Volunteer surgeon Dr. Tilinde Chokotho was first introduced to Operation Smile Malawi during his residency in South Africa. And even after years of collaborating with volunteer medical teams from countries all around the world, Tilinde remains just as passionate about programmes in Malawi being driven forward by local volunteers.

And that’s exactly what he witnessed during a 2018 medical programme held in Blantyre, Malawi.

Operation Smile invests in increasing the surgical capacity of low- and middle-income countries like Malawi so that it can serve and treat more people living with cleft conditions. As a local foundation, Operation Smile Malawi has worked to encourage and educate local surgeons, doctors and nurses with nearly 50 percent of Malawian volunteers.

Cleft Surgeon Tilinde Chokotho with cleft patient
Operation Malawi Cleft Surgeon Tilinde Chokotho, with 12-years-old Belita, before cleft surgery

It is very important and quite significant to have such a strong representation, it means that in the future, we could be pretty much self-sufficient. We could still have a few overseas volunteers to support, but, basically, it should be Malawians treating Malawians.

 Dr. Tilinde Chokotho, Volunteer surgeon
Patient announcement day at the patient shelter in Blantyre. Photo: Jasmin Shah
Patient announcement day at the programme shelter in Blantyre, in 2018. Photo: Jasmin Shah

The learning experiences

Operating room nurse Seleman Badrlie has only been volunteering with Operation Smile since 2016, but he has already transformed many lives through attending 11 medical programmes.

After finishing a programme in neighbouring Mozambique, Seleman joined the medical team in Blantyre to help create even more smiles. Back-to-back programmes can be exhausting experiences, but for Seleman, it’s the right thing to do for the patients who are waiting.

“I felt like my help and my dedication to the team would be very important. Whatever I have to give to Operation Smile in order to bring smiles to people is OK with me,” Seleman said.

While Seleman is committed to the idea of Malawians driving the Malawi programmes, he hopes to continue working with volunteers from around the world.

“It’s important to work on Malawian programmes because it helps me gain skills,” he said. “I am always involved in working with the international volunteers, which is so helpful and allows me to learn valuable skills.”

As an organisation with a multidisciplinary approach to care, Operation Smile values its extensive community of volunteers who contribute a wide array of skill sets and professions that are vital to improving the health and dignity of people around the world.

Child life specialists are an integral part of that community

Cathy Cheonga works as a psychosocial practitioner in Malawi and volunteers her skills to assist with the child life team. It was through an awareness campaign that she first heard about Operation Smile and how it strives to deliver exceptional surgery to people where it’s needed most.

As paediatric healthcare professionals, child life specialists help patients and their families understand and cope with the hospital experience. Through therapeutic play and activities, child life specialists ease patients’ fears and anxieties during the mission, helping comfort and soothe them during their time with Operation Smile.

But the event that cemented Cathy’s interest in the organisation’s mission was when the Operation Smile Malawi team visited her office.

“They came to our offices to find out if we had any volunteers who could offer their services. I attended my first programme last year, and it was successful, which was why they invited me back this year,” Cathy said.

For Cathy, dedicating her time to attending programme and seeing the lasting impact that she has been able to make for children and their families motivates her to keep going.

“I have enjoyed my experience very much. I actually want to help the parents, as well as the children, to take away their fears: to say to them that this is part of life and everything is going to be OK and then help them transition from fear to hope and peace.”

When it comes to the question of enhancing skills, increasing capacity and building the local foundation, Cathy makes it clear that it’s a pressing concern.

“It’s actually really important because the mindset of many people is that other people have to come to help us, and yet, we are the very people who live with our fellow Malawians here,” Cathy said.

Cathy said that being local allows for a special understanding of the country’s beliefs and cultures, which can be useful in a programme context. She hopes to encourage the youth of Malawi to get involved and volunteer with Operation Smile Malawi so that they, too, can make a life-changing impact.

Through their partnership, Operation Smile and Operation Smile Malawi work collaboratively to reach a goal of clearing the backlog of patients who need cleft lip and cleft palate surgery in Malawi.

For Tilinde, the goal is possible. And he feels that a key element in achieving it is through increasing local capacity.

Cathy Cheonga showing getting baby Julita used to what happens before her cleft surgery. Photo: Margherita Mirabella
Cathy Cheonga showing getting baby Julita used to what happens before her cleft surgery. Photo: Margherita Mirabella
Operation Smile volunteer psychosocial practitioner Cathy Cheonga, left, and volunteer surgeon Dr. Stefan Rawlins of South Africa meet with 79-year-old Flyness before her cleft surgery. Photo: Zute Lightfoot.
Operation Smile volunteer psychosocial practitioner Cathy Cheonga, left, and volunteer surgeon Dr. Stefan Rawlins of South Africa meet with 79-year-old Flyness before her cleft surgery. Photo: Zute Lightfoot.

It’s not just about doing the cleft repairs; comprehensive care is the ultimate goal, we need training, not just for surgeons, nurses and anaesthesiologists, but other specialties like speech therapy.

 Dr. Tilinde Chokotho, Volunteer surgeon

Lives changed in Malawi

James and Tiyamjane were just two of the patients we cared for during the 2018 medical programme in Blantyre, Malawi.

Cleft care in Malawi since 2012

Smile baby after cleft surgery

Help increase Malawi capacity to heal Malawians