Costs and performance of early hearing detection programmes in Lagos, Nigeria

Olusanya, B.O.; Emokpae, A.; Renner, J.K.; Wirz, S.L.
February 2009
Transactions of the Royal Society of Tropical Medicine & Hygiene;Feb2009, Vol. 103 Issue 2, p179
Academic Journal
Summary: In line with global progress towards early detection of permanent congenital and early-onset hearing loss (PCEHL), the costs and performance of hospital-based and community-based infant hearing screening models were evaluated in Lagos, Nigeria. The protocol consisted of two-stage screening with transient-evoked otoacoustic emissions and automated auditory brainstem response followed by diagnostic evaluation for all infants referred after the second-stage screening. The main outcome measures were referral rates at screening, cost per baby screened, cost per case detected and yield for PCEHL. First-stage referrals were 32.2% for universal and 31.7% for targeted screening in the hospital, compared with 14.3% and 15.2%, respectively for the community-based programme. Second-stage referrals ranged from 3.3% under hospital-based universal screening to 4.9% under community-based targeted screening. The highest yields of 27.4 and 22.5 per 1000 were recorded under community-based targeted and universal screening, respectively. Screening cost per child was lowest (US$7.62) under community-based universal screening and highest (US$73.24) under hospital-based targeted screening. Similarly, cost per child detected with PCEHL was lowest (US$602.49) for community-based universal screening and highest (US$4631.33) for hospital-based targeted screening. Community-based universal screening of infants during routine immunisation clinics appears to be the most cost-effective model for early detection of PCEHL in low-income countries.


Related Articles

  • Comments on screening related topics. Smith, A. J. // Journal of Medical Screening;Jun1998, Vol. 5 Issue 2, p112 

    The author comments on various concerns related to medical screening. He talks about nuchal translucency and birth defects, screening without consent, vision tests in the elderly and testing hearing in infancy. He talks about screening through transient evoked otoacoustic emissions (TEOAE) which...

  • Automated Auditory Brainstem Response: A Proposal for an Initial Test for Healthy Newborn Hearing Screening with a Focus on the Test Time. Konukseven, Ozlem; Dincol, Ilknur; Genc, G. Aydan // Journal of International Advanced Otology;Oct2012, Vol. 8 Issue 3, p419 

    Objective: Some researchers recommend the use of Automated Auditory Brainstem Response as an initial screening test for healthy newborns due to its lower false-positive and referral rates, high specificity, and also its' ability to diagnose auditory neuropathy spectrum disorder combination with...

  • Neonatal screening of hearing function by otoacustic emissions - a single center experience. Živić, Ljubica; Obradović, Slobodan; Stojanović, Stevan; Zbiljić, Ivana; Jakovljević, Vladimir Lj.; Živić, Danijela; Stojanović, Jasmina; Laban, Olivera // Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journ;Apr2012, Vol. 69 Issue 4, p340 

    Background/Aim. Nowadays development of techniques enables detection of hearing impairment in a very short time, immediately after birth by using otoacoustic emissions. They are low-pitched sounds produced in physiologically clear cochlea and can be recorded in cochlear outer meatus. By this...

  • Community-based infant hearing screening in a developing country: parental uptake of follow-up services. Olusanya, Bolajoko O.; Akinyemi, Oladele O. // BMC Public Health;2009, Vol. 9 Issue 1, p1 

    Background: Universal newborn hearing screening is now considered an essential public health care for the early detection of disabling life-long childhood hearing impairment globally. However, like any health interventions in early childhood, parental support and participation is essential for...

  • Can Automated Auditory Brainstem Response be Used as an Initial Stage Screening Test in Newborn Hearing Screening Programs? Konukseven, Ozlem; Genc, Aydan; Muderris, Togay; Kayıkcı, Mavis Kulak; Turkyılmaz, Didem; Ozturk, Burak; Gunduz, Bulent // Journal of International Advanced Otology;2011, Vol. 7 Issue 1, p231 

    No abstract available.

  • Tamizaje y confirmación diagnóstica de hipoacusia. Hernández-Herrera, Ricardo Jorge; Hernández-Aguirre, Luz María; Castillo-Martínez, Norma E.; De la Rosa-Mireles, Natalia; Martínez-Elizondo, Jesús; Alcalá-Galván, Luis Gerardo; Del Carmen Estrella-Garza, Martha; Hernández-Núñez, Rogelio; Torcida-González, Miguel Eloy // Revista Medica del IMSS;sep/oct2007, Vol. 45 Issue 5, p421 

    Introduction: congenital hearing loss is a serious health problem affecting 1 to 3 out of 1000 neonates, and is the most common cause of neurosensorial defect; hearing screening helps to identifying early permanent childhood hearing loss (HL). Objective: to establish the percentage of hearing...

  • Efficacy of Distortion Product Oto-Acoustic Emission (OAE)/Auditory Brainstem Evoked Response (ABR) Protocols in Universal Neonatal Hearing Screening and Detecting Hearing Loss in Children <2 Years of Age. Mishra, Girish; Sharma, Yojana; Mehta, Kanishk; Patel, Gunjan // Indian Journal of Otolaryngology & Head & Neck Surgery;Apr-Jun2013, Vol. 65 Issue 2, p105 

    Deafness is commonest curable childhood handicap. Most remedies and programmes don't address this issue at childhood level leading to detrimental impact on development of newborns. Aims and objectives are (A) screen all newborns for deafness and detect prevalence of deafness in children less...

  • Universal Newborn Hearing Screening. Stone, Kurt A.; Smith, Brian D.; Lembke, Jeanie M.; Clark, Leroy A.; McLellan, Mary Beth // Journal of Family Practice;Nov2000, Vol. 49 Issue 11, p1012 

    BACKGROUND New technology has made universal newborn hearing screening possible. Our goal was to investigate the feasibility of universal newborn screening using distortion product otoacoustic emissions (DPOAE) on infants in a community hospital in a normal newborn nursery. METHODS We used DPOAE...

  • Gender Differences Among Newborns on a Transient Otoacoustic Emissions Test for Hearing. Cassidy, Jane W. // Journal of Music Therapy;Spring2001, Vol. 38 Issue 1, p28 

    The purpose of this study was to examine gender differences with regard to cochlea sensitivity as measured by the transient evoked otoacoustic emissions hearing screening procedure. During this test, a sudden burst of sound is presented at between 78 and 83 dB SPL which stimulates the entire...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics