Information and Communication Technology in Schools: Its Contribution to Equitable Speech-Language Therapy Services in an Underserved Small Island Developing State

Author:

Zahir Mariyam Z.1ORCID,Miles Anna1ORCID,Hand Linda1ORCID,Ward Elizabeth C.23ORCID

Affiliation:

1. The University of Auckland, New Zealand

2. The University of Queensland School of Health and Rehabilitation Sciences, Brisbane, Australia

3. Centre for Functioning and Health Research, Metro South Hospital and Health Service, Brisbane, Queensland, Australia

Abstract

Purpose Access to speech-language therapy services for children with communication difficulties is limited in vulnerable countries within the Majority world, such as Small Island Developing States. The use of information and communication technology (ICT) has been identified as a possible solution to provide equitable access to services in Minority world countries. This study explored ICT-related conditions in remote schools of the Maldives, a Small Island Developing State, in order to identify potential service delivery approaches. Method A mixed methods approach was used, involving (a) an online survey of 107 teachers, (b) observational data from four schools, (c) interviews with 31 teachers and the four principals of participating schools, and (d) 13 relevant online documents. Content analysis was used to analyze and integrate data from all sources. Results Teachers' access to ICT devices and fixed broadband Internet varied across schools. The government had limited funds to provide adequate fixed broadband Internet for them. However, favorable prospects were also discovered, including high access to 4G mobile broadband Internet in islands, high levels of confidence among teachers to use ICT, a variety of ICT uses currently employed by teachers, and the presence of financial aid for students with special education needs. Conclusions The findings of the study support the potential for using mobile broadband Internet, available ICT devices, and teachers as agents of service delivery in remote schools to enhance speech-language therapy service delivery in the Maldives. The creation of relevant digital educational content for teachers could further support children with communication difficulties in the country. Supplemental Material https://doi.org/10.23641/asha.14143910

Publisher

American Speech Language Hearing Association

Subject

Speech and Hearing,Linguistics and Language,Language and Linguistics

Reference75 articles.

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2. Advocating the Rights of Children Maldives. (2019). ARC in partnership with Beautiful Eyes Down Syndrome Association holds a speech and hearing camp for children with disabilities in Addu City | ARC. http://www.arc.org.mv/arc-in-partnership-with-beautiful-eyes-down-syndrome-association-holds-a-speech-and-hearing-camp-for-children-with-disabilities-in-addu-city/

3. American Speech-Language-Hearing Association. (n.d.). Telepractice (Practice Portal) . http://www.asha.org/Practice-Portal/Professional-Issues/Telepractice/

4. Asian Development Bank. (2015). Maldives overcoming the challenges of a small island state—Country diagnostic study. https://www.adb.org/sites/default/files/publication/172704/maldives-overcoming-challenges-small-island-state.pdf

5. What is Asset-Based Community Development and How Might It Improve the Health of People With Long-Term Conditions? A Realist Synthesis

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