sentences:  Hearing-impaired pupils in general public schools access the school curriculum through speech, in the same environment like their hearing classmates.The technological progress and development of hearing aids and cochlear implants allow hearing-impaired children to participate in class.Additional therapy programmes provided by schools and other specialised institutions, as in the case of CSHI with their Audio Verbal Therapy (AVT) or the Listen and Talk programme at the Singapore General Hospital, aim to improve performance of hearing-impaired children in a beneficial setting.