1. Islamic university- Gaza
Engineering Faculty
Civil Engineering
Department

2. The Care of the Handicapped in the Gaza Strip interested
in the need to work hard to find a professional solution
for the problems of hearing and speech and language
disorders in Gaza City and its suburbs, specifically due to
the increased ratio of the problem in the community,
especially after the recent war on Gaza, as well as the
absence of professional centers in many areas that
equipped to provide therapeutic services for the infected
children specially, and that therapy is limited only on
simple services match with the current assessment and
therapy tools, and lack of the community education for
parents in order to orient them about how to deal with
infected cases.

3. Equipping the audio and speech clinic using advanced
tools is a new and typical project in the region aimed at
reducing the hearing, speech and language problems. and
what led us to propose this project that disorders of
hearing, speech and language is one of the most common
problems in the Gaza Strip, estimated at 6%, according to
statistics of General Union of Disabled in the Gaza Strip,
and the ratio of hearing, speech and language problems of
total communication disorders is 80% according to
statistics of the national center for community
rehabilitation, and the disorders percentage at that
category is 7.6% of the disabilities ratio, and 0.16% of the
population, about two cases of every 1000 person. Among
these cases 56% males and 44% females in the age group
5-9 years.

4. The language and speech program was established in
1986 to provide diagnostic, treatment and rehabilitation
services for people with speech and language,
problems, where firstly, an assessment is done to
identify the problem and develop a plan that includes
speech problems that the child suffer from, and that
plan individual is a short-term for 3 months will be
given to the child within the individual sessions of half
an hour each session and that through three
educational programs:

5. 1- Early Intervention Program
Work with children with hard disabilities in order to originate a
language of communication between the disabled and the
surrounding environment in any form, whether by sign or
humming.
2- The linguistic comprehension Program
A program that measures the child's ability of saying simple
words and expression of concepts and actions on its ability to
produce a sentence of two, three, or four elements.
3-The linguistic voices pronunciation Test
That measures the child's ability to pronounce all the voices
properly at the beginning, middle and end of the word, and the
program provides its services for cases within the society's
programs and outside.

6. Overall objective : Remedy the hearing problems and develop
pronunciation skills for persons with hearing, speech and
language 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.

7. Outputs:
.Availability of professional equipments, which
guarantees the program sustainability after the end of
the 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 and
developers.

8.  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.

9.  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.

11. 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.

13. # 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

15. # Item Issue Unit Unit price Total
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

16. # Item Issue Unit Unit price Total
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

17. # Item Issue Unit Unit price Total
4.1 Transport and communications -- -- -- 3000
4.2 Stationery and prints -- -- -- 5000