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Published on: June 8, 2017
Universal neonatal hearing screening: applications for a developing country in the Asia-Pacific region
1Department of Otorhinolaryngology, UP Philippine General Hospital, University of the Philippines Manila.
Insights
Implementing universal newborn hearing screening (UNHS) programs is crucial for early hearing loss identification. This study analyzes key factors like program type, technology, and protocols for developing countries in the Asia-Pacific region.
Area of Science:
- Public Health
- Audiology
- Global Health
Background:
- The US National Institute of Health recommends early identification of hearing loss.
- Universal Newborn Hearing Screening (UNHS) programs are being implemented globally.
- Clinical trials have evaluated factors for establishing UNHS programs.
Purpose of the Study:
- To describe and analyze factors relevant to establishing a UNHS program.
- To assess the application and implications of these factors for developing countries.
- To focus on the Asia-Pacific Region's specific needs.
Main Methods:
- Review of existing clinical trials and program evaluations.
- Analysis of key decision-making factors in UNHS implementation.
- Focus on three critical areas: program location, technology, and screening protocols.
Main Results:
- Discussion of hospital-based versus community-based screening models.
- Evaluation of different technological choices for screening.
- Analysis of various screening protocol options.
Conclusions:
- The findings provide insights for developing effective UNHS programs in resource-limited settings.
- Consideration of program type, technology, and protocol is essential for successful implementation.
- Tailoring UNHS programs to the specific context of developing countries in the Asia-Pacific is recommended.
Abstract:
Various centers around the world have implemented and evaluated universal hearing screening programs as a response to the US National Institute of Health policy statement on early identification of hearing loss. Several well conducted clinical trials have been devised to examine and evaluate various factors relevant to establishing a UNHS program. This paper aims to describe some of these factors and analyze their applications and implications for a UNHS program for a developing country in the Asia-Pacific Region. Specifically, three main issues will be discussed: hospital vs community based programs, choice of technology, and choice of screening protocol.

