National survey of paediatric audiological services for diagnosis and intervention in the South African private health care sector

Meyer, Miriam; Swanepoel, De Wet; Roux, Talita le

doi:10.4102/sajcd.v61i1.62

Cited by 7 publications

(12 citation statements)

References 21 publications

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“…It is widely reported that without UNHS, identification of hearing impairment may be as late as two years of age (Butler et al, 2015; Khoza-Shangase and Harbinson, 2015; Meyer et al, 2014; Storbeck and Young, 2016; Swanepoel et al, 2013), following suspicion of the hearing impairment typically after critical periods of language development milestones have passed (Joint Committee on Infant Hearing, 2007). Similarly, seven of the eight children in the current study were suspected as presenting with hearing impairment after the age of 12 months and as late as 4 years of age.…”

Section: Discussionmentioning

confidence: 99%

“…These negative effects can be further exacerbated by the poor socio-economic conditions and burdened healthcare systems characteristic of developing contexts such as South Africa (Meyer et al, 2012). However, children with hearing impairment can develop speech and language abilities on par with peers with normal hearing, if the hearing impairment is identified early enough and intervention is initiated timeously (Meyer et al, 2014). Hence, universal newborn hearing screening (UNHS) is either recommended or already practiced and legally regulated in many developed countries (Lasisi et al, 2014; Petersen and Ramma, 2015; White et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Hearing impairment detection and intervention in children from centre-based early intervention programmes

Maluleke

Khoza-Shangase

Kanji

2018

J Child Health Care

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The study aimed to describe ages at identification and initiation of early intervention (EI) services for children enrolled in centre-based EI programmes in Gauteng, as well as to describe the nature of EI services that the children received. The researchers conducted retrospective record reviews of the EI programme files. In addition, caregivers of eight children identified with hearing impairments and enrolled in centre-based EI programmes in Gauteng completed a newly constructed questionnaire. The caregiver questionnaire produced data pertaining to the child's family demographics, background information and schooling history. Descriptive statistics were used to analyse the data, using frequency distribution and measures of central tendency. None of the children received newborn hearing screening services, thus they were identified late following maternal suspicion of hearing impairment. Late identification of the hearing impairment resulted in suboptimal initiation of EI services. All the children received aural habilitation and/or speech-language therapy services. These findings indicate that there is a great need for the establishment of widespread early hearing detection and intervention programmes that will lead to earlier identification of infant and childhood hearing impairment and timely initiation of EI services.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hearing impairment detection and intervention in children from centre-based early intervention programmes

Maluleke

Khoza-Shangase

Kanji

2018

J Child Health Care

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“…Similar suboptimal provision of amplification devices in the South African context has been reported. In a national survey of paediatric audiology services conducted by Meyer et al (2014), suboptimal provision of amplification devices at ages older than 2 years was reported. These findings demonstrate poor adherence to the HPCSA (2018) guidelines for best practice, which recommend provision of amplification devices within 1 month of identification of the hearing impairment.…”

Section: Resultsmentioning

confidence: 99%

“…This finding once again highlights the need for comprehensive EHDI infrastructure. Through such EHDI programmes, children with a hearing impairment can experience the optimal benefits from the earliest possible hearing identification and intervention (Meyer et al, 2014). It is possible for children with a hearing impairment to achieve age-appropriate speech and language outcomes (Fulcher, Purcell, Baker, & Munro, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Research has produced evidence that indicates that the speech and language abilities of children with hearing impairment can equal that of their hearing peers if the hearing impairment is identified early and intervention commenced timeously (Meyer, Swanepoel, & Le Roux, 2014; Swanepoel et al, 2009). According to the Health Professions Council of South Africa (Health Professions Council of South Africa [HPCSA], 2018) and the JCIH (2007), diagnostic audiological assessment should be conducted by 3–4 months of age with the commencement of early intervention (EI) services before 6 months of age.…”

Section: Introductionmentioning

confidence: 99%

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Communication and school readiness abilities of children with hearing impairment in South Africa: A retrospective review of early intervention preschool records

Maluleke

Khoza-Shangase

Kanji

2019

South African Journal of Communication Disorders

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Background The national prevalence of hearing impairment in South Africa is estimated to be four to six in every 1000 live births in the public health care sector. An undetected hearing impairment in childhood can lead to delayed speech and language development as well as put the child at risk of not achieving the necessary school readiness abilities that will enable them to achieve academic success. However, through early hearing detection and intervention services, children with hearing impairment can develop communication and school readiness abilities on par with children with normal hearing. Objective The aim of the study was to describe communication and school readiness abilities of children who were identified with hearing impairment and enrolled in early intervention (EI) preschools in Gauteng. Methods Within a descriptive research study design, a retrospective record review was conducted on files of eight children, ranging in age from 9 years and 7 months to 12 years and 7 months, identified with a hearing impairment and enrolled in EI preschools in Gauteng, South Africa. Descriptive statistics were used to analyse the data, using frequency distribution and measures of central tendency. Results Current findings revealed that children with hearing impairment who were enrolled in EI preschools in Gauteng were identified late. This consequently led to delayed ages at initiation of EI services when compared to international benchmarks and the Health Professions Council of South Africa’s (HPCSA) guidelines of 2018. Consequently, participants presented with below average communication and school readiness abilities, which are characteristic of hearing impairment that is identified late. Conclusions Transference of current contextually relevant research findings into practice by both the Department of Health and the Department of Basic Education forms part of future directions from this study. This conversion of research findings into service delivery must be conducted in a systematic manner at all levels in these two sectors to facilitate achievement of Early Hearing Detection and Intervention (EHDI), resulting in better communication and school readiness outcomes.

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Early Detection and Intervention in Audiology

Beswick¹,

Bornman²,

Casoojee³

et al. 2021

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All images remain the property of the copyright holders. The publishers gratefully acknowledge the publishers, institutions and individuals referenced in captions for the use of images. Every effort has been made to locate the original copyright holders of the images reproduced here; please contact Wits University Press in case of any omissions or errors. This book is freely available through the OAPEN library (www.oapen.org) under a CC-BY-NC-ND 4.0 Creative Commons License (https://creativecommons.org/ licenses/by-nc-nd/4.0/).

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National survey of paediatric audiological services for diagnosis and intervention in the South African private health care sector

Cited by 7 publications

References 21 publications

Hearing impairment detection and intervention in children from centre-based early intervention programmes

Hearing impairment detection and intervention in children from centre-based early intervention programmes

Communication and school readiness abilities of children with hearing impairment in South Africa: A retrospective review of early intervention preschool records

Early Detection and Intervention in Audiology

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