Implementation of a neonatal hearing screening programme in three provinces in Albania

Bussé, Andrea M. L.; Qirjazi, Birkena; Goedegebure, André; Toll, Martijn S.; Hoeve, Hans; Toçi, Ervin; Roshi, Enver; Carr, Gwen; Simonsz, Huibert J.

doi:10.1016/j.ijporl.2020.110039

Cited by 9 publications

(15 citation statements)

References 41 publications

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“…The program did not achieve > 90% follow-up diagnostic testing by 3 months, as recommended by JCIH guidelines. The low overall rate of 3-month follow-up (19.3%) obtained in the present study is also shown in Bussé et al [24], where only 33 of the 10.925 infants (0.3%) completed the full diagnostic assessment. The low referral rate to a full diagnostic assessment in the present study could be linked to the high number of infants lost to follow-up in the initial screening (34.2%).…”

Section: Diagnosis Ratesupporting

confidence: 80%

“…Another strategy is for the program to be proactive in contacting parents using phone calls, emails, or phone messages to remind parents about the re-screening appointment. Having efficient data management and tracking system capable of minimizing documentation loss has been proven to help improve the return for follow-up rate [24].…”

Section: Return For Follow Up Ratementioning

confidence: 99%

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A 10-year retrospective analysis of newborn hearing screening in a tertiary hospital in Malaysia

Mazlan

Raman

Abdullah

2022

Egypt J Otolaryngol

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Background Universal newborn hearing screening (UNHS) has been widely adopted worldwide as a standard of care because it enables the detection of congenital hearing loss early in life. Therefore, the concepts of regular measurement of performance using pre-determined quality measures are recommended for continuous improvement of the program. This study aimed to evaluate and update the performance of a UNHS program by measuring the recommended quality measures between 2010 and 2019. A retrospective study analyzing data of 50569 babies screened between January 2010 and December 2019 was performed. The pre-determined quality measures of coverage rate, initial referral rate, return to follow-up rate, diagnosis rate, and age at diagnosis were measured. Results The average coverage rate was 95.5%, with all years achieving the recommended benchmark of ≥ 95% except 2014 (91.8%) and 2019 (89.5%). Generally, the initial referral rate (10%) exceeded the benchmark of ≤ 4%. The program only managed to reach the benchmark for initial referral rate in 2013, 2014, and 2015. Both quality indicators for return to follow-up and diagnosis rates also did not meet the ≥ 95% and ≥ 90% standards, respectively. The return to follow-up ranged from 62 to 72.7%, while the average diagnosis rate was 73.4% (60–100%). One hundred thirty-seven infants were diagnosed with hearing loss at a median age of 3.8 months (± 0.4 months), resulting in a prevalence of 0.27%. Conclusion The findings demonstrated an excellent coverage rate but unsatisfactory performance for other quality indicators. Hence, the current program needs to be revisited to remain relevant and effective.

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Section: Diagnosis Ratesupporting

confidence: 80%

Section: Return For Follow Up Ratementioning

confidence: 99%

A 10-year retrospective analysis of newborn hearing screening in a tertiary hospital in Malaysia

Mazlan

Raman

Abdullah

2022

Egypt J Otolaryngol

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“…Such dependencies highlight the need for a positive attitude and high levels of awareness among parents towards hearing loss. These factors are critical in developing a sustainable, needbased comprehensive hearing care program for children with hearing loss [2,3]. Recent data on hearing loss suggest that globally 20% of people have hearing loss.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Attitudes of Parents towards Childhood Hearing Loss and Pediatric Hearing Services in Sharjah, United Arab Emirates

Ayas

Yaseen

2021

IJERPH

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The successful implementation of pediatric audiology services depends on parental engagement and support. It is essential to analyze the gaps in knowledge level and attitude of the parents in United Arab Emirates (UAE), towards pediatric hearing loss and pediatric audiology services. The present study aimed to assess the knowledge and attitude of parents in Sharjah, UAE.A cross-sectional survey was administered to 295 parents in a tertiary care hospital setting. The self-reported questionnaire consisted of 26 items. 34.2% of the parents ascertaining good knowledge and 65.8% reported poor knowledge regarding the various factors related to the childhood hearing loss. Further, 86.2% of parents reported positive attitudes regarding accessing pediatric audiology services. A significant association was found between age groups, educational status, and knowledge levels. The study highlights the poor knowledge demonstrated by parents in the UAE regarding hearing loss and its associated risk factors. Findings outline the critical need in the region to enhance parental awareness. More health promotion activities and community outreach campaigns are necessary to increase the uptake of pediatric audiology services in the region.

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“…We were not able to reach the mothers lost to follow up to obtain the reasons for not returning. However, among the studies conducted in developing countries, the common reasons cited for loss to follow up include financial limitations, fear of spousal reactions and lack of knowledge on deafness as reported in Cote d’Ivoire [ 27 ] while long distances to test sites, death of infant and parental refusal for hearing screening were cited in Albania [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of establishing an infant hearing screening program and measuring hearing loss among infants at a regional referral hospital in south western Uganda

et al. 2021

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Introduction Despite the high burden of hearing loss (HL) globaly, most countries in resource limited settings lack infant hearing screening programs(IHS) for early HL detection. We examined the feasibility of establishing an IHS program in this setting, and in this pilot program measured the prevalence of infant hearing loss (IHL) and described the characteristics of the infants with HL. Methods We assessed feasibility of establishing an IHS program at a regional referral hospital in south-western Uganda. We recruited infants aged 1 day to 3 months and performed a three-staged screening. At stage 1, we used Transient Evoked Oto-acoustic Emissions (TEOAEs), at stage 2 we repeated TEOAEs for infants who failed TEOAEs at stage 1 and at stage 3, we conducted Automated brainstem responses(ABRs) for those who failed stage 2. IHL was present if they failed an ABR at 35dBHL. Results We screened 401 infants, mean age was 7.2 days (SD = 7.1). 74.6% (299 of 401) passed stage 1, the rest (25.4% or 102 of 401) were referred for stage 2. Of those referred (n = 102), only 34.3% (35 of 102) returned for stage 2 screening. About 14.3% (5/35) failed the repeat TEOAEs in at least one ear. At stage 3, 80% (4 of 5) failed the ABR screening in at least one ear, while 25% (n = 1) failed the test bilaterally. Among the 334 infants that completed the staged screening, the prevalence of IHL was 4/334 or 12 per 1000. Risk factors to IHL were Newborn Special Care Unit (NSCU) admission, gentamycin or oxygen therapy and prematurity. Conclusions IHS program establishment in a resource limited setting is feasible. Preliminary data indicate a high prevalence of IHL. Targeted screening of infants at high risk may be a more realistic and sustainable initial step towards establishing IHS program s in a developing country like Uganda.

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Implementation of a neonatal hearing screening programme in three provinces in Albania

Cited by 9 publications

References 41 publications

A 10-year retrospective analysis of newborn hearing screening in a tertiary hospital in Malaysia

A 10-year retrospective analysis of newborn hearing screening in a tertiary hospital in Malaysia

Knowledge and Attitudes of Parents towards Childhood Hearing Loss and Pediatric Hearing Services in Sharjah, United Arab Emirates

Feasibility of establishing an infant hearing screening program and measuring hearing loss among infants at a regional referral hospital in south western Uganda

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