Feasibility of implementing a school entry hearing screening programme in the South-East District, Botswana.

IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Meshack Moepeng, Shajila Singh, Lebogang Ramma
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引用次数: 0

Abstract

Objective: To assess the feasibility of implementing a school entry hearing screening programme in the South-East District, Botswana.

Design: A feasibility study design was used. Trained screeners conducted smartphone-based pure tone audiometry screening at 25 dB HL, at 1, 2, and 4 kHz using calibrated headphones. Learners with "refer" results after an immediate rescreen were referred and scheduled for diagnostic hearing assessment at the local hospital. Attendance at diagnostic appointments was encouraged through multiple contacts with the families.

Study sample: The study participants were 403 Grade 1 learners from eight public primary schools.

Results: The overall referral rate for diagnostic hearing assessment was 4.7%, with a referral uptake rate of 90%. The sensitivity and specificity of the hearing screening protocol were 93.3% and 86.4%, respectively. The positive and negative predictive values were 82.4% and 95%, respectively. The average cost per learner screened was US$ 10.75.

Conclusions: School entry hearing screening programmes can be successfully implemented in the South-East District, Botswana. Lessons learnt from this study can potentially guide phased implementation of school hearing screening programmes in other districts.

在博茨瓦纳东南区实施入学听力筛查计划的可行性。
目标:评估在博茨瓦纳东南部地区实施入学听力筛查计划的可行性:评估在博茨瓦纳东南部地区实施入学听力筛查计划的可行性:设计:采用可行性研究设计。经过培训的筛查人员使用校准过的耳机在 25 dB HL、1、2 和 4 kHz 频率下进行基于智能手机的纯音测听筛查。经过即时重筛后得出 "转介 "结果的学员将被转介到当地医院进行听力诊断评估。通过与学生家庭多次联系,鼓励他们参加诊断预约:研究参与者为来自 8 所公立小学的 403 名一年级学生:听力诊断评估的总体转诊率为 4.7%,转诊率为 90%。听力筛查方案的灵敏度和特异度分别为 93.3% 和 86.4%。阳性和阴性预测值分别为 82.4% 和 95%。每名受检学生的平均成本为 10.75 美元:博茨瓦纳东南部地区可以成功实施入学听力筛查计划。从这项研究中汲取的经验教训有可能为在其他地区分阶段实施学校听力筛查计划提供指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Audiology
International Journal of Audiology 医学-耳鼻喉科学
CiteScore
4.90
自引率
14.80%
发文量
133
审稿时长
4-8 weeks
期刊介绍: International Journal of Audiology is committed to furthering development of a scientifically robust evidence base for audiology. The journal is published by the British Society of Audiology, the International Society of Audiology and the Nordic Audiological Society.
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