Factors Affecting Neonatal Hearing Screening Follow-up in Developing Countries: One Insitution Prospective Pilot
Nermin Hrncic1, Amna Goga1, Selma Hrncic2
1Cantonal Hospital Zenica, Bosnia and Herzegovina.
Medeniyet Medical Journal
|April 8, 2021
Summary
Caregiver knowledge gaps significantly impact follow-up rates in neonatal hearing screening programs. Improving education on the importance of hearing tests is crucial for reducing loss to follow-up.
Area of Science:
- Audiology
- Public Health
- Pediatrics
Background:
- Neonatal hearing screening (NHS) is vital for early detection of hearing loss.
- Loss to follow-up (LTF) presents a significant challenge in ensuring timely intervention.
- Understanding factors contributing to LTF is essential for improving program effectiveness in developing countries.
Purpose of the Study:
- To identify factors associated with loss to follow-up (LTF) in a neonatal hearing screening (NHS) program.
- To investigate reasons for parents defaulting on crucial follow-up hearing tests.
Main Methods:
- A prospective study design utilizing data from a pilot study.
- Telephonic interviews with 50 parents who missed the second hearing test.
- A questionnaire assessed socio-demographics, child health, and caregiver knowledge of NHS.
Main Results:
- Rural residence and long distances to referral centers were noted.
- Caregivers demonstrated very low knowledge of NHS, hearing impairment, and treatment.
- Perceived lack of necessity for follow-up was the primary reason for default (50%).
Conclusions:
- Caregiver's insufficient knowledge regarding neonatal hearing screening is the main driver of follow-up default.
- Targeted educational interventions are needed to improve parental understanding and adherence.
- Addressing knowledge deficits can enhance the success of neonatal hearing screening programs.
