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Communication disorders in Nigerian children
O A Somefun1, F E A Lesi, M A Danfulani
1Otolaryngology Unit, Department of Surgery, College of Medicine, University of Lagos (CMUL), Lagos University Teaching Hospital, Idi-Araba, Surulere, Lagos, Nigeria. aosomefun@yahoo.com
Hearing impairment is the most common communication disorder in children. Early detection and intervention are crucial for development, requiring increased training for speech therapists and audiologists.
Area of Science:
- Pediatric Audiology
- Speech-Language Pathology
- Public Health
Background:
- Communication disorders significantly impact child development, vocational prospects, and societal economic well-being.
- Addressing these disorders is a critical public health concern, particularly in developing nations.
Purpose of the Study:
- To investigate the prevalence and patterns of communication disorders in children.
- To identify the necessary intervention services for affected children in a developing country context.
Main Methods:
- A prospective study conducted at Lagos University Teaching Hospital from January 2002 to June 2003.
- Involved 184 children aged 6 months to 15 years presenting with communication disorders.
- Comprehensive evaluations included neurological, otolaryngological, audiological, and speech assessments.
Main Results:
- Hearing impairment was the most frequent disorder (65.2%), often associated with delayed speech and language (70%).
- Speech disorders affected 30.4%, with specific language impairment (SLI) in 78.6% of these cases.
- Undetermined causes accounted for 47.9% of communication disorders, with seizures, measles, and meningitis as notable etiological factors.
Conclusions:
- Hearing impairment is the predominant communication disorder requiring early identification and follow-up.
- Strengthening parental/caregiver involvement in seeking early help is vital.
- Capacity building for training more audiologists and speech therapists is urgently needed.
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