Perception of ‘mothers of beneficiaries’ regarding a rural community based hearing screening service

Rajendran, Akilan; Ramkumar, Vidya; Nagarajan, Roopa

doi:10.1016/j.ijporl.2014.09.009

Cited by 15 publications

(28 citation statements)

References 8 publications

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“…The initial search yielded 674 articles, which reduced to 420 after removal of duplicates (see online supplementary table 3). After screening of abstracts, 356 studies were excluded and after full-text review a further 30, leaving 38 studies that met the inclusion criteria 21 22 30–65. Further details are in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow chart (figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies have been published in the past decade (since 2008, n=30), with no relevant studies published before 1980. Studies took place in South Asia (n=13),30 36 43–45 48 55–59 61 65 Oceania (n=7),21 38 39 41 42 62 63 North America (n=7),22 35 37 47 49 50 60 South America (n=6)31–34 40 64 or Africa (n=5) 46 51–54…”

Section: Resultsmentioning

confidence: 99%

“…We identified 23 studies which primarily focused on the role of CHWs in screening for ear disease and hearing loss 21 30 31 36 42 43 45–47 49–51 53–56 58 59 61–64 66. There were no studies on the role of CHWs in disease prevention.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature

et al. 2019

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IntroductionCommunity health workers (CHWs) have the potential to improve access to ear and hearing services for people across low-income or middle-income countries, remote, underserved, or resource-poor areas of the world. We performed a systematic scoping review to identify evidence on how CHWs are currently deployed in the prevention, screening, diagnosis, treatment and management of ear disease and hearing loss; methods to train and support CHWs in this context; and cost-effectiveness of CHWs.MethodsWe performed a systematic search of the literature from September 1978 to 18 March 2018 from 11 major databases and the grey literature.ResultsWe identified 38 original studies that met the inclusion criteria, taking place across South Asia (n=13), Oceania (n=7), North America (n=7), South America (n=6) and Africa (n=5). 23 studies showed CHWs can increase community participation in screening. They can conduct screening using whispered voice tests, noisemakers for neonatal screening, automated audiological tests and otoscopy. Eight studies focused specifically on the evaluation of programmes to train CHWs, and three provided a general programme description. Three studies documented a role of CHWs in the treatment of ear disease or hearing loss, such as performing ear washouts, instillation of topical antibiotics or fitting of hearing aids. Only one study provided an indepth cost-utility analysis regarding the use of CHWs to conduct hearing screening, and no studies commented on the role of CHWs in the prevention of hearing loss.ConclusionCHWs have been employed in diverse ways to address the global burden of ear disease and hearing loss. Future research needs to explore the role of CHWs in preventative strategies, identify optimum methods to train and support CHWs, and explore their cost-effectiveness.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature

et al. 2019

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“…Therefore, it is safe to say that the RBSK is bound to fail unless capacity is built up rapidly. A feedback study done to evaluate the parents' perception to universal neonatal hearing screening gave positive results [20]. Universal hearing screening programs have lowered that age of identification of congenital deafness to 9.59 months, however it is still lower than the target of 3 months as per JCIH [7,21].…”

Section: Discussionmentioning

confidence: 99%

Neonatal Hearing Screening Programme (NHSP): At A Rural Based Tertiary Care Centre

Sharma

Mishra

Bhatt

et al. 2015

Indian J Otolaryngol Head Neck Surg

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Deafness is the most common curable childhood handicap. It is a well recognised fact that unidentified hearing impairment can adversely affect optimal speech and language development and therefore academic, social and emotional development. Universal neonatal hearing screening programmes are implemented in many developed countries. However it is still in its early stage in India. The incidence of hearing impairment in India is 1-6 per thousand newborns screened (Paediatrics 19:155-165, 1998; Indian J Paediatr 74(6):545-549, 2007; Status of Disability in India, pp 172-185 2000). To determine the incidence of permanent hearing loss of moderate to evere variety in neonates taking care in a tertiary care rural based hospital in Gujarat. It was a non randomised observational study done for duration of 3 years. All neonates born in Shri Krishna Hospital underwent screening using two stage protocols with DPOAE test and final confirmation done with BERA. Total 2534 neonates were screened out of them 52 failed and 2482 (97.94 %) neonates passed in the 1st DPOAE test with 2.05 % refer rate. Total 7 (2 per 1000) neonates were detected with hearing impairment. 10 % neonates had one or other high risk factor. Out of high risk neonates, 1.8 % were diagnosed with hearing impairment in high risk group. Overall the follow-up rate was 72.7 %. Hospital based universal hearing screening of new born before discharge is feasible at a rural based tertiary care centre. Non specialist staff is invaluable in achieving a satisfactory referral rate with two stage hearing screening protocol. However, more efficacious tracking and follow up system is needed to improve the follow up rate for diagnosis.

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“…Studies from India 22 and Nigeria 23 show that, after two weeks of training, community health workers can also perform automated neonatal screening using such devices. Screening in neonates by community health workers using a low-cost rattle made from wood and metal spheres has also been described in India, 24 and in children and adults using a semi-automated mobile phone application (following only a few hours of training) in South Africa.…”

Section: Policy and Practicementioning

confidence: 99%

Training for hearing care providers

Bhutta

Muñoz

et al. 2019

Bull. World Health Organ.

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The lack of an appropriately trained global hearing-care workforce is recognized as a barrier to developing and implementing services to treat ear and hearing disorders. In this article we examine some of the published literature on the current global workforce for ear and hearing care. We outline the status of both the primary-care workforce, including community health workers, and specialist services, including audiologists, ear, nose and throat specialists, speech and language therapists, and teachers of the deaf. We discuss models of training health workers in ear and hearing care, including the role of task-sharing and the challenges of training in low and middle-income countries. We structure the article by the components of ear and hearing care that may be delivered in isolation or in integrated models of care: primary care assessment and intervention; screening; hearing tests; hearing rehabilitation; middle-ear surgery; deaf services; and cochlear implant programmes. We highlight important knowledge gaps and areas for future research and reporting.

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Perception of ‘mothers of beneficiaries’ regarding a rural community based hearing screening service

Cited by 15 publications

References 8 publications

The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature

The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature

Neonatal Hearing Screening Programme (NHSP): At A Rural Based Tertiary Care Centre

Training for hearing care providers

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