Progress towards early detection services for infants with hearing loss in developing countries

Bolajoko O. Olusanya, De Wet Swanepoel, Mônica J. Chapchap, Salvador Castillo, Hamed Habib, Siti Zamratol Mai Sarah Mukari, Norberto V. Martinez, Hung Ching Lin, Bradley McPherson

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

Background. Early detection of infants with permanent hearing loss through infant hearing screening is recognised and routinely offered as a vital component of early childhood care in developed countries. This article investigates the initiatives and progress towards early detection of infants with hearing loss in developing countries against the backdrop of the dearth of epidemiological data from this region. Methods. A cross-sectional, descriptive study based on responses to a structured questionnaire eliciting information on the nature and scope of early hearing detection services; strategies for financing services; parental and professional attitudes towards screening; and the performance of screening programmes. Responses were complemented with relevant data from the internet and PubMed/Medline. Results. Pilot projects using objective screening tests are on-going in a growing number of countries. Screening services are provided at public/private hospitals and/or community health centres and at no charge only in a few countries. Attitudes amongst parents and health care workers are typically positive towards such programmes. Screening efficiency, as measured by referral rate at discharge, was generally found to be lower than desired but several programmes achieved other international benchmarks. Coverage is generally above 90% but poor follow-up rates remain a challenge in some countries. The mean age of diagnosis is usually less than six months, even for community-based programmes. Conclusion. Lack of adequate resources by many governments may limit rapid nationwide introduction of services for early hearing detection and intervention, but may not deter such services altogether. Parents may be required to pay for services in some settings in line with the existing practice where healthcare services are predominantly financed by out-of-pocket spending rather than public funding. However, governments and their international development partners need to complement current voluntary initiatives through systematic scaling-up of public awareness and requisite manpower development towards sustainable service capacities at all levels of healthcare delivery.

Original languageEnglish
Article number14
JournalBMC Health Services Research
Volume7
DOIs
Publication statusPublished - 2007

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Hearing Loss
Developing Countries
Hearing
Delivery of Health Care
Parents
Community Health Centers
Benchmarking
Private Hospitals
Public Hospitals
Conservation of Natural Resources
Health Expenditures
Developed Countries
PubMed
Internet
Referral and Consultation
Cross-Sectional Studies

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Olusanya, B. O., Swanepoel, D. W., Chapchap, M. J., Castillo, S., Habib, H., Mukari, S. Z. M. S., ... McPherson, B. (2007). Progress towards early detection services for infants with hearing loss in developing countries. BMC Health Services Research, 7, [14]. https://doi.org/10.1186/1472-6963-7-14

Progress towards early detection services for infants with hearing loss in developing countries. / Olusanya, Bolajoko O.; Swanepoel, De Wet; Chapchap, Mônica J.; Castillo, Salvador; Habib, Hamed; Mukari, Siti Zamratol Mai Sarah; Martinez, Norberto V.; Lin, Hung Ching; McPherson, Bradley.

In: BMC Health Services Research, Vol. 7, 14, 2007.

Research output: Contribution to journalArticle

Olusanya, BO, Swanepoel, DW, Chapchap, MJ, Castillo, S, Habib, H, Mukari, SZMS, Martinez, NV, Lin, HC & McPherson, B 2007, 'Progress towards early detection services for infants with hearing loss in developing countries', BMC Health Services Research, vol. 7, 14. https://doi.org/10.1186/1472-6963-7-14
Olusanya, Bolajoko O. ; Swanepoel, De Wet ; Chapchap, Mônica J. ; Castillo, Salvador ; Habib, Hamed ; Mukari, Siti Zamratol Mai Sarah ; Martinez, Norberto V. ; Lin, Hung Ching ; McPherson, Bradley. / Progress towards early detection services for infants with hearing loss in developing countries. In: BMC Health Services Research. 2007 ; Vol. 7.
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