Neilsen helped a mission organization that flew doctors into Madagascar to provide cleft care, but he knew local doctors were as capable as those flying in.
Nurse Celeste always tried to avoid working with the babies with clefts in her neonatal ward because she felt unable to meet their needs. Then her son was born with a cleft.
Everyone told Gyana to abandon her daughter when she was born with a cleft; her husband threatened to kill himself if she didn't. Afraid for both their lives, she took the child and fled.