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Community-based newborn hearing screening program in Taiwan.

Cheng-Yu Lin1, Chii-Yuan Huang, Chun-Yu Lin

  • 1Department of Otolaryngology, National Cheng Kung University Hospital, No. 138, Sheng-Li Rd., 704, Tainan, Taiwan

International Journal of Pediatric Otorhinolaryngology
|January 17, 2004
PubMed
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A community-based newborn hearing screening program in Taiwan using a pay-for-test model proved feasible and acceptable to parents. This approach successfully identified congenital hearing loss without government funding, demonstrating an alternative for early diagnosis.

Area of Science:

  • Pediatrics
  • Audiology
  • Public Health

Background:

  • Congenital bilateral hearing impairment affects ~1 in 1000 newborns.
  • Universal Newborn Hearing Screening (UNHS) is crucial for early diagnosis.
  • Previous UNHS in Taiwan was hospital-based, posing accessibility challenges.

Purpose of the Study:

  • To assess the feasibility of a community-based, pay-for-test neonatal hearing screening program.
  • To evaluate parental acceptance of this screening model.
  • To determine the effectiveness of otoacoustic emissions (OAE) and auditory brainstem response (ABR) in identifying hearing loss.

Main Methods:

  • A pay-for-test model was implemented in Tainan city from 2000-2002.
  • Healthy newborns underwent otoacoustic emissions (OAE) screening before hospital discharge.

Related Experiment Videos

  • Diagnostic auditory brainstem response (ABR) testing was used for infants who did not pass OAE screening.

    • Main Results:

    • 5,938 newborns were screened; 91.0% passed initial OAE.
    • 9.0% (535) were referred for further testing.
    • Ultimately, 9 infants were diagnosed with sensorineural hearing loss (SNHL).

    Conclusions:

    • A pay-for-test, community-based newborn hearing screening program is feasible in Taiwan.
    • The model demonstrated parental acceptability and could operate independently of government funding.
    • This approach offers a viable alternative for early detection of hearing impairment.