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Related Experiment Videos

Practical screening priorities for hearing impairment among children in developing countries.

F M Gell1, E M White, K Newell

  • 1Acción Rural Fe y Alegria, Sucre, Bolivia.

Bulletin of the World Health Organization
|January 1, 1992
PubMed
Summary

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Childhood hearing impairment screening is common in developed nations but lacking in developing countries. Simple, accessible methods are crucial for early detection and intervention, especially before age two.

Area of Science:

  • Pediatrics
  • Public Health
  • Audiology

Background:

  • Childhood hearing impairment screening is standard in industrialized nations, yet lacks consistent implementation in developing countries.
  • Significant disparities exist in screening approaches due to varying environmental, resource, and cultural factors.
  • Effective screening requires consideration of local conditions, available resources, attitudes toward disability, and prevalent pathologies.

Purpose of the Study:

  • To address the challenges of implementing childhood hearing impairment screening programs in developing countries.
  • To propose practical and effective screening strategies tailored for resource-limited settings.
  • To emphasize the critical need for early detection of hearing impairment in young children.

Main Methods:

Keywords:
Age FactorsBiologyChildChild HealthDelivery Of Health CareDemographic FactorsDeveloping CountriesExaminations And DiagnosesHealthNeurologic EffectsPhysical Examinations And DiagnosesPhysiologyPopulationPopulation CharacteristicsScreeningYouth

Related Experiment Videos

  • Advocates for school entry screening using simple field audiometers and external ear inspection for discharge in developing countries.
  • Highlights the necessity for developing reliable and simple screening tools for infants and young children.
  • Stresses the importance of screening for severe or significant hearing impairment before two years of age.

Main Results:

  • Identified key factors influencing screening program success: environmental conditions, resource availability, tester training, local attitudes, and the level of impairment causing handicap.
  • Proposed a pragmatic approach for developing countries: school entry screening with basic audiometry and ear inspection.
  • Emphasized the critical need for accessible and reliable screening methods for early identification.

Conclusions:

  • Implementing effective childhood hearing impairment screening in developing countries requires context-specific strategies.
  • School entry screening with simple tools and early screening before age two are recommended, contingent on follow-up services.
  • The development and deployment of appropriate follow-up care are essential prerequisites for any screening initiative.