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Implementation of Newborn Hearing Screening in Albania
Andrea M L Bussé1,2, Birkena Qirjazi3, Allison R Mackey4
1Department of Otorhinolaryngology, Erasmus University Medical Center, 3015 Rotterdam, The Netherlands.
Newborn hearing screening (NHS) in Albania successfully implemented, though high loss to follow-up (LTFU) was observed. Effective data tracking and supervision are crucial for improving screening outcomes.
Area of Science:
- Public Health
- Audiology
- Healthcare Implementation Science
Background:
- Newborn hearing screening (NHS) is vital for early detection of hearing loss.
- Albania initiated NHS in four maternity hospitals in 2018-2019.
Purpose of the Study:
- To evaluate the implementation outcomes, screening results, and quality of NHS in Albania.
- To identify factors contributing to loss to follow-up (LTFU).
Main Methods:
- Onsite observations, interviews, questionnaires, and screening database analysis were used.
- A multivariate logistic regression identified reasons for LTFU.
- Screening coverage, attendance, and referral rates were assessed.
Main Results:
- 96.6% of 22,818 infants were screened.
- High LTFU rates were observed: 33.6% (2nd step), 40.4% (3rd step), 35.8% (diagnostic).
- 0.1% (22 infants) were diagnosed with hearing loss (≥40 dB), six unilateral.
Conclusions:
- NHS implementation in Albania was feasible and appropriate.
- High LTFU rates pose a challenge to screening effectiveness.
- Enhanced data tracking and supervision are essential for successful NHS programs.
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