Sustainable Delivery of Speech-Language Therapy Services in Small Island Developing States Using Information and Communication Technology – A Study of the Maldives

Abstract

Small Island Developing States (SIDS), a subgroup of Majority world countries, face complex challenges providing equitable access to speech-language therapy (SLT) services. Increasing use of information and communication technology (ICT) to enhance SLT services is seen in the Minority world. This study explored the potential of using ICT to provide sustainable SLT services in one SIDS, the Maldives. A mixed method approach was used integrating data from (a) 21 online documents, (b) interview with an ICT official, and (c) surveys of 13 island councillors and 73 parents of children with communication difficulties. Almost 100% of the population had access to mobile phones and mobile broadband internet. Most parents were active and frequent ICT users. The government provided financial aid for people with disabilities which could be utilised to access ICT for services. Asynchronous service delivery using accessible ICT and parents as agents of service delivery can potentially enhance SLT services.

Contextualising clinical reasoning within the clinical swallow evaluation: A scoping review and expert consultation

“…This is problematic as a rigid approach to knowledge which gives deference to colonial ideals cannot account for the complex social, economic and historical realities of the rest of the world (Dawson, 2020 ; Ndlovu-Gatsheni, 2018 ). Therefore, it is important for us to understand the influence of these biases on clinical reasoning to assist in managing patients in a manner that is more relevant and socio-politically aware (Findyartini et al, 2016 ; Kathard & Pillay, 2013 ; Zahir, Miles, Hand, & Ward, 2020 ).…”

Technological Ecosystems That Support People With Disabilities: Multiple Case Studies

“…Government support has also been important in bringing technologies closer together as was the case in the Maldives where its importance was identified in improving speech and language therapy services. The government provided financial assistance to persons with disabilities that could be used to access accessible ICT services and parents as agents of service and support delivery ( Zahir et al, 2020 ). However, Setchell et al (2020) caution that it is important to recognize that well-intentioned attempts to promote the use of ICTs can be counterproductive if they lead to experiences of marginalization and that, to avoid this, inclusive practices could focus beyond access to and the ability to use devices to include considerations of multiple socio-emotional effects.…”