Grit & Growth

Short Takes: Pioneering a Holistic Approach to Speech Therapy in Kenya


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Meet Grace Macharia, a speech and language therapist and founder of SLT Support in Nairobi, Kenya. She created a social enterprise with a mission to support not only her patients, but also the profession of speech therapy in Kenya as a whole. 

“In 2011 there were about five speech therapists in Kenya, and all of them were trained out of the country. Can you imagine only five speech therapists for a population of 21 million?!” she recounts. When Macharia eventually found her true career calling in speech therapy, she realized that she couldn’t deliver the kind of impact she wanted without the help of others. So, she created a business, got the training she needed to formalize her business structure and organization, and began lobbying policy makers to give the profession the recognition and support it deserved.

Not everyone is born an entrepreneur. Grace Macharia certainly didn’t think of herself that way. But she had the persistence of an entrepreneur and a deep concern for her patients, many of whom needed more than just speech therapy services. Today her company treats patients, trains new therapists, and offers a multidisciplinary, holistic approach to care that is yielding better outcomes. And she’s created an association of speech and language therapists in Kenya to support each other and lobby for reform.

Of course, Macharia is still pushing for more. Speech therapy, she says, “is a profession that still needs a lot of attention. A lot of the people who need our services actually don't get it. When we have access to all this in every county, not just in Nairobi, not in just the cities in Kenya, but in every county, and not just in Kenya, East Africa, that would be a success and a dream come true.”

Hear how Macharia got the entrepreneurial training she needed to run a business and promote her profession so that other therapists and patients succeed.

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Grit & GrowthBy Stanford Graduate School of Business

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