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Published on: January 23, 2017
Exploration of preschool hearing screening at primary healthcare centers in Riyadh, Saudi Arabia: A cross-sectional
Ahmad A Alanazi1,2, Rayan A Almutairi3, Khalid S Alsuhaibani3
1Department of Audiology and Speech Pathology, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Insights
Preschool hearing screening (PHS) in Saudi Arabia primarily relies on subjective measures, with significant gaps in objective evaluations and training. Enhancing PHS protocols is crucial for early identification and intervention of childhood hearing loss.
Area of Science:
- Pediatrics
- Audiology
- Public Health
Background:
- Childhood hearing loss can impact learning and development, necessitating ongoing surveillance beyond newborn screening.
- Preschool hearing screening (PHS) is essential for early detection of hearing impairments in young children.
- The current practices and challenges of PHS in Saudi Arabian primary healthcare centers (PHCs) were not well-documented.
Purpose of the Study:
- To investigate the current practices of preschool hearing screening (PHS) within primary healthcare centers (PHCs) in Riyadh, Saudi Arabia.
- To identify the methods used, personnel involved, and challenges faced in implementing PHS.
- To provide insights for improving early hearing loss detection and intervention strategies.
Main Methods:
- A cross-sectional descriptive study design was employed.
- Data were collected using an in-person-administered questionnaire.
- 106 healthcare professionals from PHCs in Riyadh participated in the study.
Main Results:
- PHS predominantly utilized subjective methods, relying on parental (71.7%) and child (65.1%) reports.
- Objective audiometric evaluations were performed in only half of the PHCs.
- Identified challenges included a lack of training, inadequate equipment, and insufficient audiological services.
Conclusions:
- Significant gaps exist in the current PHS practices in Saudi Arabian PHCs, with a reliance on subjective assessments.
- Addressing the identified challenges through training, resources, and audiological support is critical.
- Implementing standardized, objective PHS protocols is recommended for early identification and effective intervention of childhood hearing loss.
Abstract:
The hearing status of children should be examined throughout early childhood, even if they have passed the newborn hearing loss because hearing loss can occur at any time and may affect their ability to learn. Preschool hearing screening (PHS) is vital to continue screening throughout early childhood. The current practice of PHS in the primary healthcare centers (PHCs) in Saudi Arabia is unknown. The purpose of this study was to investigate PHS in the PHCs. This cross-sectional descriptive study used an in-person-administered questionnaire to collect data. A total of 106 out of 120 participants (male = 61; female = 45) representing the PHCs in Riyadh were interviewed. Most of the participants were aged 31-40 years and held a bachelor's degree as the highest academic qualification with limited years of experience. PHS was mostly performed through subjective measures by asking the parents (71.7%) and the child (65.1%). The audiometric evaluation was conducted for preschool children in only half of the PHCs. General practitioners and nurses usually perform PHS. Substantial gaps in the practice of PHS were identified. The lack of training and appropriate instruments and the need for audiological services were the main challenges. Incorporating robust and objective protocols for PHS into the educational system is a valuable strategy for identifying hearing loss early and reducing its impact through the establishment of effective intervention plans.
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