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    • News
    • Produced in Partnership: Building Back Health

    Improving speech for Mexican children born with cleft lips and palates

    Most patients with clefts need not just surgery but other care that can be hard to access. In Mexico, one boy hopes a foundation's integrated care can help him speak clearly for the first time.

    By Natalie Donback // 02 September 2021
    There’s much more to cleft care than surgery, with the majority of patients also requiring speech therapy and orthodontic care — which can be difficult to access. Photo by: Alberto Solalinde. Click the image to read the full visual story.

    An estimated nine children are born with cleft lips and palates in Mexico each day — roughly 3,500 every year. Despite the life-threatening risks it poses to a child and their development, nutrition, and speech, some 1,500 of these children don’t receive any care whatsoever.

    Q&A: Build ‘better, bolder, and bigger’ health systems, says Africa CDC

    COVID-19 has highlighted the need for resilient health systems that can withstand the pressure of future pandemics. Dr. John Nkengasong weighs in on the role of local manufacturing and workforce development in building regional resilience.

    13-year-old Cristian Castro Zenteno was born with a cleft lip and palate in a remote village in the south of Mexico. While he's already undergone two surgeries, he's still unable to speak clearly like other boys his age. The treatment he received from a short-term medical mission didn’t provide the comprehensive care he needed — including speech therapy — to ensure a good result.

    Living in Chiapas, a southern Mexican state bordering Guatemala, Cristian and his family travel the 100 km separating his village Luis Espinoza from the regional capital Tuxtla Gutiérrez to visit the foundation La Fuerza De Mi Sonrisa, or “The Strength Of My Smile.” The trip from the village takes around three hours each way and the family often has to walk for 40 minutes to reach the nearest town with public transport.

    But it’s worth it, according to his father ​​Cilas Castro Lopez: “The service at the foundation is much better and more focused on the children. It’s not just about the surgery but they also do [speech] therapy with them. Cristian’s results would have been much better if we had initiated treatment there,” he said.

    Explore the full visual story.

    Visit the Building Back Health series for more coverage on how we can build back health systems that are more effective, equitable, and preventive. You can join the conversation using the hashtag #BuildingBackBetter.

    • Global Health
    • Social/Inclusive Development
    • Mexico
    Printing articles to share with others is a breach of our terms and conditions and copyright policy. Please use the sharing options on the left side of the article. Devex Pro members may share up to 10 articles per month using the Pro share tool ( ).

    About the author

    • Natalie Donback

      Natalie Donback

      Natalie Donback is a freelance journalist and editor based in Barcelona, where she covers climate change, global health, and the impact of technology on communities. Previously, she was an editor and reporter at Devex, covering aid and the humanitarian sector. She holds a bachelor’s degree in development studies from Lund University and a master’s in journalism from the University of Barcelona and Columbia Journalism School.

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