Health

How to Become a Speech Therapist (Speech-Language Pathologist) in South Africa

Diagnose and treat communication and swallowing disorders

APS 28–36
APS Range
R250k – R750k per year
Annual Salary (ZAR)
High
Job Demand
Social / Investigative
RIASEC Profile
About this Career

Speech therapists (formally Speech-Language Pathologists) assess and treat people with communication, language, voice, and swallowing difficulties. In South Africa, a BSc Speech-Language Pathology and Audiology (4 years) is required. Speech therapists work in schools, hospitals, private practice, and rehabilitation centres. There is a significant shortage, particularly for indigenous language speakers.

What Does a Speech Therapist (Speech-Language Pathologist) Do?

Speech therapists assess children with speech delays and learning difficulties, treat adults recovering from strokes, provide voice therapy, work with autism spectrum clients, and consult in schools and hospitals.

APS & Subject Requirements
Minimum APS
28 points
Typical APS Range
28–36 points
Required Subjects:
Life Sciences (Level 4+), Mathematics (Level 4+), English (Level 5+)
✗ Pure Mathematics is required — Mathematical Literacy is NOT accepted

Use the free Career Helper APS Calculator to calculate your exact score for each SA university.

SA Universities Offering This Programme

Programme names and requirements vary by institution. Always verify directly with the university before applying.

Step-by-Step Career Roadmap
  1. Achieve APS 28+ with Life Sciences and English. Apply to BSc Speech-Language Pathology and Audiology at UCT, Wits, UP, Stellenbosch, UKZN, or UFS.

  2. Complete the 4-year BSc degree covering linguistics, anatomy, developmental communication, neurological conditions, and clinical placements.

  3. Complete community service, register with HPCSA, and choose your setting: schools (educational speech therapy), hospitals (medical speech therapy), or private practice.

Frequently Asked Questions
What APS do I need for Speech Therapy?
BSc Speech-Language Pathology requires APS 28–36. Strong English and Life Sciences are required. Mathematical Literacy is not accepted.
What do speech therapists earn in South Africa?
Government speech therapists start at R250,000–R350,000. Private practice SLPs earn R400,000–R750,000. Demand for speech therapists in SA is very high.
Can I work internationally as a speech therapist from South Africa?
Yes — SA-qualified speech therapists are in demand in the UK, Australia, Canada, and the US. International registration requirements vary by country.
Salary Range in South Africa (2026)
Starting Salary
R250k/year
Senior / Experienced
R750k+/year

Salary ranges are indicative for South Africa 2026 based on market data. Actual salaries vary by employer, location, and experience.