Exploring the unemployment crisis among speech therapists and audiologists in South Africa: perspectives on institutional roles, professional bodies, and the path to job creation.

Journal: BMC health services research

Volume: 25

Issue: 1

Year of Publication: 2025

Affiliated Institutions:  Department of Speech Pathology and Audiology, University of the Witwatersrand, Johannesburg, South Africa. Nomfundo.moroe@wits.ac.za. Department of Speech Pathology and Audiology, University of the Witwatersrand, Johannesburg, South Africa.

Abstract summary 

Despite the critical need for speech therapists and audiologists to meet various healthcare demands, including those outlined in the National Health Insurance Bill, unemployment among these professionals in South Africa remains a growing concern. Previous studies indicate that 16% of newly graduated speech therapists and audiologists are unemployed within the first year after completing community service, with this figure increasing to 19% by the second year. However, little is known about the lived experiences of unemployment among these professionals.To explore the lived experiences of unemployed speech therapists and audiologists after community service, including their perceptions of job creation efforts by the government, universities, and professional bodies and their reflections on their chosen field of study and considerations of alternative career paths.A non-probability purposive sampling strategy was employed to recruit participants who met the inclusion criteria. Participants consisted of speech therapists and audiologists who were either currently unemployed or had experienced unemployment within the last five years. Semi-structured interviews were conducted online to collect qualitative data. Data were analysed qualitatively, following Braun and Clarke's thematic analysis.Three key subthemes emerged from the data on the lived experiences of participants: (1) social and lifestyle changes, (2) mental health concerns, and (3) financial strain. Participants also shared their perspectives on job creation, emphasizing the need for universities to better prepare graduates for the private sector and for professional boards and heads of departments to advocate more effectively for the profession. Despite their challenges, participants expressed a strong commitment to their profession, with many seeking alternative roles within the field and expressing no regrets about their career choices.The findings reveal the multifaceted challenges faced by unemployed speech therapists and audiologists in South Africa, spanning systemic, social, financial, and psychological domains. Participants' experiences highlight the importance of coordinated efforts by the government, universities, professional bodies, and the private sector to address unemployment and create sustainable career pathways.This study highlights the urgent need for systemic interventions to support unemployed speech therapists and audiologists. Efforts must focus on enhancing graduate employability, promoting advocacy for job creation, and developing alternative opportunities within the profession. Addressing these issues is essential for aligning the workforce with the nation's healthcare needs and ensuring that speech therapists and audiologists can contribute effectively to the healthcare system.

Authors & Co-authors:  Moroe Nomfundo N Nkosi Nothando N Sebothoma Ben B

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Tar-Mahomed Z, Kater M. The perspectives of speech-language pathologists: Providing teletherapy to patients with speech, language and swallowing difficulties during a COVID-19 context. S Afr J Commun Disord. 2022;69(2):1–7. 10.4102/sajcd.v69i2.902.
Authors :  3
Identifiers
Doi : 279
SSN : 1472-6963
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
South Africa;Speech therapists and Audiologists;Unemployment
Study Design
Study Approach
Qualitative,Systemic Review
Country of Study
South Africa
Publication Country
England