South African Speech-Language Therapy and Audiology students’ experiences of academic and clinical curriculum transformation

Background: South African Speech-Language Therapy and Audiology (SLH) programmes historically followed Western frameworks, often lacking in cultural and linguistic relevance to the local context. SLH curricula and clinical training continue to face challenges in aligning with South Africa’s diverse...

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Main Authors: Farieda Abrahams, Katijah Khoza-Shangase
Format: Article
Language:English
Published: AOSIS 2025-05-01
Series:South African Journal of Communication Disorders
Subjects:
Online Access:https://sajcd.org.za/index.php/sajcd/article/view/1086
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author Farieda Abrahams
Katijah Khoza-Shangase
author_facet Farieda Abrahams
Katijah Khoza-Shangase
author_sort Farieda Abrahams
collection DOAJ
description Background: South African Speech-Language Therapy and Audiology (SLH) programmes historically followed Western frameworks, often lacking in cultural and linguistic relevance to the local context. SLH curricula and clinical training continue to face challenges in aligning with South Africa’s diverse population and healthcare needs. Objectives: To investigate South African undergraduate SLH students’ experiences of transformation in the curriculum and clinical service provision. Method: A cross-sectional survey design was employed on students from four South African universities. Data were collected through an online questionnaire. Quantitative data were analysed using descriptive and inferential statistics, while thematic analysis was conducted on qualitative responses. Results: Findings revealed that most students perceived limited cultural and linguistic relevance in the SLH curriculum, with 60% indicating insufficient Afrocentric content and South African language integration. Students reported feeling underprepared for working with diverse linguistic groups, citing a lack of appropriate resources and limited training in cultural competence. Students proficient in an indigenous language reported higher confidence levels in clinical interactions. Qualitative themes included lack of representation in curriculum content, insufficient cultural competence training and desire for indigenous knowledge and Afrocentric approaches. Conclusion: The study highlights critical gaps in SLH education in South Africa, particularly in the inclusion of culturally and linguistically relevant training. Recommendations include integrating Afrocentric content, indigenous language modules and practical training for working in diverse clinical settings. Contribution: This study contributes to the discourse on decolonising SLH education in South Africa, offering evidence-based recommendations to align training with the country’s diverse sociocultural and linguistic realities.
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spelling doaj-art-b48701d67e5a4f91b918e83c221c8b592025-08-20T02:24:22ZengAOSISSouth African Journal of Communication Disorders0379-80462225-47652025-05-01721e1e1310.4102/sajcd.v72i1.1086772South African Speech-Language Therapy and Audiology students’ experiences of academic and clinical curriculum transformationFarieda Abrahams0Katijah Khoza-Shangase1Department of Audiology, School of Human and Community Development, University of the Witwatersrand, BraamfonteinDepartment of Audiology, School of Human and Community Development, University of the Witwatersrand, BraamfonteinBackground: South African Speech-Language Therapy and Audiology (SLH) programmes historically followed Western frameworks, often lacking in cultural and linguistic relevance to the local context. SLH curricula and clinical training continue to face challenges in aligning with South Africa’s diverse population and healthcare needs. Objectives: To investigate South African undergraduate SLH students’ experiences of transformation in the curriculum and clinical service provision. Method: A cross-sectional survey design was employed on students from four South African universities. Data were collected through an online questionnaire. Quantitative data were analysed using descriptive and inferential statistics, while thematic analysis was conducted on qualitative responses. Results: Findings revealed that most students perceived limited cultural and linguistic relevance in the SLH curriculum, with 60% indicating insufficient Afrocentric content and South African language integration. Students reported feeling underprepared for working with diverse linguistic groups, citing a lack of appropriate resources and limited training in cultural competence. Students proficient in an indigenous language reported higher confidence levels in clinical interactions. Qualitative themes included lack of representation in curriculum content, insufficient cultural competence training and desire for indigenous knowledge and Afrocentric approaches. Conclusion: The study highlights critical gaps in SLH education in South Africa, particularly in the inclusion of culturally and linguistically relevant training. Recommendations include integrating Afrocentric content, indigenous language modules and practical training for working in diverse clinical settings. Contribution: This study contributes to the discourse on decolonising SLH education in South Africa, offering evidence-based recommendations to align training with the country’s diverse sociocultural and linguistic realities.https://sajcd.org.za/index.php/sajcd/article/view/1086speech-language therapyaudiologycurriculum transformationcultural competenceclinical trainingsouth africaafrocentric approachesindigenous languages.
spellingShingle Farieda Abrahams
Katijah Khoza-Shangase
South African Speech-Language Therapy and Audiology students’ experiences of academic and clinical curriculum transformation
South African Journal of Communication Disorders
speech-language therapy
audiology
curriculum transformation
cultural competence
clinical training
south africa
afrocentric approaches
indigenous languages.
title South African Speech-Language Therapy and Audiology students’ experiences of academic and clinical curriculum transformation
title_full South African Speech-Language Therapy and Audiology students’ experiences of academic and clinical curriculum transformation
title_fullStr South African Speech-Language Therapy and Audiology students’ experiences of academic and clinical curriculum transformation
title_full_unstemmed South African Speech-Language Therapy and Audiology students’ experiences of academic and clinical curriculum transformation
title_short South African Speech-Language Therapy and Audiology students’ experiences of academic and clinical curriculum transformation
title_sort south african speech language therapy and audiology students experiences of academic and clinical curriculum transformation
topic speech-language therapy
audiology
curriculum transformation
cultural competence
clinical training
south africa
afrocentric approaches
indigenous languages.
url https://sajcd.org.za/index.php/sajcd/article/view/1086
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