dc.contributor.author |
Hussein, Shouneez Yousuf
|
|
dc.contributor.author |
Swanepoel, De Wet
|
|
dc.contributor.author |
Mahomed-Asmail, Faheema
|
|
dc.contributor.author |
De Jager, Leigh Biagio
|
|
dc.date.accessioned |
2019-10-07T14:11:27Z |
|
dc.date.available |
2019-10-07T14:11:27Z |
|
dc.date.issued |
2018 |
|
dc.description.abstract |
BACKGROUND : Hearing loss is one of the most common developmental disorders identifiable
at birth with its prevalence increasing throughout school years. However, early detection
programs are mostly unavailable in low- and middle-income countries (LMICs) where more
than 80% of children with hearing loss reside.
OBJECTIVE : This study investigated the feasibility of a smartphone-based hearing screening
program for preschool children operated by community healthcare workers (CHWs) in
community-based early childhood development (ECD) centers.
METHOD : Five CHWs were trained to map ECD centers and conduct smartphone-based
hearing screenings within a poor community in South Africa over a 12-month period. The
hearScreenTM smartphone application employed automated test protocols operating on lowcost
smartphones. A cloud-based data management and referral function allowed for remote
monitoring for surveillance and follow up.
RESULTS : 6424 children (3–6 years) were screened for hearing loss with an overall referral rate
of 24.9%. Only 39.4% of these children attended their follow-up appointment at a local clinic,
of whom 40.5% referred on their second screening. Logistic regression analysis indicated that
age, gender and environmental noise levels (1 kHz) had a significant effect on referral rates
(p < 0.05). The quality index reflecting test operator test quality increased during the first few
months of testing.
CONCLUSION : Smartphone-based hearing screening can be used by CHWs to detect unidentified
children affected by hearing loss within ECD centers. Active noise monitoring, quality
indices of test operators and cloud-based data management and referral features of the
hearScreenTM application allows for the asynchronous management of hearing screenings
and follow-ups. |
en_ZA |
dc.description.department |
Speech-Language Pathology and Audiology |
en_ZA |
dc.description.librarian |
am2019 |
en_ZA |
dc.description.sponsorship |
The National Institute for the
Humanities and Social Sciences (NIHSS), in collaboration
with the South African Humanities Deans Association
(SAHUDA). |
en_ZA |
dc.description.uri |
https://www.tandfonline.com/loi/zgha20 |
en_ZA |
dc.identifier.citation |
Hussein, S.Y., Swanepoel, D.W., Mahomed, F. et al. 2018, 'Community-based hearing screening for young children using an mHealth
service-delivery model', Global Health Action, vol. 11, no. 1467077, pp. 1-7. |
en_ZA |
dc.identifier.issn |
1654-9716 (print) |
|
dc.identifier.issn |
1654-9880 (online) |
|
dc.identifier.other |
10.1080/16549716.2018.1467077 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/71600 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
Taylor and Francis Open |
en_ZA |
dc.rights |
© 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/). |
en_ZA |
dc.subject |
Smartphone |
en_ZA |
dc.subject |
Hearing screening |
en_ZA |
dc.subject |
Mobile health |
en_ZA |
dc.subject |
Early childhood development (ECD) |
en_ZA |
dc.subject |
Community health worker (CHW) |
en_ZA |
dc.subject |
Preschool children |
en_ZA |
dc.title |
Community-based hearing screening for young children using an mHealth service-delivery model |
en_ZA |
dc.type |
Article |
en_ZA |