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Updated: Sep 24, 2026

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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Early identification of deaf babies and children in northern Israel
Insights
Early hearing loss screening in Israel
Area of Science:
- Pediatrics
- Audiology
- Public Health
Background:
- Mass screening for hearing loss is standard in Israel for infants.
- Free services are provided through Mother and Child Welfare Clinics.
- This system facilitates early detection and rehabilitation for most deaf infants.
Purpose of the Study:
- To highlight the effectiveness of early hearing loss detection in infants.
- To advocate for the broader implementation of impedance audiometry.
- To improve the identification of conductive hearing losses in preschool children.
Main Methods:
- Utilizing established mass screening programs for newborns.
- Testing at-risk newborns within the first three months of life.
- Recommending impedance audiometry for pre- and early school screenings.
Main Results:
- Nearly all deaf babies are detected and receive rehabilitation.
- Early intervention is successfully achieved through current screening protocols.
- Minor conductive hearing losses remain a target for improved detection methods.
Conclusions:
- Israel's early infant hearing screening program is highly effective.
- Widespread adoption of impedance audiometry is recommended for early detection of conductive hearing loss.
- Continued efforts are needed to identify and manage all types of hearing impairment in children.
Abstract:
Mass screening for hearing loss is established in Israel early in the first year of life, in the free Mother and Child Welfare Clinics, leading to early detection and rehabilitation of almost all the deaf babies. At risk newborns are tested within the first three months of age. Impedance audiometry should be widely implemented in pre- and early school screenings, to detect the minor conductive hearing losses.

