title: A novel service delivery model for infant hearing screening in developing countries.
abstract: Newborn hearing screening is the procedure of choice for ensuring optimal outcomes for infants with hearing loss, whether in a developed or developing country. Unfortunately, apart from a small number of recent exceptions, newborn hearing screening has been a practice reserved for the developed world. Despite the prevailing challenges towards implementing hearing screening in developing countries, there are existing structures in these countries that need to be investigated as possible platforms from which programs can be actualized. Immunization clinics, constituting part of a primary healthcare approach characteristic of developing countries, offer one such a platform. A novel service delivery model, based on initial results from a pilot study, was developed for infant hearing screening at immunization clinics in South Africa as an integrated part of primary, secondary, and tertiary levels of healthcare. This type of model is a first step toward ensuring that infants with hearing loss in developing communities are afforded opportunities for optimal development and societal integration through accountable and contextually relevant early hearing detection and intervention services.
authors.affiliation: Department of Communication Pathology, University of Pretoria, South Africa. dewet.swanepoel@up.ac.za
authors.forename: De Wet
authors.initials: de W
authors.lastname: Swanepoel
authors.forename: Brenda
authors.initials: B
authors.lastname: Louw
authors.forename: Rene
authors.initials: R
authors.lastname: Hugo
mesh_terms: D000158:Acoustic Impedance Tests; D001298:Audiology / Q000379:methods*; D003153:Community Health Services / Q000458:organization & administration; D003906:Developing Countries / Q000706:statistics & numerical data*; D006298:Health Services Administration; D006311:Hearing Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000379:methods*; D010865:Pilot Projects