TY - CHAP

T1 - Development of a Mobile SLT Clinic: A Case of East Africa

AU - Eron, Lawrence

AU - Karia, Mathew Kinyua

AU - Otube, Nelly Were

AU - Kija, Edward

AU - Isanda, Becky

AU - Mugisa, Charles

AU - Oyesigye, Stuart Robert

AU - Küthe, Marlene

AU - Meinen, Rieke

AU - Gremmelt, Steffen

AU - Karugu, Geoffrey K.

AU - Lüdtke, Ulrike M.

PY - 2023/2/4

Y1 - 2023/2/4

N2 - Background: In sub-Saharan Africa (SSA), the ratio of persons with communication disabilities to speech-language therapists is adverse. People living in urban areas in some countries are much more likely to receive treatment than those living in rural areas. Mobile health care is a community-based strategy that provides solutions to speech-language therapy (SLT) delivery to underserved and at-risk populations. Methodology: This multinational project report elaborates on the culturally appropriate adaptation of the general concept of a mobile clinic to a mobile SLT clinic. The authors from Kenya, Tanzania, Uganda, and Europe outline a strategic methodology for developing, equipping, and using the mobile clinic. Results: Challenges, pitfalls, and prospects of developing a culturally sensitive practicing mobile clinic for SLT are discussed. In particular, the collaboration of a multinational project team of experts from sub-Saharan Africa and Europe is critically reviewed. Discussion: While developing a culturally appropriate and mobile SLT clinic, a cost-benefit analysis became one of the main tasks. SLTs need to question themselves whether there is a need for expensive inventories or low-cost basic equipment for assessment and therapy, or both.

AB - Background: In sub-Saharan Africa (SSA), the ratio of persons with communication disabilities to speech-language therapists is adverse. People living in urban areas in some countries are much more likely to receive treatment than those living in rural areas. Mobile health care is a community-based strategy that provides solutions to speech-language therapy (SLT) delivery to underserved and at-risk populations. Methodology: This multinational project report elaborates on the culturally appropriate adaptation of the general concept of a mobile clinic to a mobile SLT clinic. The authors from Kenya, Tanzania, Uganda, and Europe outline a strategic methodology for developing, equipping, and using the mobile clinic. Results: Challenges, pitfalls, and prospects of developing a culturally sensitive practicing mobile clinic for SLT are discussed. In particular, the collaboration of a multinational project team of experts from sub-Saharan Africa and Europe is critically reviewed. Discussion: While developing a culturally appropriate and mobile SLT clinic, a cost-benefit analysis became one of the main tasks. SLTs need to question themselves whether there is a need for expensive inventories or low-cost basic equipment for assessment and therapy, or both.

KW - Community-based rehabilitation

KW - Cultural appropriateness

KW - East Africa

KW - Mobile clinics

KW - PAGEL

KW - Service delivery

UR - http://www.scopus.com/inward/record.url?scp=85161890199&partnerID=8YFLogxK

U2 - 10.1007/978-3-031-04504-2_25

DO - 10.1007/978-3-031-04504-2_25

M3 - Contribution to book/anthology

SN - 978-3-031-04503-5

SN - 978-3-031-04506-6

SP - 515

EP - 533

BT - Handbook of Speech-Language Therapy in Sub-Saharan Africa

A2 - Lüdtke, Ulrike M.

A2 - Kija, Edward

A2 - Karia, Mathew Kinyua

ER -