Community-based hearing screening for young children using an mHealth service-delivery model

Show simple item record Hussein, Shouneez Yousuf Swanepoel, De Wet Mahomed-Asmail, Faheema De Jager, Leigh Biagio 2019-10-07T14:11:27Z 2019-10-07T14:11:27Z 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 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.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 ( 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

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