Abstract
In Sri Lanka, which has a population of nearly 22 million, healthcare is provided universally by the Sri Lankan Health Department. Medical personnel in hospitals are government employees and there is a ‘cadre’ corresponding to each professional group, which determines their pay and secures money at government level for their employment.Until the late 1990s, there were no speech and language therapists (SLTs) in Sri Lanka; just one SLT visiting from the UK six months a year for private practice. Audiology personnel was also sparse, consisting in a handful of ‘audiology technicians’. Today, both SLTs and audiologists are being trained in the country and have a recognised ‘cadre’. In this short piece, we want to reflect on what made this transition possible.
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