Community-based infant hearing screening in a developing country: parental uptake of follow-up services

Olusanya, Bolajoko O.; Akinyemi, Oladele O

doi:10.1186/1471-2458-9-66

Cited by 40 publications

(38 citation statements)

References 27 publications

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“…This failure to remind and encourage caregivers to comply with the recommended follow-up re-test may have affected follow-up rates adversely [18]. Lack of quality control and inefficient tracking of caregivers following discharge [9,11], as well as inadequate support from other health care professionals are reasons which have been offered for the poor follow-up rates in studies conducted in the private health sector in South Africa [9,11].…”

Section: Sd) Testing Younger Newborns Predisposed As They Are To Rementioning

confidence: 99%

“…Internationally, high referral rates and sub-par follow-up return rates were also reported for hospital-based (32.3% and 16% respectively) and immunization clinic-based (14.3% and 48.1% respectively) NHS programs in Nigeria [17,18]. A review of the average coverage and follow-up return rates across a combination of 46 developed and developing countries indicated that regional coverage (66% for high income and 1% for low income countries) falls significantly below proposed benchmarks (≥95%) [15], with only the high income countries achieving follow-up rates above these benchmarks (≥70%) [15,21].…”

Section: Sd) Testing Younger Newborns Predisposed As They Are To Rementioning

confidence: 99%

“…Reports from Nigeria have indicated inadequate follow-up returns rates for second stage screening at both clinic (48.1%) and hospital-based (16%) levels [17][18][19]. Further afield in the USA, a national review of early hearing detection and intervention (EHDI) programs revealed that although national coverage is reported to be >95%, almost half of those with initial referrals (46.1%) are lost to follow-up [20].…”

Section: Introductionmentioning

confidence: 99%

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Why parents refuse newborn hearing screening and default on follow-up rescreening—A South African perspective

Scheepers

Swanepoel

Roux

2014

International Journal of Pediatric Otorhinolaryngology

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Objectives: This study describes screen refusal and follow-up default characteristics together with caregiver reasons for screen refusal and follow-up default in twfigo South African universal newborn hearing screening programs. Methods:A retrospective record review of universal newborn hearing screening conducted at two hospitals (Hospital A n = 954 infants; Hospital B n = 2135) over a 31 to 33 month period. Otoacoustic emission screening was conducted with rescreen recommended within six weeks for a uni-or bilateral refer. Program efficacy was described according to coverage, referral and follow-up rates. A prospective telephonic interview with caregivers who declined the initial screen (n = 25) and who defaulted on follow-up (n =25) constituted the next study component. Caregivers were randomly selected from the screening programs for a survey related to reasons for newborn hearing screening refusal and follow-up default. Hospital B) differed significantly between hospitals and were below benchmarks. The most frequent reasons for screen refusal were related to costs (72%), caregiver knowledge of newborn hearing screening (64%) and health care professional knowledge and team collaboration (16%). Almost all caregivers (96%) indicated that if costs had been included in the birthing package or covered by medical insurance they would have agreed to newborn hearing screening. Reasons for follow-up default were most commonly related to caregiver knowledge of newborn hearing screening (32%) and costs (28%). One in four caregivers (24%) defaulted on follow-up because they forgot to bring their infant for a rescreen. Only half of caregivers (48%) who defaulted on follow-up reported being aware of initial screen results while 60% reported being aware of the recommended follow-up rescreen. Conclusion:Caregivers most commonly refused screening due to associated costs and mostly defaulted on follow-up due to an apparent lack of knowledge regarding initial screen outcome and recommendations made for follow-up. Including NHS as a mandated birthing service is essential if coverage is to be increased, while reducing follow-up defaults requires proactive reminders and improved communication with caregivers.

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Section: Sd) Testing Younger Newborns Predisposed As They Are To Rementioning

confidence: 99%

Section: Sd) Testing Younger Newborns Predisposed As They Are To Rementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Why parents refuse newborn hearing screening and default on follow-up rescreening—A South African perspective

Scheepers

Swanepoel

Roux

2014

International Journal of Pediatric Otorhinolaryngology

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“…Poor uptake after the initial failed screening test has also been attributed to minimal or no prompting by screening staff, caregivers not being traceable, and the perception that hearing loss is not life-threatening. 43,100 Financial and logistical constraints…”

Section: Poor or Inadequate Information From Health Care Providersmentioning

confidence: 99%

Screening for neonatal deafness in resource-poor countries: challenges and solutions

Olusanya¹

2015

RRN

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Newborn or neonatal hearing screening (NHS) is offered routinely in high-income countries as an essential and mandatory intervention for the early detection of infants with permanent congenital or early-onset hearing loss. However, NHS is rarely offered presently in the vast majority of low-and middle-income countries, which account for over 80% of the incidence and burden of permanent congenital or early-onset hearing loss worldwide. This review provides an overview of the current status of NHS programs in the most developmentally disadvantaged low-and middle-income countries with a per capita income of approximately US$6,000 or less against the backdrop of relevant recommendations for effective NHS programs. It highlights the key obstacles to the delivery and uptake of NHS services based on a review of available literature from the eligible countries. It proposes strategies for addressing these challenges and examines the crucial role of pediatricians and primary care physicians in providing leadership for the requisite multidisciplinary efforts to develop and promote effective NHS services in low-and middle-income countries.

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“…Hal ini sesuai dengan studi yang dilakukan oleh Prince dkk 18 yang menemukan bahwa bayi dari ibu yang tidak menyelesaikan sekolah menengah atas mempunyai kecenderungan untuk tidak menyelesaikan tahapan skrining pendengaran yang dibutuhkan oleh bayinya. 18,19 Kami juga menemukan bahwa kesadaran ibu akan pentingnya deteksi dini gangguan pendengaran dan intervensi segera sangat mempengaruhi keberhasilan program skrining. Untuk meningkatkan kesadaran ibu, perlu diberikan edukasi mengenai manfaat dan pentingnya skrining pendengaran sebelum pulang dari perawatan Perinatologi.…”

Section: Pembahasanunclassified

Peran Instrumen Modifikasi Tes Daya Dengar sebagai Alat Skrining Gangguan Pendengaran pada Bayi Risiko Tinggi Usia 0-6 Bulan

Andriani

Sekartini

Suwento

et al. 2016

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Latar belakang. Gangguan pendengaran pada bayi dapat menghambat perkembangan bicara, bahasa, dankemampuan kognitif. Identifikasi dan intervensi segera dengan program skrining akan mencegah konsekuensitersebut. Pemeriksaan elektrofisiologi merupakan alat skrining yang direkomendasikan namun memerlukanalat khusus, biaya dan tenaga ahli, sehingga diperlukan kuesioner pendengaran (hearing checklist) sebagaialat skrining. Departemen Kesehatan Republik Indonesia mengeluarkan instrumen tes daya dengar sebagaialat skrining gangguan pendengaran yang kemudian dimodifikasi pada tahun 2005.Tujuan. Membandingkan sensitivitas dan spesifisitas instrumen modifikasi tes daya dengar (MTDD) dengan bakuemas pemeriksaan skrining pendengaran yaitu distortion-product otoacoustic emission (DPOAE) dan AABR.Metode. Studi potong-lintang di RSCM pada bayi usia 0-6 bulan dengan satu atau lebih faktor risikoseperti riwayat keluarga dengan tuli bawaan, infeksi TORCH, prematuritas, berat badan lahir rendah,hiperbilirubinemia dengan terapi sinar atau transfusi tukar, sepsis awitan lambat dan meningitis, nilai skorApgar rendah, distress pernapasan, pemakaian alat bantu napas dan pemakaian obat yang bersifat ototoksikselama lebih dari 5 hari. Subjek dilakukan pemeriksaan fisis, pertumbuhan dan perkembangan, MTDD,DPOAE dan AABR.Hasil. Enam puluh subjek diperoleh ikut dalam penelitian, lelaki lebih banyak dengan rasio 1,1:1. Sebagianbesar subjek merupakan anak pertama (38,3%), diasuh oleh orangtua (60%) dan memiliki 􀁴3 faktor risiko(70%). Pemakaian obat yang bersifat ototoksik (76,7%) merupakan faktor risiko terbanyak. Prevalensigangguan pendengaran berdasarkan MTDD 63,3% sedangkan kombinasi DPOAE dan AABR 11,7%. Umursubjek merupakan faktor yang secara bermakna mempengaruhi hasil MTDD (nilai p=0,032). Sensitivitasdan spesifisitas MTDD berturut-turut 85,7% dan 39,6%.Kesimpulan. Instrumen MTDD bukan merupakan alat skrining pendengaran yang ideal namun dibutuhkandan dapat digunakan di negara berkembang seperti Indonesia

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Community-based infant hearing screening in a developing country: parental uptake of follow-up services

Cited by 40 publications

References 27 publications

Why parents refuse newborn hearing screening and default on follow-up rescreening—A South African perspective

Why parents refuse newborn hearing screening and default on follow-up rescreening—A South African perspective

Screening for neonatal deafness in resource-poor countries: challenges and solutions

Peran Instrumen Modifikasi Tes Daya Dengar sebagai Alat Skrining Gangguan Pendengaran pada Bayi Risiko Tinggi Usia 0-6 Bulan

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