Six thousand two hundred and forty-one newborns were screened from 13,799 hospital births during the first 4 years. Ninety-four percent of these infants were from the well-baby nurseries. During the initial 22 months, whilst the service was subsidized as part of the hospital birthing package, coverage of 75 % was attained compared to 20 % during the subsequent 26 months. The overall referral rate for the screening program across the 4 years was 11.1 % but referral rates decreased by between 2 and 4 % for each year of program existence with a 5 % rate in year 4. Only 32 % of the rescreens were completed at the hospital and no data was available for the remaining infants because parents were provided a choice of follow up centers. Referral for a diagnostic assessment after the rescreens at the hospital was predictive of sensorineural hearing loss in one-third of cases and the estimated prevalence was 3 in every 1000.
Screening coverage in the current study was not adequately high and can be attributed to insufficient parental knowledge to make an informed decision. Improvements in program efficiency over time also suggest that pilot programs must be monitored over sufficiently long periods of time to allow observations of optimal efficiency. Initial referral rates and prevalence data indicate a large hearing loss burden and the capacity to implement increasingly efficient programs in South Africa.
d498f1e73dddac34f3"" onMouseOver=""InfoBubble.show('infobubble_3','mlktLink_3')"" onMouseOut=""InfoBubble.timeout()"">Neonatal hearing screening Pediatric Clinics of North America |
Neonatal hearing screening Pediatric Clinics of North America, Volume 50, Issue 2, April 2003, Pages 301-313 Margaret A. Kenna |
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