Our approach

Our approach is simple: comprehensive care and support for individuals affected by cleft lip and palate in Nepal.

Illustration or photograph accompanying what is a cleft?

What is a cleft?

A cleft is a gap in the upper lip, the roof of the mouth, or both. Clefts can cause difficulties with eating, breathing, hearing, and speaking.

Illustration or photograph accompanying what are cleft lip and palate?

What are cleft lip and palate?

A cleft occurs when structures do not fuse together during development before birth. It can involve the lip or the roof of the mouth, including the hard and soft palate. Many children still face barriers to receiving the reconstructive care they need.

Illustration or photograph accompanying how common are clefts?

How common are clefts?

Cleft lip and palate affect children around the world. Reported incidence varies across populations and studies. Our work focuses on ensuring that affected children and families can reach assessment and care.

Illustration or photograph accompanying what causes cleft lip and palate?

What causes cleft lip and palate?

The causes can involve a combination of genetic and environmental factors. In many individual cases, the specific cause is not known. Research continues to improve understanding of the condition.

Illustration or photograph accompanying what does an untreated cleft mean for a child?

What does an untreated cleft mean for a child?

Children with untreated clefts may face difficulties eating, breathing, hearing, and speaking. Treatment and continuing support can help address these difficulties and support participation in daily life.

Illustration or photograph accompanying can clefts be treated?

Can clefts be treated?

Reconstructive surgery is part of cleft treatment. Care is planned for each patient and may also include nutritional support, speech therapy, dental care, and follow-up. Families can discuss the treatment plan with the clinical team.

Free cleft surgery across Nepal

Our free cleft surgery program is part of a wider approach to care. Children born with clefts need more than surgery. They may also need nutritional support, dental care, and speech therapy. Sewa Foundation is committed to treating the whole patient through comprehensive cleft care.

Surgery photograph from the Foundation’s existing Approach page

Surgery

Our free cleft surgery program helps patients reach reconstructive treatment. Surgical care is planned after assessment by the clinical team.

Speech therapy photograph from the Foundation’s existing Approach page

Speech therapy

Even after surgery, children may need speech therapy to address language delay, articulation difficulties, and hypernasality.

Nutritional services photograph from the Foundation’s existing Approach page

Nutritional services

Babies with clefts can have difficulty feeding. Mothers and caregivers may need guidance on feeding and supporting healthy growth.

Dental services photograph from the Foundation’s existing Approach page

Dental services

Missing, small, or misaligned teeth can occur in cleft patients. Dental and orthodontic services form an important part of rehabilitation.

Emotional support photograph from the Foundation’s existing Approach page

Emotional support

Visible differences and the experience of treatment can affect confidence and self-esteem. Counseling and support help patients and their families navigate care and recovery.