Equipping the audio and speech clinic

Islamic university- GazaEngineering Faculty

Civil Engineering Department

The Care of the Handicapped in the Gaza Strip interestedin the need to work hard to find a professional solutionfor the problems of hearing and speech and languagedisorders in Gaza City and its suburbs, specifically due tothe increased ratio of the problem in the community,especially after the recent war on Gaza, as well as theabsence of professional centers in many areas thatequipped to provide therapeutic services for the infectedchildren specially, and that therapy is limited only onsimple services match with the current assessment andtherapy tools, and lack of the community education forparents in order to orient them about how to deal withinfected cases.

Equipping the audio and speech clinic using advancedtools is a new and typical project in the region aimed atreducing the hearing, speech and language problems. andwhat led us to propose this project that disorders ofhearing, speech and language is one of the most commonproblems in the Gaza Strip, estimated at 6%, according tostatistics of General Union of Disabled in the Gaza Strip,and the ratio of hearing, speech and language problems oftotal communication disorders is 80% according tostatistics of the national center for communityrehabilitation, and the disorders percentage at thatcategory is 7.6% of the disabilities ratio, and 0.16% of thepopulation, about two cases of every 1000 person. Amongthese cases 56% males and 44% females in the age group5-9 years.

The language and speech program was established in1986 to provide diagnostic, treatment and rehabilitationservices for people with speech and language,problems, where firstly, an assessment is done toidentify the problem and develop a plan that includesspeech problems that the child suffer from, and thatplan individual is a short-term for 3 months will begiven to the child within the individual sessions of halfan hour each session and that through threeeducational programs:

1- Early Intervention Program Work with children with hard disabilities in order to originate alanguage of communication between the disabled and thesurrounding environment in any form, whether by sign orhumming.2- The linguistic comprehension Program A program that measures the child's ability of saying simplewords and expression of concepts and actions on its ability toproduce a sentence of two, three, or four elements.3-The linguistic voices pronunciation TestThat measures the child's ability to pronounce all the voicesproperly at the beginning, middle and end of the word, and theprogram provides its services for cases within the society'sprograms and outside.

Overall objective : Remedy the hearing problems and developpronunciation skills for persons with hearing, speech andlanguage problems.

Specific objectives:

.Develop the infrastructure of hearing, speech and language

program in the society.

. Improve the therapeutic services provided for cases registered

that are 68 cases.

. Increase the number of cases of those groups to reach the

maximum of 130 cases per month.

.Train a number of 30 specialized graduates on the new

equipments.

Outputs:

.Availability of professional equipments, which

guarantees the program sustainability after the end ofthe project.

.Achieve a high response rate for therapy, for cases

suffering from disorders of hearing and speech.

.Providing psychological and social support for cases

and their families.Increase the number of specialists, professionals anddevelopers.

A field survey in kindergartens and primary

schools for the early detection of

communication disorders within children.

Registration of detected cases in the target

areas.

Classification of the cases into categories

(simple - medium - irremediable).

Early intervention for therapy of the

classified cases.

Social worker (# 1), audio Specialist (# 1),

specialist in pronunciation (# 1).

Training specialists on the new equipments.

Training specialized graduates and qualify

them to use the new equipments.

Assumptions Means of

Verifications

Indicators of

Success Description

Continued financial

support helps in project

sustainability and success.

Announcement of

the project in local

newspapers.

Final reports of the

project.

The presence of integrated

therapeutic unit offering professional

and specialized services for

communication

disorders cases.

Specific Objective 1.1: Development of infrastructure for

the hearing, speech and language in the society.

Opening of the crossings

helps in providing

equipment.

The Statistics of cases

that receive therapy

services from the

program.

Increase the ratio of

receiving cases by 30% Output 1.1.1: Availability of

professional equipment's guarantees

the program continuity after the end

of the project.

Steady increase of the

number of cases in the

first visit, regulate the process of treatment.

The Statistics of cases

that receive therapy

services from the

program.

The cases receiving

ratio is higher by 40%

corresponding to the

last increment.

Specific Objective 2.1:

Improve therapeutic services

provided to cases.

The parents commitment of appointments schedule

for treatment, assists in

the provided services.

Cases reports, and follow-up reports.

The recovery ratio for cases increases

by 80%.

Output 2.1.1: Achieve a high ratio for response for therapy to

whom suffer from simple or

medium disorders, and relative recovery to irremediable cases.

Families cooperation to

the psychological support meetings and home visits.

Statistics of

community-based activities for children

with speech disorders.

The societal

participation ratio increases of cases by

60%.

Output 2.1.2: Provide

psychological and social support for

cases and their families.

Provide places for

graduates and their cooperation for the

training.

Statistics of

professionals. The specialized

professionals ratio increases by 30%

Specific Objective 3.1:

Training of Number of the specialized graduates on the new

hardware.

Availability of specialized trainers will help in the

success of the courses.

Statistics of professional

specialists.

Increase the ratio of specialists by 30%

Output 3.1.1: Increase the number of specialists,

professionals and developers.

# Item Issue Unit Unit price Total

1.1 Audiometer 1 Unit 8900 8900

1.2 Tympanometer 1 Unit 7500 7500

1.3 Ultrasonic 1 Unit 660 660

1.4 Otoscope 1 Unit 490 490

1.5 Hipro 1 Unit 2000 2000

1.6 Screening Otoacoustic Emission 1 Unit 7500 7500

1.7 ABR 1 Unit 35900 35900

1.8 MT10 - Handheld Middle Ear Analyzer 1 Unit 3100 3100

1.9 Nasometer II 1 Unit 9050 9050

1.10 Riester UNI Deluxe 2.5V Diagnostic Set 1 Unit 300 300

1.11 AS208 - Screening Audiometer 1 Unit 1990 1990

1.12 Visi-Pitch IV 1 Unit 8000 8000

1.13 Computer 1 Unit 500 500

1.14 Printer 1 Unit 300 300

1.15 scanner 1 Unit 200 200

1.16 UBS 1 Unit 150 150

1.17 air-conditioned 1 Unit 1000 1000


2.1 Field survey -- -- -- 3000

2.2 Registration of detected cases in the target areas -- -- -- 1000

2.3 Early intervention for therapy of the classified cases. -- -- -- 1500


3.1 Project Manager 1 900 12 10800

3.2 Social worker 1 500 6 3000

3.3 Audio therapy Specialist 1 700 12 8400

3.4 speech therapy Specialist 1 700 12 8400


4.1 Transport and communications -- -- -- 3000

4.2 Stationery and prints -- -- -- 5000

Health & Medicine

Equipping the audio and speech clinic