Transforming Faces Impact Report 2021

Deepening Roots & Branching Out:

Innovating with our Partners in Comprehensive Cleft Care

Why is Comprehensive Cleft Care (CCC) our rallying cry?

Children born with cleft lip and palate deserve support at every step of their journey to a full life at home, at school, and in the community. This comprehensive care starts at the moment a family learns of their child’s condition, addressing fears and unfolding a pathway toward full rehabilitation.

A diagram indicating the Circle of Cleft Care, highlighting actions YOU can take.

TF’s Circle of Care

CCC is mobilized through a team of trusted local health professionals with community support. And it is sustained through a child’s critical milestones – starting to feed, surgery, learning to speak, oral health supports, going to school, and charting a hopeful future in the community.

5 Highlights from 2021

Highlight #1

Planting a Renewed Mission & Vision

Local partners supporting children and families through Comprehensive Cleft Care is both our inspiration and passion.

Mission:

We partner locally and innovate globally so that children and families in under-resourced communities access Comprehensive Cleft Care.

Vision:

Our vision is for all children affected by cleft lip and palate to experience full rehabilitation and community inclusion with the support of a trusted local health team.

Highlight #2

Growing CCC in Madagascar

We welcomed a new cleft team, formed at Clinique Santé Plus in Antsirabe. Led by Dr. Nirina Mandrano, they are working with TF to grow Madagascar’s first Comprehensive Cleft Care centre.

Highlight #3

Diversifying Care Through Telehealth

As the pandemic ground on, our partners innovated! Telehealthcare encouraged parents in Peru to actively support their children’s treatments, enabled cross-border care between Thailand, Myanmar & Laos and limited rural families’ COVID-19 exposure in India.

Highlight #4

Enhancing Partner Collaboration

As a founding sponsor of the Circle of Cleft Professionals (CoCP), TF partners have been very engaged in the CoCP network - collaborating and sharing knowledge globally to enhance patient outcomes.

Highlight #5

Expanding Bright Start Monthly Giving to Uganda

TF’s partner CoRSU, based in Uganda, is now a part of our Bright Start monthly giving program. Read why Bright Start member Suzy Wilcox chooses to donate.

Hugh Brewster Headshot

A Letter From Our Executive Director

Play it safe in uncertain times, or risk redoubling our efforts to grow? Inspired by the passion of our partners worldwide, Transforming Faces dug deep and stretched out!

In Madagascar, we’re proud of the burgeoning growth of the first Comprehensive Cleft Care team in the nation. In Latin America, our partners have been pandemic pioneers in bringing speech therapy and counselling inside homes through telehealth. In India, we’ve been thrilled by the resilience of our partners in rebounding from each virus wave.

Globally, an innovative mentorship program helped young speech therapists gain skills and confidence. Through the Solutions for Comprehensive Cleft Care virtual conference, local cleft professionals demonstrated their innovation and insight in moving care beyond the limitations of COVID.

We’re grateful to report that this progress helped us welcome new supporters to the TF Network in the past year, even as kept non-program costs well-pruned.

While disease, war, and instability are burdens that our partners disproportionately bear, we remain committed to seeing CCC flourish – inspired by the stories of children and families - like Dialy and Yaw Han. We are grateful to count you as a nourishing root in this important work.

Hugh Brewster Signature (1)

Hugh Brewster
Executive Director
hugh@transformingfaces.org

Our Impact in 2021

By the Numbers

Group 5595

Cleft Treatments *

Treatments in 2021

*A cleft treatment includes any element of rehabilitative care such as counselling, speech therapy, surgery, orthodontics, dental care and nutritional support.

Treatments Since 1999

Group 5598

Impact Of Your Gift

$

Average Cost* per Patient in 2021
( ↑ +3.9%)

As a result of added COVID-19 expenses.

Group 5696
Group 5599

Children Supported

New Patients in 2021
( ↑ +22%)

Average Age of Patients in 2021

Families Helped in 2021
( ↑ +27%)

Increased community outreach during the pandemic.

*A cleft treatment includes any element of rehabilitative care such as counselling, speech therapy, surgery, orthodontics, dental care and nutritional support.

Rooting Comprehensive Cleft Care Locally & Branching Out

Hover to explore our work with local partners

A Global Network of Cleft Professionals

What Our Partners are Saying

A group of Ethiopian medical professionals standing on the grass and smiling at the camera.

“We had excellent cooperation and support from Transforming Faces through the difficult times because of the COVID 19 pandemic. TF was in full support in bringing and implementing innovative ideas.

— Dr. Mekonen Eshete, CCC Team Leader at Yekatit 12 Hospital (Ethiopia). TF Partner since 2007.

A group of Ethiopian medical professionals standing on the grass and smiling at the camera.
An older woman is pointing to a Cleft Care bulletin board and showing a man image of children that are pinned to the board.

“I am very appreciative of new innovations to expand linkages with different experts and to improve our CCC processes. These efforts support our local initiatives, strengthen and develop the skills of our cleft team. I have enjoyed a long working partnership with TF Board and staff members.”

— Ms. Phanomwan Yoodee, CCC Team Leader at Northern Women’s Development Foundation (Thailand), TF Partner since 2000.

An older woman is pointing to a Cleft Care bulletin board and showing a man image of children that are pinned to the board.
A group of six adults in a healthcare setting smiling at the camera.

“We are especially grateful for the attention provided by TF. Their accompaniment, guidance and support shown during this difficult year have been fundamental for our operation and continuity.”

— Ms. Angelica Campos, Asociación LPH (Costa Rica), TF Partner since 2017.

A group of six adults in a healthcare setting smiling at the camera.
A group of two women and their small boy who as a cleft palate, smiling at the camera with a doctor.

Communication with TF and responsiveness to our needs during the pandemic helps us to constantly improve our work.”

— Dr. Maria Rocio Lu, Programa Creciendo CCC Team Leader at UPCH (Peru). TF Partner since 2016

A group of two women and their small boy who as a cleft palate, smiling at the camera with a doctor.

CLEFT CARE LANDSCAPE

Africa

A Black baby boy and his father are standing in a green garden and smiling at the camera.

Changing Treatment Outcomes In Madagascar: Meet Dialy

A Black baby boy and his father are standing in a green garden and smiling at the camera.
A woman with a bright orange dress is leaning into her daughter who has a cleft palate and who is smiling.

A Mother’s Sorrow Turns Into Hope For The Future

A woman with a bright orange dress is leaning into her daughter who has a cleft palate and who is smiling.
A baby boy with big black eyes and a cleft palate is looking at the camera.

Aynalem Learns Feeding Techniques to Help Her Son Thrive

A baby boy with big black eyes and a cleft palate is looking at the camera.

CLEFT CARE LANDSCAPE

Asia

A woman wearing a mask is feeding a baby outside of a thatched hut

Care Over Closed Borders: Thailand & Myanmar

A woman wearing a mask is feeding a baby outside of a thatched hut
A man is hugging and holding his baby daughter who is wearing a pink dress under a palm tree.

Afra’s CCC Journey: Smile Support

A man is hugging and holding his baby daughter who is wearing a pink dress under a palm tree.
A young man with black hair and a moustache is wearing a blue collard shirt and standing in front of a red brick wall

Cleft Care Closer To Home: Lokeshwaran

A young man with black hair and a moustache is wearing a blue collard shirt and standing in front of a red brick wall

CLEFT CARE LANDSCAPE

Latin America

A young latino boy with a Reebok t-shirt sitting on a garden swing and smiling at the camera

Psychosocial Support In Costa Rica: Cleft & Beyond

A young latino boy with a Reebok t-shirt sitting on a garden swing and smiling at the camera
A nurse taking a photo of a baby girl with a cleft palate. wrapped in pink

Fernanda’s Family: New Advocates In Peru

A nurse taking a photo of a baby girl with a cleft palate. wrapped in pink

Strengthening Care in Bulgaria

In 2020, Transforming Faces returned to Bulgaria to work with Association ALA. Through 2021, ALA has managed to navigate a backlog of patients caused by pandemic shutdowns to cleft care services. Despite this large task, ALA significantly expanded its network of cleft care specialists both in number and locations across the country to ensure children receive care closer to home.

A young boy with glasses and short hair standing against a yellow wall.

Zdravko’s 10 Years Of Progress

News From the Field

As we navigate through the pandemic towards normalcy, we have adapted approaches and built capacities through knowledge and resources.

A child with a cleft palate and his mother are sitting and talking with a doctor and wearing face masks.

Resumption of Camps in Rural India

TF’s long-time partner SRIHER in Chennai, India has resumed its community-based camps. These camps allow families from three rural districts to access care, including speech therapy, hearing support, dental care, orthodontics and counselling, much closer to home.

A child with a cleft palate and his mother are sitting and talking with a doctor and wearing face masks.
A dentist is treating a young girl with a cleft palate on a dental chair.

Re-opening Dental Services in Peru

TF’s partner UPCH, based in Lima, Peru, successfully re-opened routine dental services after a long period. Dental care was on hold for a substantial portion of 2021 as a result of the pandemic restrictions.

A dentist is treating a young girl with a cleft palate on a dental chair.

Financial Statements

TF supporters have enabled us to work closely with our local partners in enhancing current initiatives and undertaking new ones to increase access to Comprehensive Cleft Care, globally.

REVENUE & EXPENSES 2021 2020
Total Revenue
Grants, Donations & Other Income $1,604,118 $1,597,738
Total Expenses $1,541,921 $1,638,381
Cleft Care $807,786 $953,857
Partner Medical Training & Capacity Building $455,947 $432,634
Administration and Fundraising $278,188 $251,890
Excess of Revenue over Expenses $62,197 ($40,643)
NET ASSETS 2021 2020
Balance, Beginning of Year $344,055 $384,697
Excess (Deficiency), Revenue over Expenses $62,197 ($40,643)
Balance, End of Year $406,252 $344,055

Your Donations at Work

A graph demonstrating financials: 82% Programs 100% of your donation supports our programs where local partners provide life-changing care. 10% Admin. 8% Fundraising These costs are covered by a private charitable foundation.
%

Programs
This life-changing care is made possible by you.

%*

Admin
This expense is covered by a private charitable foundation.

%*

Fundraising
This expense is also covered by a private charitable foundation.

• 100% of your donations support our programs.

A White woman is smiling and standing in front of a painting of a house

Giving a Bright Start to Children in Uganda & Myanmar

Q&A with Suzy Wilcox, a Bright Start Donor

Why is cleft care important to you?
I was born with a mild cleft lip that was treated easily with surgery in my first six months of life. If you meet me you’ll barely notice my scar. I never thought about my condition until high school, where a classmate had a noticeable cleft scar. She was teased and ostracized. I can only imagine the impact on her confidence and self-image. Cleft lip has never held me back and it angered me how people treated this girl.

Why TF?
I am proud to have supported Transforming Faces for almost 20 years. TF, like me, understands that cleft lip and palate is a condition that is treatable and, with proper care and support, does not have to negatively influence the trajectory of a child’s life. I invest in TF because of its comprehensive approach to care and dedication to local capacity building. TF’s work is done by local health professionals, embedding expertise in the community versus a “fly in fly out” approach. Cleft lip and palate can be overcome and TF is leading the charge.

Why do you choose to donate monthly?
I give monthly to show I believe deeply in TF’s work. I hope that my ongoing commitment provides TF with the stability they need to carry on and serve more children. The value of cleft surgery and comprehensive care is far greater than a few coffees and lunches out for me each month. Unlike other medical conditions in our world, cleft is treatable. So I’d like to help TF care for as many children as possible!

Are you interested in donating monthly?

Our Gratitude

Thank you for helping children in under-resourced communities to access Comprehensive Cleft Care from local, trusted health care providers.