Availability of rehabilitation services for communication disorders in Sri Lanka: a cross-sectional survey

Objectives To describe the rehabilitation services available for communication disorders in Sri Lanka and to estimate the adequacy of the services in provinces and districts of the country.Setting The study considered government and private institutions, which provide rehabilitation services for com...

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Main Authors: Samanmali P Sumanasena, Nimisha Muttiah, Rajitha Wickremasinghe, A V Caldera, T U Munasinghe, K M N Perera, D Tilakarathne, M K R R Peiris, E Thamilchelvan, Chamilka Sooriyaarachchi, Mohamed Naseem Nasma, R M Manamperige, A D K Ariyasena
Format: Article
Language:English
Published: BMJ Publishing Group 2023-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/4/e071620.full
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author Samanmali P Sumanasena
Nimisha Muttiah
Rajitha Wickremasinghe
A V Caldera
T U Munasinghe
K M N Perera
D Tilakarathne
M K R R Peiris
E Thamilchelvan
Chamilka Sooriyaarachchi
Mohamed Naseem Nasma
R M Manamperige
A D K Ariyasena
author_facet Samanmali P Sumanasena
Nimisha Muttiah
Rajitha Wickremasinghe
A V Caldera
T U Munasinghe
K M N Perera
D Tilakarathne
M K R R Peiris
E Thamilchelvan
Chamilka Sooriyaarachchi
Mohamed Naseem Nasma
R M Manamperige
A D K Ariyasena
author_sort Samanmali P Sumanasena
collection DOAJ
description Objectives To describe the rehabilitation services available for communication disorders in Sri Lanka and to estimate the adequacy of the services in provinces and districts of the country.Setting The study considered government and private institutions, which provide rehabilitation services for communication disorders in Sri Lanka.Participants Institutions providing services of speech–language pathologists, audiologists and audiology technicians in Sri Lanka.Primary and secondary outcome measures We investigated the number of government hospitals and private institutions, which provide speech–language pathology and audiology services in Sri Lanka as the primary outcome measure. A number of speech–language pathologists, audiologists and audiology technicians working in the institutions were obtained from records and institution-based inquiries to identify the adequacy of the services in the country as the secondary outcome measure.Results Of the 647 government hospitals that provide free healthcare services in the country, 45 and 33 hospitals had speech and language therapy and audiology units, respectively. Government hospitals do not have audiologists but only have audiology technicians. The number of speech and language therapists and audiology technicians in the government sector per 100 000 population in the country was 0.44 and 0.18, respectively. There were wide variations in specialist to population ratio between districts. 77 private centres provide speech therapy services in 15 out of the 25 districts; 36 private centres provide audiological evaluations in 9 districts.Conclusions The number of specialist speech and language therapists and audiologists is not sufficient to provide adequate rehabilitation services for communications disorder for the Sri Lankan population. Not recruiting audiologists to the government sector affects the management of hearing impairment in the affected.
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spelling doaj-art-cd49b9b5a7474c4eb1afd68ac09ffb842025-08-20T02:12:31ZengBMJ Publishing GroupBMJ Open2044-60552023-04-0113410.1136/bmjopen-2023-071620Availability of rehabilitation services for communication disorders in Sri Lanka: a cross-sectional surveySamanmali P Sumanasena0Nimisha Muttiah1Rajitha Wickremasinghe2A V Caldera3T U Munasinghe4K M N Perera5D Tilakarathne6M K R R Peiris7E Thamilchelvan8Chamilka Sooriyaarachchi9Mohamed Naseem Nasma10R M Manamperige11A D K Ariyasena12Disability Studies Department, University of Kelaniya, Kelaniya, Sri LankaDepartment of Disability Studies, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaPublic Health, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaPublic Health, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaPublic Health, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaPublic Health, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaFormerly PLAN Sri Lanka, Colombo, Sri LankaFormerly PLAN Sri Lanka, Colombo, Sri LankaPublic Health, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaPublic Health, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaPublic Health, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaPublic Health, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaPublic Health, University of Kelaniya Faculty of Medicine, Ragama, Western Province, Sri LankaObjectives To describe the rehabilitation services available for communication disorders in Sri Lanka and to estimate the adequacy of the services in provinces and districts of the country.Setting The study considered government and private institutions, which provide rehabilitation services for communication disorders in Sri Lanka.Participants Institutions providing services of speech–language pathologists, audiologists and audiology technicians in Sri Lanka.Primary and secondary outcome measures We investigated the number of government hospitals and private institutions, which provide speech–language pathology and audiology services in Sri Lanka as the primary outcome measure. A number of speech–language pathologists, audiologists and audiology technicians working in the institutions were obtained from records and institution-based inquiries to identify the adequacy of the services in the country as the secondary outcome measure.Results Of the 647 government hospitals that provide free healthcare services in the country, 45 and 33 hospitals had speech and language therapy and audiology units, respectively. Government hospitals do not have audiologists but only have audiology technicians. The number of speech and language therapists and audiology technicians in the government sector per 100 000 population in the country was 0.44 and 0.18, respectively. There were wide variations in specialist to population ratio between districts. 77 private centres provide speech therapy services in 15 out of the 25 districts; 36 private centres provide audiological evaluations in 9 districts.Conclusions The number of specialist speech and language therapists and audiologists is not sufficient to provide adequate rehabilitation services for communications disorder for the Sri Lankan population. Not recruiting audiologists to the government sector affects the management of hearing impairment in the affected.https://bmjopen.bmj.com/content/13/4/e071620.full
spellingShingle Samanmali P Sumanasena
Nimisha Muttiah
Rajitha Wickremasinghe
A V Caldera
T U Munasinghe
K M N Perera
D Tilakarathne
M K R R Peiris
E Thamilchelvan
Chamilka Sooriyaarachchi
Mohamed Naseem Nasma
R M Manamperige
A D K Ariyasena
Availability of rehabilitation services for communication disorders in Sri Lanka: a cross-sectional survey
BMJ Open
title Availability of rehabilitation services for communication disorders in Sri Lanka: a cross-sectional survey
title_full Availability of rehabilitation services for communication disorders in Sri Lanka: a cross-sectional survey
title_fullStr Availability of rehabilitation services for communication disorders in Sri Lanka: a cross-sectional survey
title_full_unstemmed Availability of rehabilitation services for communication disorders in Sri Lanka: a cross-sectional survey
title_short Availability of rehabilitation services for communication disorders in Sri Lanka: a cross-sectional survey
title_sort availability of rehabilitation services for communication disorders in sri lanka a cross sectional survey
url https://bmjopen.bmj.com/content/13/4/e071620.full
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