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There is a significant shortfall in rehabilitation service for people with communication difficulties across Majority World countries. It is known that many people in these countries are likely to seek help from a variety of sectors including western healthcare, religious and traditional belief sectors (such as herbalism, spiritualism etc). Little is known about what advice may be given to these people if they do seek advice from these community sectors. This study aimed to explore the advice and support that may be offered to people with communication difficulties in Accra, Ghana by interviewing nine people from each of these sectors: a doctor, a pastor and a herbalist. Six themes arose from the data collected, highlighting that service providers recognise causes of difficulties and intervene across physical, spiritual and environmental domains. They explain about the past, present and future, and promote communication development. Service providers respond to the individual and their context and link with other providers within and across sectors. Given that speech and language therapy is an emerging profession in Majority World countries, the authors highlight the importance of collaborating with other professionals across sectors to improve the availability and acceptability of their interventions.

Community service providers’ roles in supporting communication disability rehabilitation in Majority World contexts: An example from Ghana.
Wyle K, Davidson B, Marshall J, et al.
2019, Early online:1-11.
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Anna Volkmer

UCL, London, UK.

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