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Speech language therapy services for children in Small Island Developing States – the situation in the Maldives
Zahir, Mariyam Z.; Miles, Anna; Hand, Linda; Ward, Elizabeth C.. - : Taylor and Francis, 2020
Abstract: Speech-language therapists (SLT) support people with communication difficulties to exercise their right to communicate. Yet, children in Majority world countries face great obstacles to accessing these services. Vulnerable countries within the Majority world, such as Small Island Developing States (SIDS) face complex challenges due to particular environmental, social and economic vulnerabilities. Access to services is unlikely to improve in underserved communities unless service delivery approaches take the context into consideration. This preliminary study used mixed methods to explore environmental, social and economic conditions affecting equitable access to SLT services for children in one SIDS, the Maldives. Forty publicly available online documents were analyzed, and online surveys were conducted with 107 teachers and 73 parents of children with communication difficulties to examine the conditions that affect equitable access to SLT services in the Maldives. This data revealed three major characteristics of the Maldivian context: (1) Barriers related to geography, dispersed population and transport, (2) Inadequacy of current services to meet needs, and (3) Significant need to minimize costs.
Keyword: 2733 Otorhinolaryngology; 3310 Linguistics and Language; 3616 Speech and Hearing; children; Majority world countries; Service delivery; Small Island Developing States; speech language therapy; underserved communities
URL: https://espace.library.uq.edu.au/view/UQ:36ae1b8
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2
Client perspectives on living with dysphagia in the community
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3
Clinical reasoning and hypothesis generation in expert clinical swallowing examinations
McAllister, Sue; Tedesco, Helen; Kruger, Samantha. - : John Wiley & Sons, 2020
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4
Knowing the costs of change: an introduction to health economic analyses and considerations for their use in implementation research
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5
Factors contributing to clinician training and development in the clinical area of laryngectomy and tracheoesophageal voice
Hancock, Kelli L.; Ward, Elizabeth C.; Hill, Anne E.. - : John Wiley & Sons, 2020
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6
Speech-language pathology managers’ perceptions of a videofluoroscopic swallow study eLearning programme to support training and service delivery
Taubert, Shana T.; Burns, Clare L.; Ward, Elizabeth C.. - : Taylor & Francis, 2020
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7
Elizabeth Usher memorial lecture: Expanding scope of practice - inspiring practice change and raising new considerations
Ward, Elizabeth C.. - : Taylor & Francis, 2019
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8
Telepractice for the delivery of pediatric feeding services: A survey of practice investigating clinician perceptions and current service models in Australia
Raatz, Madeline K.; Ward, Elizabeth C.; Marshall, Jeanne. - : Springer New York LLC, 2019
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9
Impact of carbonation on neurogenic dysphagia and an exploration of the clinical predictors of a response to carbonation
Turkington, Leisa; Ward, Elizabeth C.; Farrell, Anna. - : John Wiley & Sons, 2019
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10
Dysphagia care for adults in the community setting commands a different approach: perspectives of speech–language therapists
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11
An investigation of taste intensity, palatability, effervescence, and sip volumes of carbonated liquid stimuli for use in videofluoroscopic studies
Turkington, Leisa; Ward, Elizabeth C.; Farrell, Anna M.. - : American Speech - Language - Hearing Association, 2019
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12
Speech and language therapists’ reflections on developing and maintaining confidence in tracheoesophageal speech rehabilitation
Hancock, Kelli L.; Ward, Elizabeth C.; Hill, Anne E.. - : John Wiley and Sons, 2019
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13
Delegation models in dysphagia management: current policy, clinical perceptions and practice patterns
Schwarz, Maria; Ward, Elizabeth C.; Cornwell, Petrea. - : Taylor & Francis, 2019
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14
Understanding dysphagia care in the community setting
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15
Impact of thermo-tactile stimulation on the speed and efficiency of swallowing: A systematic review
Schwarz, Maria; Ward, Elizabeth C.; Ross, Jane. - : John Wiley & Sons, 2018
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16
Establishing a multidisciplinary head and neck clinical pathway: an implementation evaluation and audit of dysphagia-related services and outcomes
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17
Evaluating the feasibility and validity of using trained allied health assistants to assist in mealtime monitoring of dysphagic patients
Schwarz, Maria; Ward, Elizabeth C.; Cornwell, Petrea. - : Springer New York LLC, 2018
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18
Community listeners' perceptions of voice function post-radiotherapy for laryngeal cancer.
Bergström, Liza; Ward, Elizabeth C.; Finizia, Caterina. - : Taylor & Francis, 2017
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19
Tracheoesophageal speech restoration: issues for training and clinical support
Hancock, Kelli; Ward, Elizabeth C.; Burnett, Robyn. - : Taylor and Francis, 2017
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20
Establishing phonation using the Blom® tracheostomy tube system: a report of three cases post cervical spinal cord injury
Pryor, Lee N.; Ward, Elizabeth C.; Cornwell, Petrea L.. - : Taylor & Francis, 2016
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