Firstly global and regional literature on speech therapy after cochlear implantation focusing on Urdu-speaking populations and culturally relevant factors will be systematically reviewed.

Then needs Assessment will be done to understand the challenges, needs, and gaps in therapeutic practices specific to Urdu-speaking children through focus groups to gather insights into current practices and barriers. After that objective data will be collected to identify trends and outcomes in speech and language development post-implantation, measure baseline skills, and progress over time, and factors influencing outcomes i.e. age of implantation, therapy frequency. In final stage, culturally relevant and evidence-based therapeutic guidelines will be formulated.

Inclusion Criteria:

• Speech language Pathologists/ therapist with minimum 5 years of experience working with cochlear implant
• Parents of children with cochlear implant age 2 and above

Exclusion Criteria:

• Parents whose children has just cochlear implant and they have no experience of speech and language development after cochlear implant

Early Speech and Language acquisition of Urdu speaking children after cochlear implant