肯尼亚西部语言治疗服务提供的成功与挑战:三个案例研究。

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Bea Staley, Ellen Hickey, David Rochus, Duncan Musasizi, Rachael Gibson
{"title":"肯尼亚西部语言治疗服务提供的成功与挑战:三个案例研究。","authors":"Bea Staley,&nbsp;Ellen Hickey,&nbsp;David Rochus,&nbsp;Duncan Musasizi,&nbsp;Rachael Gibson","doi":"10.4102/sajcd.v68i1.838","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The need for communication-related services in sub-Saharan Africa to support individuals experiencing communication disability is a longstanding and well-documented situation. We posit the inequities highlighted by coronavirus disease 2019 (COVID-19) make this a relevant time for speech language therapists and the professional bodies that govern us to broadly consider our roles and practices in education, health and disability in local, national and global contexts.</p><p><strong>Objective: </strong>To illustrate what services developed with local knowledge can look like in Kenya in order to promote dialogue around alternative speech language therapy models, particularly in contexts where there are insufficient services, few trained speech language therapists and limited structures to support the emerging profession.</p><p><strong>Method: </strong>This article examines three clinical case studies from Western Kenya, using a conceptual framework for responsive global engagement.</p><p><strong>Results: </strong>Service needs in Western Kenya well exceed a direct one-on-one model of care that is common in the minority world. The service delivery models described here emphasise training, skills sharing and engaging the myriad of communication partners available to individuals with communication disabilities.</p><p><strong>Conclusion: </strong>We offer up these case studies of collaborative practice as contextual realities that may be present in any speech language therapy programming in under-resourced communities. We dispel the idea that success in this work has been linear, progressed on planned time frames or come to fruition with targeted goal attainment. The fact that our relationships have endured in these communities since 2007 is our primary success.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8517751/pdf/","citationCount":"3","resultStr":"{\"title\":\"Successes and challenges of speech language therapy service provision in Western Kenya: Three case studies.\",\"authors\":\"Bea Staley,&nbsp;Ellen Hickey,&nbsp;David Rochus,&nbsp;Duncan Musasizi,&nbsp;Rachael Gibson\",\"doi\":\"10.4102/sajcd.v68i1.838\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The need for communication-related services in sub-Saharan Africa to support individuals experiencing communication disability is a longstanding and well-documented situation. We posit the inequities highlighted by coronavirus disease 2019 (COVID-19) make this a relevant time for speech language therapists and the professional bodies that govern us to broadly consider our roles and practices in education, health and disability in local, national and global contexts.</p><p><strong>Objective: </strong>To illustrate what services developed with local knowledge can look like in Kenya in order to promote dialogue around alternative speech language therapy models, particularly in contexts where there are insufficient services, few trained speech language therapists and limited structures to support the emerging profession.</p><p><strong>Method: </strong>This article examines three clinical case studies from Western Kenya, using a conceptual framework for responsive global engagement.</p><p><strong>Results: </strong>Service needs in Western Kenya well exceed a direct one-on-one model of care that is common in the minority world. The service delivery models described here emphasise training, skills sharing and engaging the myriad of communication partners available to individuals with communication disabilities.</p><p><strong>Conclusion: </strong>We offer up these case studies of collaborative practice as contextual realities that may be present in any speech language therapy programming in under-resourced communities. We dispel the idea that success in this work has been linear, progressed on planned time frames or come to fruition with targeted goal attainment. The fact that our relationships have endured in these communities since 2007 is our primary success.</p>\",\"PeriodicalId\":44003,\"journal\":{\"name\":\"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2021-09-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8517751/pdf/\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4102/sajcd.v68i1.838\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/sajcd.v68i1.838","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 3

摘要

背景:在撒哈拉以南非洲地区,需要与通信相关的服务来支持有通信障碍的个人,这是一个长期存在且有充分记录的情况。我们认为,2019年冠状病毒病(COVID-19)突显的不平等现象,使言语语言治疗师和管理我们的专业机构在地方、国家和全球范围内广泛考虑我们在教育、卫生和残疾方面的角色和做法。目的:说明在肯尼亚,利用当地知识开发的服务可以是什么样子,以促进围绕替代语言治疗模式的对话,特别是在服务不足、训练有素的语言治疗师很少、支持新兴职业的结构有限的情况下。方法:本文考察了肯尼亚西部的三个临床病例研究,使用了响应性全球参与的概念框架。结果:肯尼亚西部的服务需求远远超过了在少数民族世界常见的直接一对一的护理模式。这里描述的服务交付模式强调培训、技能分享和吸引无数的沟通伙伴,以帮助有沟通障碍的个人。结论:我们提供了这些合作实践的案例研究作为背景现实,可能存在于资源不足社区的任何言语语言治疗规划中。我们消除这样一种想法,即这项工作的成功是线性的,在计划的时间框架内取得进展,或在实现目标的情况下取得成果。自2007年以来,我们与这些社区的关系得以维系,这是我们的主要成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successes and challenges of speech language therapy service provision in Western Kenya: Three case studies.

Background: The need for communication-related services in sub-Saharan Africa to support individuals experiencing communication disability is a longstanding and well-documented situation. We posit the inequities highlighted by coronavirus disease 2019 (COVID-19) make this a relevant time for speech language therapists and the professional bodies that govern us to broadly consider our roles and practices in education, health and disability in local, national and global contexts.

Objective: To illustrate what services developed with local knowledge can look like in Kenya in order to promote dialogue around alternative speech language therapy models, particularly in contexts where there are insufficient services, few trained speech language therapists and limited structures to support the emerging profession.

Method: This article examines three clinical case studies from Western Kenya, using a conceptual framework for responsive global engagement.

Results: Service needs in Western Kenya well exceed a direct one-on-one model of care that is common in the minority world. The service delivery models described here emphasise training, skills sharing and engaging the myriad of communication partners available to individuals with communication disabilities.

Conclusion: We offer up these case studies of collaborative practice as contextual realities that may be present in any speech language therapy programming in under-resourced communities. We dispel the idea that success in this work has been linear, progressed on planned time frames or come to fruition with targeted goal attainment. The fact that our relationships have endured in these communities since 2007 is our primary success.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信