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The current paper is a response to the Wiley, McAllister, Davidson, and Marshall lead article regarding the application of the World Report on Disability (WRD) to people with communication disorders. The current paper directly addresses recommendation 5 (improvement of human resource capacity) and indirectly addresses recommendations 7, 8, and 9 (related to improving local knowledge and data on communicative disabilities) indirectly. The paper describes Malaysia's initiatives in the early 1990s, in developing its local professional capacity to provide services for people with communication disorders (PWCD). It charts the history of development of a local undergraduate entry-level degree program for speech-language pathology (SLP) from the point of conceptualization to full execution. The article provides glimpses to the processes and challenges faced by Universiti Kebangsaan Malaysia as the pioneer university in the South East Asia region to undertake the training and education of the SLP profession and highlights relevant issues faced by newly introduced professions in a country where resources and practice traditions were previously unavailable. It underscores the important role played by government institutions and an international professional network in driving forward-looking policies to implement and sustain the program.

The social engagement, social attention skills and social competence of 10 hearing preschoolers and 10 preschoolers with hearing loss were investigated during free play in inclusive oral kindergarten settings using a three-level hierarchical model. When comparing the types of opportunities, at the first level, the children with hearing loss created significantly fewer opportunities through visual regard and interaction. At the second level, for social attention skills, this group scored significantly higher on distractibility, and significantly lower on alert, sustained and focused attention. For the third level, social competence, no statistically significant differences were found between the two groups. Discriminant Function Analysis showed that the function that discriminated maximally between the two groups of participants was composed only of amount of interaction at Level 1. Children scoring highly on this function were also more likely to have the ability to focus their attention and manage divided attention, to be reciprocal, and to demonstrate mutuality and problem-solving skills with peers.