{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:18:22Z","timestamp":1787318302313,"version":"build-2736575974"},"reference-count":104,"publisher":"AOSIS","issue":"2","license":[{"start":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T00:00:00Z","timestamp":1659916800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SAJCD"],"abstract":"<jats:p>Background:\u00a0In March 2020 the World Health Organization declared the coronavirus disease 2019 (COVID-19) a pandemic. Management of this pandemic had significant implications for clinical departments across the world. Healthcare systems were urgently required to reorganise and redesign patient care as well as repurpose staff.Objectives:\u00a0We will share the lived experience of our response as speech therapy and audiology (STA) clinicians to the COVID-19 pandemic.Method:\u00a0This study adopted an autoethnographic approach within Bronfenbrenner\u2019s bioecological model to describe STA clinicians\u2019 response to the COVID-19 pandemic.Results:\u00a0Adaptations to practice were made to continue service provision whilst adhering to COVID-19 regulations. We assisted in other areas to meet the immediate needs of the hospital. Service delivery strategies consisted of a review of clinical and quality assurance protocols. We developed a telehealth service package which included a hybrid approach, within a context of digital poverty. We created resources to ensure continuity of care. Collaboration within our systems facilitated innovative solutions. Mental health and well-being of staff members were key to the response developed.Conclusion:\u00a0South African healthcare systems\u2019 inequalities were highlighted by the pandemic. The response showed that the needs of vulnerable populations were not accounted for when developing this public health response. Lessons learnt included the importance of adaptability, becoming comfortable with uncertainty and maintaining open and transparent communication. Consultation and collaboration within various levels of our healthcare system were critical in responding to the needs of patients. Commitment to compassionate leadership and staff well-being were crucial.<\/jats:p>","DOI":"10.4102\/sajcd.v69i2.913","type":"journal-article","created":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T05:46:06Z","timestamp":1659764766000},"source":"Crossref","is-referenced-by-count":5,"title":["When uncertainty becomes the norm: The Chris Hani Baragwanath Academic Hospital\u2019s Speech Therapy and Audiology Department\u2019s response to the COVID-19 pandemic"],"prefix":"10.4102","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5028-6463","authenticated-orcid":false,"given":"Sadna","family":"Balton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9723-5433","authenticated-orcid":false,"given":"Annika L.","family":"Vallabhjee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9520-6938","authenticated-orcid":false,"given":"Stephanie C.","family":"Pillay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2022,8,8]]},"reference":[{"key":"ref0001","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2020.07.006"},{"issue":"1","key":"ref0002","first-page":"1","volume":"57","author":"Abrahams","year":"2021","journal-title":"Social Psychiatry and Psychiatric Epidemiology"},{"key":"ref0003","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.3972"},{"key":"ref0004","doi-asserted-by":"publisher","DOI":"10.4102\/sajcd.v68i1.792"},{"key":"ref0005","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_2013_19"},{"key":"ref0006","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2021.101266"},{"key":"ref0007","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-047353"},{"key":"ref0008","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2021.06.036"},{"key":"ref0009","first-page":"1","volume":"137","author":"Banks","year":"2020","journal-title":"World Development"},{"key":"ref0010","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2005.015859"},{"key":"ref0011","first-page":"95","author":"Barach","year":"2013","journal-title":"Human factors book"},{"key":"ref0012","doi-asserted-by":"publisher","DOI":"10.1515\/9781501501265"},{"key":"ref0013","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17092997"},{"issue":"2","key":"ref0014","volume":"24","author":"Bodiat","year":"2020","journal-title":"Professional Nursing Today"},{"key":"ref0015","author":"Bronfenbrenner","year":"2005","journal-title":"Making human beings human: Bioecological perspectives on human development"},{"key":"ref0016","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9111503"},{"key":"ref0017","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2020.12.010"},{"key":"ref0018","doi-asserted-by":"publisher","DOI":"10.1016\/j.sbspro.2014.04.277"},{"issue":"1","key":"ref0019","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1080\/01942638.2020.1825032","volume":"41","author":"Camden","year":"2021","journal-title":"Physical & Occupational Therapy in Pediatrics"},{"key":"ref0020","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbusres.2020.05.037"},{"key":"ref0021","doi-asserted-by":"publisher","DOI":"10.7196\/SAJBL.2020.v13i2.00730"},{"issue":"1","key":"ref0022","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40463-020-00427-4","volume":"49","author":"Cho","year":"2020","journal-title":"Journal of Otolaryngology-Head & Neck Surgery"},{"issue":"26","key":"ref0023","volume":"10","author":"Clare","year":"2021","journal-title":"Network Modeling Analysis Health Informatics and Bioinformatics"},{"key":"ref0024","author":"Clegg","year":"2021","journal-title":"Speech and language therapy during and beyond COVID-19: Building back better with people who have communication and swallowing needs [Report]"},{"key":"ref0025","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8030284"},{"key":"ref0026","author":"Corkery","year":"2020","journal-title":"The New York Times"},{"key":"ref0027","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-048788"},{"key":"ref0028","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa118"},{"key":"ref0029","doi-asserted-by":"publisher","DOI":"10.1177\/0956247820970094"},{"key":"ref0030","author":"Department of Labour","year":"2020","journal-title":"Workplace preparedness: COVID-19 (SARS-CoV-19 virus)"},{"key":"ref0031","first-page":"1","author":"Dercon","year":"2021","journal-title":"Research Square"},{"key":"ref0032","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-020-06873-y"},{"key":"ref0033","first-page":"1","volume":"8","author":"De Zulueta","year":"2016","journal-title":"Journal of Healthcare Leadership"},{"key":"ref0034","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-021-06629-4"},{"key":"ref0035","author":"Dlamini Zuma","year":"2020","journal-title":"Declaration of a national state of disaster, government Gazette"},{"key":"ref0036","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1057\/s41285-018-0065-6","volume":"16","author":"Eriksson","year":"2018","journal-title":"Social Theory & Health"},{"key":"ref0037","doi-asserted-by":"publisher","DOI":"10.1016\/j.alter.2020.07.004"},{"key":"ref0038","first-page":"1","volume":"17","author":"Essebo","year":"2021","journal-title":"Sustainability Science"},{"key":"ref0039","doi-asserted-by":"publisher","DOI":"10.1089\/cyber.2020.0370"},{"key":"ref0040","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2020.1854325"},{"key":"ref0041","author":"Gauteng Provincial Government","year":"2020","journal-title":"Gauteng COVID-19 response plan: Gauteng COVID-19 strategy and response plan-29 July 2020 Johannesburg"},{"key":"ref0042","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102381"},{"issue":"15","key":"ref0043","volume":"2","author":"Hamouche","year":"2020","journal-title":"Emerald Open Research"},{"issue":"1","key":"ref0044","first-page":"106","volume":"4","author":"Hannam-Swain","year":"2021","journal-title":"Social Sciences & Humanities"},{"key":"ref0045","doi-asserted-by":"publisher","DOI":"10.26719\/emhj.20.090"},{"key":"ref0046","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15180"},{"key":"ref0047","first-page":"640","volume":"10","author":"Hill","year":"2016","journal-title":"Frontiers in Human Neurosciences"},{"issue":"4","key":"ref0048","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1002\/jppr.1681","volume":"50","author":"Hill","year":"2020","journal-title":"Pharmacy Practice & Research"},{"key":"ref0049","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104000"},{"key":"ref0050","doi-asserted-by":"publisher","DOI":"10.1525\/irqr.2008.1.3.299"},{"key":"ref0051","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-049095"},{"key":"ref0052","first-page":"19","author":"Johnson","year":"2010","journal-title":"Collaboration across the disciplines"},{"key":"ref0053","doi-asserted-by":"publisher","DOI":"10.4102\/sajcd.v65i1.594"},{"issue":"8","key":"ref0054","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1097\/ACM.0000000000004174","volume":"96","author":"Kumagia","year":"2021","journal-title":"Academic Medicine"},{"issue":"6","key":"ref0055","first-page":"466","volume":"110","author":"Le Roux","year":"2020","journal-title":"The South African Medical Journal"},{"key":"ref0056","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001707"},{"key":"ref0057","first-page":"43","author":"Marechal","year":"2010","journal-title":"Authoethnography"},{"issue":"4","key":"ref0058","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1108\/JAOC-08-2020-0123","volume":"16","author":"Mather","year":"2020","journal-title":"Journal of Accounting & Organizational Change"},{"issue":"2","key":"ref0059","first-page":"279","volume":"15","author":"Mendez","year":"2013","journal-title":"Theoretical Discussion Paper"},{"key":"ref0060","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-004393"},{"key":"ref0061","doi-asserted-by":"publisher","DOI":"10.1080\/09669760.2021.1928966"},{"key":"ref0062","author":"National Health Act: National Health Insurance Policy: Towards universal health coverage","year":"2017","journal-title":"South African Government"},{"issue":"3","key":"ref0063","first-page":"361","volume":"56","author":"Negrini","year":"2020","journal-title":"European Journal of Physical and Rehabilitation Medicine"},{"key":"ref0064","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-815450-2.00011-5"},{"key":"ref0065","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n129"},{"key":"ref0066","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17176149"},{"key":"ref0067","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820955178"},{"key":"ref0068","doi-asserted-by":"publisher","DOI":"10.15270\/57-4-964"},{"key":"ref0069","first-page":"193","volume":"7","author":"Pillay","year":"2015","journal-title":"African Journal of Rhetoric"},{"issue":"47","key":"ref0070","volume":"18","author":"Pillay","year":"2020","journal-title":"Human Resources for Health"},{"key":"ref0071","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2021.v111i8.15786"},{"key":"ref0072","author":"Poorvakos","year":"2016","journal-title":"Compassionate leadership"},{"key":"ref0073","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.100879"},{"key":"ref0074","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102080"},{"issue":"1","key":"ref0075","first-page":"pzaa192","volume":"101","author":"Rao","year":"2021","journal-title":"Physical Therapy & Rehabilitation Journal"},{"key":"ref0076","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0261339"},{"key":"ref0077","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2020.v110i10.15022"},{"issue":"4","key":"ref0078","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/jftr.12022","volume":"5","author":"Rosa","year":"2013","journal-title":"Journal of Family Theory & Review"},{"key":"ref0079","doi-asserted-by":"publisher","DOI":"10.1108\/QRJ-06-2020-0054"},{"key":"ref0080","author":"Royal College of Speech & Language Therapists","year":"2020","journal-title":"RCSLT guidance on Personal Protective Equipment (PPE) and COVID-19"},{"key":"ref0081","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtbi.2021.110718"},{"key":"ref0082","doi-asserted-by":"publisher","DOI":"10.1177\/0021886320937026"},{"key":"ref0083","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12988"},{"key":"ref0084","doi-asserted-by":"publisher","DOI":"10.15619\/NZJP\/48.3.03"},{"key":"ref0085","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.679397"},{"issue":"5","key":"ref0086","volume":"8","author":"Swigert","year":"2003","journal-title":"American Speech Hearing Association"},{"key":"ref0087","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0258866"},{"issue":"5","key":"ref0088","first-page":"E235","volume":"5","author":"The Lancet","year":"2020","journal-title":"The Lancet"},{"key":"ref0089","first-page":"1","volume":"138","author":"Tohidas","year":"2020","journal-title":"International Journal of Pediatric Otorhinolaryngology"},{"issue":"4","key":"ref0090","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1111\/j.1756-2589.2009.00026.x","volume":"1","author":"Tudge","year":"2009","journal-title":"Journal of Family Theory & Review"},{"key":"ref0091","author":"United Nations","year":"2006","journal-title":"Convention on the rights of people with disabilities"},{"key":"ref0092","doi-asserted-by":"publisher","DOI":"10.1177\/160940690800700103"},{"key":"ref0093","doi-asserted-by":"publisher","DOI":"10.1177\/2048872620922795"},{"key":"ref0094","doi-asserted-by":"publisher","DOI":"10.1111\/gwao.12692"},{"key":"ref0095","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.382"},{"issue":"8","key":"ref0096","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1097\/MAO.0000000000003203","volume":"42","author":"Wilson","year":"2021","journal-title":"Otology & Neurotology"},{"key":"ref0097","doi-asserted-by":"publisher","DOI":"10.1177\/1751143720968066"},{"key":"ref0098","author":"World Health Organization","year":"2019","journal-title":"Rehabilitation in health: Guide for action"},{"key":"ref0099","author":"World Health Organization","year":"2021","journal-title":"Policy brief"},{"key":"ref0100","doi-asserted-by":"publisher","DOI":"10.12927\/hcq.2007.18648"},{"key":"ref0101","doi-asserted-by":"publisher","DOI":"10.1159\/000507639"},{"key":"ref0102","doi-asserted-by":"publisher","DOI":"10.1177\/1077800420960170"},{"key":"ref0103","first-page":"1","author":"Zi\u0119ba","year":"2021","journal-title":"Wiley Online"},{"issue":"1080","key":"ref0104","volume":"21","author":"Zungu","year":"2021","journal-title":"BMC Health Services Research"}],"container-title":["South African Journal of Communication Disorders"],"original-title":[],"link":[{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/viewFile\/913\/1801","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/viewFile\/913\/1802","content-type":"application\/epub+zip","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/viewFile\/913\/1803","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/viewFile\/913\/1804","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/viewFile\/913\/1804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T16:27:44Z","timestamp":1676305664000},"score":1,"resource":{"primary":{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/view\/913"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,8]]},"references-count":104,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,7,18]]}},"URL":"https:\/\/doi.org\/10.4102\/sajcd.v69i2.913","relation":{},"ISSN":["2225-4765","0379-8046"],"issn-type":[{"value":"2225-4765","type":"electronic"},{"value":"0379-8046","type":"print"}],"subject":[],"published":{"date-parts":[[2022,8,8]]}}}