{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:28:57Z","timestamp":1785421737030,"version":"3.56.0"},"reference-count":65,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Adhering to Early Hearing Detection and Intervention (EHDI) guidelines is critical for the timely identification and management of infants with hearing impairment. Early intervention specifically focusses on family-centred communication interventions, of which the Listening and Spoken Language\u2013South Africa (LSL-SA) approach is available for children with hearing impairment in South Africa. Studies have evidenced significant benefits for children with hearing impairment enrolled in LSL-SA compared to those enrolled in Traditional Speech-Language Therapy (TSLT), that is, age-equivalent communication outcomes, shorter duration of therapy until discharge, meritorious academic performance and integration into a hearing society. Despite these positive outcomes related to the LSL-SA approach, significant contextual barriers hinder effective implementation nationwide.\n\nContribution: The successful implementation of EHDI guidelines in South Africa hinges on overcoming barriers through tailored healthcare strategies and contextualised delivery. Adapting frameworks such as LSL-SA to fit the local context is crucial for advancing equitable access to EHDI services, positively impacting children with hearing impairment and their families. This article highlights the systemic challenges in South Africa in optimising resources by adopting linguistically appropriate and culturally responsive early intervention approaches to champion hearing healthcare initiatives. Effective collaboration among diverse stakeholders is essential for enhancing the uptake of EHDI guidelines and translating policy into impactful communication interventions. Implementing the core principles of the LSL-SA approach will not only ensure access to this specialised service for suitable candidates but may also alleviate specific barriers to EHDI implementation within TSLT approaches.<\/jats:p>","DOI":"10.4102\/sajcd.v71i1.1071","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T09:06:32Z","timestamp":1730106392000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Communication Intervention in South Africa: Advocating for the Listening and Spoken Language Approach"],"prefix":"10.4102","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5700-0528","authenticated-orcid":false,"given":"Aisha","family":"Casoojee","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"ref0","unstructured":"AG Bell Academy. 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African Health Sciences, 17(4), 1149. https:\/\/doi.org\/10.4314\/ahs.v17i4.24","DOI":"10.4314\/ahs.v17i4.24"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Bush, M.L., Kaufman, M.R., & McNulty, B.N. (2017). Disparities in access to pediatric hearing health care. Current Opinion in Otolaryngology & Head & Neck Surgery, 25(5), 359\u2013364. https:\/\/doi.org\/10.1097\/moo.0000000000000388","DOI":"10.1097\/MOO.0000000000000388"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Casoojee, A., Kanji, A., & Khoza-Shangase, K. (2021). Therapeutic approaches to early intervention in audiology: A systematic review. International Journal of Pediatric Otorhinolaryngology, 150, 110918. https:\/\/doi.org\/10.1016\/j.ijporl.2021.110918","DOI":"10.1016\/j.ijporl.2021.110918"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Casoojee, A., & Khoza-Shangase, K. (2022). 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Systematic Reviews, 9(1), 1\u201322. https:\/\/doi.org\/10.1186\/s13643-020-01344-3","DOI":"10.1186\/s13643-020-01344-3"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Constantinescu-Sharpe, G., Phillips, R. L., Davis, A., Dornan, D., & Hogan, A. (2017). Social inclusion for children with hearing loss in listening and spoken Language early intervention: An exploratory study. BMC Pediatrics, 17(1), 74. https:\/\/doi.org\/10.1186\/s12887-017-0823-y","DOI":"10.1186\/s12887-017-0823-y"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Cupples, L., Ching, T.Y.C., Button, L., Seeto, M., Zhang, V., Whitfield, J., Gunnourie, M., Martin, L., & Marnane, V. (2017). Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants. International Journal of Audiology, 57(supp. 2), S55\u2013S69. https:\/\/doi.org\/10.1080\/14992027.2017.1370140","DOI":"10.1080\/14992027.2017.1370140"},{"key":"ref14","unstructured":"Dauncey, H. (2023). South Africa\u2019s education system: Schools and universities. Wise Move. Retrieved from https:\/\/www.wisemove.co.za\/post\/guide-to-south-africas-education-system"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Dettman, S.J., Dowell, R.C., Choo, D., Arnott, W., Abrahams, Y., Davis, A., Dornan, D., Leigh, J., Constantinescu, G., Cowan, R., & Briggs, R.J. (2016). Long-term communication outcomes for children receiving cochlear implants younger than 12 months. Otology & Neurotology, 37(2), e82\u2013e95. https:\/\/doi.org\/10.1097\/mao.0000000000000915","DOI":"10.1097\/MAO.0000000000000915"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Ehlert, K., & Coetzer, C. (2020). Maternal knowledge and views regarding early hearing detection and intervention in children aged 0\u20135 years at a semi-urban primary care clinic in South Africa. 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What are the current practices employed by audiologists in early hearing detection and intervention in the South African healthcare context? International Journal of Pediatric Otorhinolaryngology, 141, 110587. https:\/\/doi.org\/10.1016\/j.ijporl.2020.110587","DOI":"10.1016\/j.ijporl.2020.110587"},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"Khoza-Shangase, K., & Mophosho, M. (2018). Language and culture in speech-language and hearing professions in South Africa: The dangers of a single story. South African Journal of Communication Disorders, 65(1), 1\u20137. https:\/\/doi.org\/10.4102\/sajcd.v65i1.594","DOI":"10.4102\/sajcd.v65i1.594"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Khoza-Shangase, K., & Mophosho, M. (2021). Language and culture in speech-language and hearing professions in South Africa: Re-imagining practice. South African Journal of Communication Disorders, 68(1), a793. https:\/\/doi.org\/10.4102\/sajcd.v68i1.793","DOI":"10.4102\/sajcd.v68i1.793"},{"key":"ref37","unstructured":"Khumalo, S., & Hodgson, T.F. (2017). The right to basic education for children with disabilities. In Basic education rights handbook (pp. 104\u2013127). SECTION27. Retrieved from https:\/\/cisp.cachefly.net\/assets\/articles\/attachments\/70852_basiceducationrightshandbook.pdf"},{"key":"ref38","unstructured":"Kuper, H., & Hanass-Hancock, J. (2020). Framing the debate on how to achieve equitable health care for persons with disabilities in South Africa. In A. Paradath, R. Galvaan, & T. Lorenzo (Eds.), South African Health Review 2020 (pp. 45\u201352). Health Systems Trust."},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"Kuschke, S., Swanepoel, D.W., Le Roux, T., & Strauss, S. (2020). Profile of childhood hearing loss in the Western Cape, South Africa. International Journal of Pediatric Otorhinolaryngology, 137, 110248. https:\/\/doi.org\/10.1016\/j.ijporl.2020.110248","DOI":"10.1016\/j.ijporl.2020.110248"},{"key":"ref40","doi-asserted-by":"crossref","unstructured":"Lillo-Martin, D., & Henner, J. (2021). Acquisition of sign languages. Annual Review of Linguistics, 7(1), 395\u2013419. https:\/\/doi.org\/10.1146\/annurev-linguistics-043020-092357","DOI":"10.1146\/annurev-linguistics-043020-092357"},{"key":"ref41","doi-asserted-by":"crossref","unstructured":"Louw, C., Swanepoel, D.W., & Eikelboom, R.H. (2018). Self-Reported Hearing Loss and Pure Tone Audiometry for Screening in Primary Health Care Clinics. Journal of Primary Care & Community Health, 9. https:\/\/doi.org\/10.1177\/2150132718803156","DOI":"10.1177\/2150132718803156"},{"key":"ref42","doi-asserted-by":"crossref","unstructured":"Maluleke, N.P. (2024). A call for linguistic and culturally congruent family-centred early hearing detection and intervention programmes in South Africa. South African Journal of Communication Disorders, 71(1), 4. https:\/\/doi.org\/10.4102\/sajcd.v71i1.992","DOI":"10.4102\/SAJCD.v71i1.992"},{"key":"ref43","doi-asserted-by":"crossref","unstructured":"Maluleke, N.P., Khoza-Shangase, K., & Kanji, A. (2023). EHDI Services should be accessible! caregivers\u2019 expectations of EHDI services in South Africa. Speech, Language and Hearing, 27(1), 43\u201357. https:\/\/doi.org\/10.1080\/2050571x.2023.2241219","DOI":"10.1080\/2050571X.2023.2241219"},{"key":"ref44","doi-asserted-by":"crossref","unstructured":"Maluleke, N.P., Khoza-Shangase, K., & Kanji, A. (2021). School readiness and academic achievement of children with hearing impairment: A South African exploratory study. South African Journal of Childhood Education, 11(1), 7. https:\/\/doi.org\/10.4102\/sajce.v11i1.898","DOI":"10.4102\/sajce.v11i1.898"},{"key":"ref45","doi-asserted-by":"crossref","unstructured":"Maluleke, N., Chiwutsi, R., & Khoza-Shangase, K. (2021). Family-centered early hearing detection and intervention. In K. Khoza-Shangase & A. Kanji (Eds.), Early hearing detection and intervention in audiology (pp. 196\u2013218). Wits University Press.","DOI":"10.18772\/22021026567.16"},{"key":"ref46","doi-asserted-by":"crossref","unstructured":"Maluleke, N., & Khoza-Shangase, K. (2022). Complexities with family-centred early hearing detection and intervention services in Africa. In K. Khoza-Shangase (Ed.), Complexities and challenges in preventive audiology: An African perspective (pp. 55\u201369). AOSIS Books.","DOI":"10.4102\/aosis.2022.BK311.04"},{"key":"ref47","doi-asserted-by":"crossref","unstructured":"Matthews, M., & Van Wyk, J. (2018). Towards a culturally competent health professional: A South African case study. BMC Medical Education, 18(1), 112. https:\/\/doi.org\/10.1186\/s12909-018-1187-1","DOI":"10.1186\/s12909-018-1187-1"},{"key":"ref48","doi-asserted-by":"crossref","unstructured":"Mirzoev, T., & Kane, S. (2017). What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework. BMJ Global Health, 2(4), e000486. https:\/\/doi.org\/10.1136\/bmjgh-2017-000486","DOI":"10.1136\/bmjgh-2017-000486"},{"key":"ref49","doi-asserted-by":"crossref","unstructured":"Mophosho, M., Masuku, K., & Khoza-Shangase, K. (2022). Complexities with context: Cultural and linguistic diversity challenges in preventive audiology in Africa. In K. Khoza-Shangase (Ed.), Complexities and challenges in preventive audiology: An African perspective. AOSIS Books. Retrieved from https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK601326\/%20doi:%2010.4102\/aosis.2022.BK311.010","DOI":"10.4102\/aosis.2022.BK311.10"},{"key":"ref50","doi-asserted-by":"crossref","unstructured":"Mortazavi, Z., & Mortazavi, S.S. (2017). 26: Auditory-verbal therapy (AVT) and evidence-based practice (EBP). BMJ Open, 7(1), 2016-015415.26. https:\/\/doi.org\/10.1136\/bmjopen-2016-015415.26","DOI":"10.1136\/bmjopen-2016-015415.26"},{"key":"ref51","unstructured":"NIH. (2015). Quick statistics about hearing. NIDCD. Retrieved from https:\/\/www.nidcd.nih.gov\/health\/statistics\/quick-statistics-hearing#:~:text=About%202%20to%203%20out"},{"key":"ref52","doi-asserted-by":"crossref","unstructured":"Noel, A., Manikandan, M., & Kumar, P. (2023). Efficacy of auditory verbal therapy in children with cochlear implantation based on auditory performance: A systematic review. Cochlear Implants International, 24(1), 43\u201353. https:\/\/doi.org\/10.1080\/14670100.2022.2141418","DOI":"10.1080\/14670100.2022.2141418"},{"key":"ref53","doi-asserted-by":"crossref","unstructured":"Pascoe, M., & Singh, S. (2023). Development of speech-language therapy assessments for the languages of South Africa. In U.M. L\u00fcdtke, E. Kija, & M.K. Karia (Eds.), Handbook of Speech-Language Therapy in Sub-Saharan Africa (pp. 383\u2013402). Springer EBooks","DOI":"10.1007\/978-3-031-04504-2_17"},{"key":"ref54","doi-asserted-by":"crossref","unstructured":"Percy-Smith, L., T\u00f8nning, T.L., Josvassen, J.L., Mikkelsen, J.H., Nissen, L., Dieleman, E., Hallstr\u00f8m, M., & Cay\u00e9-Thomasen, P. (2017). Auditory verbal habilitation is associated with improved outcome for children with cochlear implant. Cochlear Implants International, 19(1), 38\u201345. https:\/\/doi.org\/10.1080\/14670100.2017.1389020","DOI":"10.1080\/14670100.2017.1389020"},{"key":"ref55","unstructured":"Pillay, M., & Kathard, H. (2015). Decolonizing health professionals\u2019 education: Audiology & speech therapy in South Africa. African Journal of Rhetoric, 7(1), 193\u2013227."},{"key":"ref56","doi-asserted-by":"crossref","unstructured":"Pillay, M., Tiwari, R., Kathard, H., & Chikte, U. (2020). Sustainable workforce: South African audiologists and speech therapists. Human Resources for Health, 18(1), 47. https:\/\/doi.org\/10.1186\/s12960-020-00488-6","DOI":"10.1186\/s12960-020-00488-6"},{"key":"ref57","unstructured":"South African Cochlear Implant Group. (2022). Implant programs | South African Cochlear Implant Group. South African Cochlear Implant Group. Retrieved from https:\/\/www.sacig.org.za\/patients-corner\/implant-programs\/"},{"key":"ref58","unstructured":"Stats SA. (2016). General household survey. Retrieved from www.statssa.gov.za"},{"key":"ref59","unstructured":"Stats SA. (2021). Birth and death | Statistics South Africa. Statistics South Africa. Retrieved from https:\/\/www.statssa.gov.za\/?cat=17"},{"key":"ref60","doi-asserted-by":"crossref","unstructured":"Swanepoel, D.W., Johl, L., & Pienaar, D. (2013). Childhood hearing loss and risk profile in a South African population. International Journal of Pediatric Otorhinolaryngology, 77(3), 394\u2013398. https:\/\/doi.org\/10.1016\/j.ijporl.2012.11.034","DOI":"10.1016\/j.ijporl.2012.11.034"},{"key":"ref61","unstructured":"Taylor, A. (2016). Auditory-verbal therapy with deaf or hard-of-hearing children in Gauteng, South Africa. Retrieved from http:\/\/hdl.handle.net\/10539\/22428"},{"key":"ref62","doi-asserted-by":"crossref","unstructured":"Weiner, S.J. (2021). Contextualizing care: An essential and measurable clinical competency. Patient Education and Counseling, 105(3), 594\u2013598. https:\/\/doi.org\/10.1016\/j.pec.2021.06.016","DOI":"10.1016\/j.pec.2021.06.016"},{"key":"ref63","unstructured":"World Health Organization (WHO). (2016). Childhood hearing loss strategies for prevention and care. Retrieved from https:\/\/www.who.int\/docs\/default-source\/imported2\/childhood-hearing-loss--strategies-for-prevention-and-care.pdf?sfvrsn=cbbbb3cc_0"},{"key":"ref64","unstructured":"World Health Organization (WHO). (2024). Patient safety rights charter. 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