Cleft Palate Program

Cleft Palate Program


One of Rotary Club Bali Nusa Dua’s major emphasis is to provide free cleft palate and hare lip surgery to children on Bali. Since Rotary Year 1994-1995 Rotary Club Bali Nusa Dua (RCBND) has provided over 1,810 cleft-lip and cleft-palate operations to underprivileged children and young adults on Bali and surrounding islands through the end of September 2019.

RCBND began cleft lip and palate operations in 1994 and through 1998 performed just over 300 operations with its own funds. Operations were suspended in 1999 due to the Asian financial crises. Operations resumed in the year 2000 with the financial assistance of individual donors, Rector Schneider Foundation in Holland and Rotary Clubs from around the world in the form of Rotary International Matching Grants and, more recently, two Rotary International Global Grants (see below). Under the guidance of local plastic surgeon, Dr. Asmarajaya, who is retired and gives much of his time for surgical procedures for as many children as his schedule will permit, Rotary Club Nusa Dua Bali provides the money to purchase the needed medicine, operating theatre, supplies such as x-rays, accommodation and meals for the patient and parent before and after the surgery and to pay for the support staff assisting Dr. Asmarajaya.

Of course continuing and expanding this program would not have been possible with the generosity of many individuals, Rotary Clubs and other charitable organisations. In November 2013 Rotary Club Bali Nusa Dua together with Rotary Clubs Kaufbeuren-Ostallgau (Germany), Rocky Mountain House (Canada) and Horst ann de Maas (The Netherlands) received approval for Global Grant No. 1416620 to continue and expand its cleft lip and palate program. This Global Grant allowed RCBND to perform some 170 hare-lip and cleft palate operations by April 2017. And in 2014 we began cooperative and supportive partnerships with local non profit organisation, Kolewa Foundation. This partnership has greatly expanded our reach into the community and improved our pre and post operative care.

More recently, in April 2017 Rotary Club Bali Nusa Dua together with Rotary Club Carnegie-Collier and District 7300, Köln-Kapitol, Mülheim-Ruhr-Unlenhorst and Kaufbeuren-Ostallgaü (again joining with us…) received approval for Global Grant No. 1864795 in the amount of USD130,906.00 to continue and expand its cleft lip and cleft palate program.

This will allow RC Bali Nusa Dua to perform approximately 200 hare-lip and cleft palate operations over the next 30 months (May 2017 – January 2020).

What is unique is that this Global Grant not only continues RCBND’s two decades of life changing surgeries but expands our efforts to provide per surgery dental care for children six years old and above. We know of no other Cleft Lip and Palate program in Indonesia providing this care.

Current estimates put the number of children born on Bali with either a cleft-lip, cleft-palate or both at approximately 125 children every year. The major reasons for such a high incidence of this deformity are inter-familial marriages, poor diet and poor prenatal care during pregnancy. Whilst we understand that “an ounce of prevention is worth a pound of cure” we are not currently in a position to tackle all issues which lead to this deformity.

Rotary Club Bali Nusa Dua will continue to sponsor as many cleft-lip and palate surgical procedures for individuals as possible. In many cases, a child may need as many as four operations (until his/her facial structure stops growing) to correct his/her deformity. RC Bali Nusa Dua aims to ensure that each child will be given followup procedures as needed. As new children to come into the program a continuous flow of funds into this program is essential. We forecast that the funds needed to continue the program over a period of 12 months to be as high as US$50,000.

The cost per procedure has, as of April 2017, increased to: Rp. 6,500,000.- to (approximately US$ 500.00 depending on the current exchange rate)

Imagine… for about US$500.00 you can change the course of a child’s life. If you would like more information on this project or information on how to make a donation please send an email to:

Last edited 02 October, 2019