the power of a smile. Join us and change the world one smile at a time.

Results: Since its beginning in 1999 Smile Train has provided more than 1,000,000 free surgeries for children who would otherwise never have received it.

Target demographics: children living with cleft lips and palates

Direct beneficiaries per year: one child received cleft surgery every five minutes.

Geographic areas served: 90+ of the countries around the world

Programs: Children born with clefts need more than just surgery. They may also need dental care, orthodontic treatment, and speech therapy. Where these services are available, we do everything we can to make them available to our patients. While our cost per cleft surgery varies across the 85+ different countries we have worked in, our contribution per surgery is as low as $250.This amount reflects the contribution per surgery that we provide our partner hospitals. They also cover a significant portion of each surgery as part of our cost-sharing agreement. Most children who are born with a cleft lip and/or palate develop normal speech once their palate is closed, but a significant amount will need further surgery or speech therapy. Communication problems that are addressed include language delay, articulation problems, and hypernasality. In the developed world, cleft repair is typically provided by multidisciplinary cleft/craniofacial teams comprised of professionals from a variety of healthcare backgrounds including surgeons and orthodontists who work on the child’s total rehabilitation. Smile Train provides vital dental and orthodontic treatment in countries where they are available. Smile Train provides essential free training and education to cleft surgeons and related medical professionals around the world. Since 1999, we have provided more than 66,000 free scholarships, surgical training resources, workshops, and symposiums for doctors and medical professionals from 140+ countries. Smile Train provides financial support that has been used for a wide range of applications, including new operating rooms, cleft surgical instruments and supplies like scalpels and sutures, crucial safety equipment like pulse oximeters, and much more. All of these investments make not only a significant number of incremental cleft surgeries possible, but also make these surgeries safer and of higher quality. Smile Train has played an integral role in developing some of the most cutting-edge advances in cleft care, including the award-winning Virtual Surgery Simulator, which makes complex cleft surgical techniques seem simple to understand, and our Speech Therapy App, which helps children gain confidence in their verbal abilities in their own language. Smile Train's Medical Advisory Board (MAB) is comprised of the best and brightest cleft experts in the world, from maxillofacial surgeons to anesthesiologists to speech pathologists. The MAB compiles information for Smile Train to disseminate in an effort to raise awareness and change public attitudes about clefts. Smile Train is active in launching patient outreach campaigns in an effort to reach patients even in the most remote of areas. These include radio advertisements and programs, fliers, print advertising in local newspapers (with pictures so that even people who are unable to read can be reached), collaborations with other organizations for patient referrals, SMS/text message alerts, and much more. Some of our patients are so malnourished they are not healthy enough to receive cleft surgery. In these cases, they are provided with food for one to two weeks before surgery. We also have patients that are so poor they have no money to get home after surgery. We have special programs that give small stipends to the poorest of the poor that allows them to receive their cleft treatments.