Screening methods: Current status

Hayes, Deborah

doi:10.1002/mrdd.10061

Cited by 21 publications

(5 citation statements)

References 57 publications

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“…This was proven to have a negative impact on the practicability of neonatal audiological screening at session 1. Theunissen and Swanepoel 59 have stated that the most commonly reported grounds for the lack of neonatal screening programmes are the shortage of suitable screening equipment, as well as personnel shortages. Widen et al.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of universal newborn hearing screening in South African primary care

Khoza-Shangase

Harbinson

2015

Afr. j. prim. health care fam. med.

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Background: Universal Newborn Hearing Screening (UNHC) is the gold standard toward early hearing detection and intervention, hence the importance of its deliberation within the South African context.Aim: To determine the feasibility of screening in low-risk neonates, using Otoacoustic Emissions (OAEs), within the Midwife Obstetric Unit (MOU) three-day assessment clinic at a Community Health Centre (CHC), at various test times following birth.Method: Within a quantitative, prospective design, 272 neonates were included. Case history interviews, otoscopic examinations and Distortion Product OAEs (DPOAEs) screening were conducted at two sessions (within six hours and approximately three days after birth). Data were analysed via descriptive statistics.Results: Based on current staffing profile and practice, efficient and comprehensive screening is not successful within hours of birth, but is more so at the MOU three-day assessment clinic. Significantly higher numbers of infants were screened at session 2, with significantly less false-positive results. At session 1, only 38.1% of the neonates were screened, as opposed to more than 100% at session 2. Session 1 yielded an 82.1% rate of false positive findings, a rate that not only has important implications for the emotional well-being of the parents; but also for resource-stricken environments where expenditure has to be accounted for carefully.Conclusion: Current findings highlight the importance of studying methodologies to ensure effective reach for hearing screening within the South African context. These findings argue for UNHS initiatives to include the MOU three-day assessment to ensure that a higher number of neonates are reached and confounding variables such as vernix have been eliminated.

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Section: Discussionmentioning

confidence: 99%

Evaluation of universal newborn hearing screening in South African primary care

Khoza-Shangase

Harbinson

2015

Afr. j. prim. health care fam. med.

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“…Currently, two tests are particularly suitable for screening hearing in newborns: otoacoustic emission measurements and auditory brainstem response (ABR) test. 16 Newborn hearing screening (NHS) is a standard of care for neonatal hearing health in developed countries, but it is not routinely done in developing countries like Nigeria. There is presently no national policy for NHS in Nigeria, and activities in NHS are limited to a few research studies.…”

Section: Introductionmentioning

confidence: 99%

Mothers’ perspectives of newborn hearing screening programme

Jatto

Ogunkeyede

Adeyemo

et al. 2018

gmj

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Background: Newborn hearing screening programs identifies newborns with hearing loss. The early identification enables prompt intervention through hearing rehabilitation. Accurate knowledge of the program and its benefit will impact on the uptake of the program by the citizenry. We hypothesized that there is a gap in the knowledge of parents on hearing screening and rehabilitation measures in Nigeria.Aim: To determine the knowledge and perceptions of mothers of newborn children on hearing screening.Methods: A cross sectional observational study among mothers of newborn children at immunization clinics. Semi structured questionnaire on gestational duration, mode of delivery, birth asphyxia, knowledge on hearing loss and newborn hearing screening were administered.Results: Participants were 48 mothers with age range from 18 to 42 years. Awareness of newborn hearing screening was poor among the mothers; sources of information on newborn hearing screening were antenatal clinic, mass media and friends. The educational level of the participants had no association with awareness (p = 0.11), but the willingness to accept newborn hearing screening, was associated with socioeconomic status (p = 0.04) and the level of education (p = 0.02). The participants were not aware of factors responsible for hearing loss in childhood.Conclusion: There is inadequate knowledge about newborn hearing screening and risk factors for infant hearing loss among the mothers, though they demonstrate willingness to accept the newborn hearing screening. Funding: None declaredKeywords: Hearing loss, hearing screening, immunization, mother, newborn

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“…The term "permanent congenital and early-onset hearing loss", or simply "hearing loss", is used more broadly to capture all degrees of hearing loss based on hearing threshold in the better ear averaged over frequencies 0.5, 1, 2, and 4 kHz, classified as: mild (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34), moderate (35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49), moderately severe (50-64 dBHL), severe (65)(66)(67)(68)(69)(70)(71)(72)(73)(74)(75)(76)(77)(78)(79), and profound (80)(81)(82)(83)…”

Section: Introductionmentioning

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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Screening methods: Current status

Cited by 21 publications

References 57 publications

Evaluation of universal newborn hearing screening in South African primary care

Evaluation of universal newborn hearing screening in South African primary care

Mothers’ perspectives of newborn hearing screening programme

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

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