A childhood overshadowed

Under the scorching sun of Toamasina in Madagascar, Leana chases soap bubbles, her laughter ringing through the air. This little girl is bright-eyed and full of joy, yet her journey has been anything but easy.

Born with a cleft lip, Leana has faced health problems, social isolation, and four failed attempts at surgery. But today, after years of waiting, Leana’s new smile is finally within reach.

For her mother, Angeline, the shame and isolation of her daughter’s cleft has been unbearable.

Three people, including a child, sit smiling in a field of green plants under a clear blue sky. An adult holds a long stick, while a bucket of harvested produce sits in front of them.
Leana with her parents on their farm. Photo: Toky Andriamisaina

The gossip was the worst. I didn’t hear what they said, but I knew people talked behind my back. I was too ashamed to take her to church – until a woman told me she was a gift from God.

Angeline, Leana’s mother

Leana’s family learned about Operation Smile when she was just 6 months old and immediately sought help. But their journey would be filled with heartbreak and obstacles.

A young child smiles joyfully while playing with bubbles outdoors. The child wears a black and red shirt and is surrounded by floating bubbles, with blurred people and a white chair in the background.
Leana plays with bubbles while she waits for her medical examination. Photo: Jorgen Hildebrandt

A journey of resilience

Leana’s first surgery was unsuccessful. Her cleft had made it hard for her to feed, so she was small for her age and malnourished.

Determined to give their daughter a better future, her parents left their farm and travelled to Antsirabe for another surgical programme, but once again, Leana was deemed too unwell for surgery and they left disappointed. Then the COVID-19 pandemic struck, delaying everything further.

Despite these hardships, Leana’s family never gave up. Thanks to support from Operation Smile’s nutrition programme, their daughter finally reached a healthy weight.

Even then, the setbacks continued. She developed a fever before one scheduled surgery, and on another occasion, doctors suspected an infection. Each time, the family’s hopes were crushed.

A moment of truth

Now, at her fifth surgical programme, Leana sits quietly in her mother’s lap as Swedish volunteer paediatrician Christian Gadsbøll listens to her lungs.

Suddenly, concern flickers across his face. He consults his colleague Christian Kampik the anaesthesiologist. Time seems to freeze. Surely, they won’t have to turn Leana away again?

After what feels like an eternity, the team of medical volunteers smile. Leana is healthy. She is finally getting her surgery.

A healthcare worker uses a stethoscope to check a young child’s heartbeat at an outdoor medical clinic, while the child sits on an adult’s lap and smiles. Other people and tents are visible in the background.
Leana is examined by Swedish volunteer paediatrician Christian Gadsbøll. Photo: Jorgen Hildebrandt.

I almost had a heart attack. Last time, we had to stop before we could even start. I’m so, so happy that Leana is finally having her surgery today.

Christian Kampik, volunteer anaesthesiologist

Hours later, in the recovery room, Angeline strokes her daughter’s cheek gently. Tears of relief fill her eyes. The long wait is over.

Three smiling children with raised arms stand in front of traditional thatched-roof mud houses under a clear blue sky. They appear joyful and playful, with their shirts lifted, revealing their midriffs.
A happy Leana with friends outside her home. Photo: Toky Andriamisaina

A bright future

A year has passed since Leana’s surgery. Now back in her village, she beams with confidence, surrounded by children who had previously shunned her.

For the first time, Leana’s future looks bright.  Soon she will start school, and her parents dream of an education that will open doors and lead to the bright future every child deserves.

Leana’s life has completely changed. The children who once avoided her now come to play with her. Her surgery has brought us joy and happiness.

Angeline

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