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Article: Progress towards early detection services for infants with hearing loss in developing countries

TitleProgress towards early detection services for infants with hearing loss in developing countries
Authors
KeywordsAttitude to Health
Developing Countries
Health Care Surveys
Hearing Loss - diagnosis
Mass Screening - economics - organization and administration - utilization
Issue Date2007
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmchealthservres/
Citation
Bmc Health Services Research, 2007, v. 7 How to Cite?
AbstractBackground. Early detection of infants with permanent hearing loss through infant hearing screening is recognised and routinely offered as a vital component of early childhood care in developed countries. This article investigates the initiatives and progress towards early detection of infants with hearing loss in developing countries against the backdrop of the dearth of epidemiological data from this region. Methods. A cross-sectional, descriptive study based on responses to a structured questionnaire eliciting information on the nature and scope of early hearing detection services; strategies for financing services; parental and professional attitudes towards screening; and the performance of screening programmes. Responses were complemented with relevant data from the internet and PubMed/Medline. Results. Pilot projects using objective screening tests are on-going in a growing number of countries. Screening services are provided at public/private hospitals and/or community health centres and at no charge only in a few countries. Attitudes amongst parents and health care workers are typically positive towards such programmes. Screening efficiency, as measured by referral rate at discharge, was generally found to be lower than desired but several programmes achieved other international benchmarks. Coverage is generally above 90% but poor follow-up rates remain a challenge in some countries. The mean age of diagnosis is usually less than six months, even for community-based programmes. Conclusion. Lack of adequate resources by many governments may limit rapid nationwide introduction of services for early hearing detection and intervention, but may not deter such services altogether. Parents may be required to pay for services in some settings in line with the existing practice where healthcare services are predominantly financed by out-of-pocket spending rather than public funding. However, governments and their international development partners need to complement current voluntary initiatives through systematic scaling-up of public awareness and requisite manpower development towards sustainable service capacities at all levels of healthcare delivery. © 2007 Olusanya et al; licensee BioMed Central Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/53157
ISSN
2015 Impact Factor: 1.606
2015 SCImago Journal Rankings: 1.128
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorOlusanya, BOen_HK
dc.contributor.authorSwanepoel, DWen_HK
dc.contributor.authorChapchap, MJen_HK
dc.contributor.authorCastillo, Sen_HK
dc.contributor.authorHabib, Hen_HK
dc.contributor.authorMukari, SZen_HK
dc.contributor.authorMartinez, NVen_HK
dc.contributor.authorLin, HCen_HK
dc.contributor.authorMcPherson, Ben_HK
dc.date.accessioned2009-02-27T04:04:42Z-
dc.date.available2009-02-27T04:04:42Z-
dc.date.issued2007en_HK
dc.identifier.citationBmc Health Services Research, 2007, v. 7en_HK
dc.identifier.issn1472-6963en_HK
dc.identifier.urihttp://hdl.handle.net/10722/53157-
dc.description.abstractBackground. Early detection of infants with permanent hearing loss through infant hearing screening is recognised and routinely offered as a vital component of early childhood care in developed countries. This article investigates the initiatives and progress towards early detection of infants with hearing loss in developing countries against the backdrop of the dearth of epidemiological data from this region. Methods. A cross-sectional, descriptive study based on responses to a structured questionnaire eliciting information on the nature and scope of early hearing detection services; strategies for financing services; parental and professional attitudes towards screening; and the performance of screening programmes. Responses were complemented with relevant data from the internet and PubMed/Medline. Results. Pilot projects using objective screening tests are on-going in a growing number of countries. Screening services are provided at public/private hospitals and/or community health centres and at no charge only in a few countries. Attitudes amongst parents and health care workers are typically positive towards such programmes. Screening efficiency, as measured by referral rate at discharge, was generally found to be lower than desired but several programmes achieved other international benchmarks. Coverage is generally above 90% but poor follow-up rates remain a challenge in some countries. The mean age of diagnosis is usually less than six months, even for community-based programmes. Conclusion. Lack of adequate resources by many governments may limit rapid nationwide introduction of services for early hearing detection and intervention, but may not deter such services altogether. Parents may be required to pay for services in some settings in line with the existing practice where healthcare services are predominantly financed by out-of-pocket spending rather than public funding. However, governments and their international development partners need to complement current voluntary initiatives through systematic scaling-up of public awareness and requisite manpower development towards sustainable service capacities at all levels of healthcare delivery. © 2007 Olusanya et al; licensee BioMed Central Ltd.en_HK
dc.language.isoenen
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmchealthservres/en_HK
dc.relation.ispartofBMC Health Services Researchen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectAttitude to Healthen
dc.subjectDeveloping Countriesen
dc.subjectHealth Care Surveysen
dc.subjectHearing Loss - diagnosisen
dc.subjectMass Screening - economics - organization and administration - utilizationen
dc.titleProgress towards early detection services for infants with hearing loss in developing countriesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1472-6963&volume=7&spage=14&epage=&date=2007&atitle=Progress+towards+early+detection+services+for+infants+with+hearing+loss+in+developing+countries+en
dc.identifier.emailMcPherson, B: dbmcpher@hkucc.hku.hken_HK
dc.identifier.authorityMcPherson, B=rp00937en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1186/1472-6963-7-14en_HK
dc.identifier.pmid17266763-
dc.identifier.pmcidPMC1802737-
dc.identifier.scopuseid_2-s2.0-33847189183en_HK
dc.identifier.hkuros128140-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33847189183&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume7en_HK
dc.identifier.isiWOS:000243417300001-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridOlusanya, BO=35613148200en_HK
dc.identifier.scopusauthoridSwanepoel, DW=13609471200en_HK
dc.identifier.scopusauthoridChapchap, MJ=6506821207en_HK
dc.identifier.scopusauthoridCastillo, S=15925019700en_HK
dc.identifier.scopusauthoridHabib, H=12140627900en_HK
dc.identifier.scopusauthoridMukari, SZ=6506655442en_HK
dc.identifier.scopusauthoridMartinez, NV=15925738500en_HK
dc.identifier.scopusauthoridLin, HC=35217955500en_HK
dc.identifier.scopusauthoridMcPherson, B=7006800770en_HK
dc.identifier.citeulike1082392-

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