When we first met Yanell, she was just five years old and living in Baramita, a remote hinterland community where access to specialised medical care is extremely limited. Although she was of age to attend nursery school, Yanell had never been enrolled. Born with a cleft lip and palate, she struggled to speak clearly and was often withdrawn. Her condition affected not only her health, but her confidence, her ability to socialise, and her chance to experience childhood in the way every child deserves.