Use of a consensus building approach to plan speech services for children with cleft palate in India.

Cleft lip and palate (CLP) is a common birth defect worldwide. While surgical repair can normalize appearance, debilitating speech disorders frequently persist. Speech-language pathology (SLP) services are needed to address these disorders. However in many regions of the world, there is no discipline of SLP or inadequate numbers of trained clinicians. New models for service delivery must be explored to address the needs of children with CLP. Community-based rehabilitation (CBR) programs represent one model that has been successful in the delivery of other rehabilitation services. This paper presents the outcome of a consensus workshop held in India that explored the application of the CBR model to address the need for SLP services for children with CLP when traditional SLP services are limited or not available.