Early hearing detection at immunization clinics in developing countries

Early hearing detection has become a standard of neonatal care in most parts of the developed world. A growing number of developing countries arc also currently exploring practical and culturally appropriate options for early hearing detection. Recent findings from ongoing infant hearing screening programs in Nigeria and South Africa suggest that hearing screening programs are feasible if integrated into early childhood immunization programs in developing countries, especially where a significant number of births occur outside regular hospitals. A major challenge for a multi-stage screening protocol is how to minimize default rates for follow-up till diagnosis. However, this could be systematically addressed through improved parental education and appropriate support at various stages of the program.

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Int J Pediatr Otorhinolaryngol. 2006: 70(8): 1495-1498