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.
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.
Wendy was 17, single, and scared. She had just had a baby with a cleft, and any help seemed far, far away from her family's ranch in the remote Andes highlands. But Smile Train was there.