Problems in Early Identification of Children with Hearing Loss: A Narrative Review of Research
DOI:
https://doi.org/10.21015/vtess.v11i2.1581Abstract
Early identification of hearing loss in children is crucial for their cognitive and linguistic development. So, the major objectives of this research were to identify the common practices, problems and challenges in early identification of children with hearing loss discussed in various studies. The research design was qualitative and narrative review was conducted to explore the challenges associated with the early detection of hearing loss in children. The study involved a comprehensive search of academic databases, medical journals, and credible sources to collect relevant studies focusing on the obstacles and limitations in identifying hearing loss at an early stage. After the literature search, the selected studies were critically evaluated. Key information was extracted from each study to identify common themes and patterns related to the challenges in early detection. Results highlighted the regional variations in the causes of hearing loss, highlighting the need for targeted interventions and screening programs in different parts of the country. Consanguinity, particularly first cousin marriages, emerged as a significant risk factor for childhood deafness in Pakistan. The prevalence of parental consanguinity was found to be high in certain regions, contributing to the increased risk of congenital hearing impairment in children. However, beyond consanguinity, other factors such as infectious diseases, genetic factors, and environmental influences can also lead to hearing loss in children. To overcome these challenges, several key recommendations can be proposed. Implementing universal newborn hearing screening programs is crucial to identify hearing impairment in infants before critical language and communication development stages. This requires collaboration between healthcare providers, policymakers, and advocacy organizations to ensure equitable access to screening services across all regions.
References
Al Babtain, J., Packer, R. L., Nickbakht, M., & Scarinci, N. A. (2023). Early detection and intervention services for children with hearing loss in Western and South Asian developing countries: a scoping review. Speech, Language and Hearing, 1-12.
Aldabas, R. A. (2015). Special education in Saudi Arabia: History and areas for reform. Creative Education, 6(11), 1158. DOI: https://doi.org/10.4236/ce.2015.611114
Elango, S., García, J. L., Heckman, J. J., & Hojman, A. (2015). Early childhood education. In Economics of means-tested transfer programs in the United States, volume 2 (pp. 235-297). University of Chicago Press. DOI: https://doi.org/10.7208/chicago/9780226392523.003.0004
Fitzpatrick, E. M., Dos Santos, J. C., Grandpierre, V., & Whittingham, J. (2017). Exploring reasons for late identification of children with early-onset hearing loss. International journal of pediatric otorhinolaryngology, 100, 160-167. DOI: https://doi.org/10.1016/j.ijporl.2017.06.039
Fulcher, A. N., Purcell, A., Baker, E., & Munro, N. (2015). Factors influencing speech and language outcomes of children with early identified severe/profound hearing loss: Clinician-identified facilitators and barriers. International Journal of Speech-Language Pathology, 17(3), 325-333. DOI: https://doi.org/10.3109/17549507.2015.1032351
Jamalullah, M. (2018). Newborn Hearing Screening: The Great Omission. Isra Med J, 10(4), 195-196.
Joint Committee on Infant Hearing. (2007). Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics, 120(4), 898-921. DOI: https://doi.org/10.1542/peds.2007-2333
Khurshid, N., Khurshied, S., Khizer, M. A., Hussain, A., Safoor, I., Jamal, A., & Safoor IV, I. (2022). Relationship of Hearing Loss and Tympanic Membrane Perforation Characteristics in Chronic Suppurative Otitis Media Patients. Cureus, 14(12).
Korver, A. M., Smith, R. J., Van Camp, G., Schleiss, M. R., Bitner-Glindzicz, M. A., Lustig, L. R., ... & Boudewyns, A. N. (2017). Congenital hearing loss. Nature reviews Disease primers, 3(1), 1-17. DOI: https://doi.org/10.1038/nrdp.2016.94
Krishnan, L. A., & Donaldson, L. K. (2013). Newborn hearing screening in developing countries: understanding the challenges and complexities of implementation. Perspectives on Global Issues in Communication Sciences and Related Disorders, 3(2), 54-61. DOI: https://doi.org/10.1044/gics3.2.54
Majrooh, M. A., Hasnain, S., Akram, J., Siddiqui, A., Shah, F., & Memon, Z. (2013). Accessibility of antenatal services at primary healthcare facilities in Punjab, Pakistan. Journal of Pakistan medical association, 63(4), 60.
Mumtaz, N., & Butt, A. K. (2013). Parental Response to Benefits of Early Detection in Hearing Impaired Children in Pakistan: JRCRS 2013; 1 (1): 17-20. Journal Riphah College of Rehabilitation Sciences, 1(1), 17-21.
National Institute of Population Studies (Pakistan), Institute for Resource Development/Westinghouse (Columbia, & Md.). (1992). Pakistan Demographic and Health Survey 1990/1991. National Institute of Population Studies.
National Institute of Population Studies (Pakistan), Institute for Resource Development/Westinghouse (Columbia, & Md.). (1992). Pakistan Demographic and Health Survey 1990/1991. National Institute of Population Studies.
Olusanya, B. O., Swanepoel, D. W., Chapchap, M. J., Castillo, S., Habib, H., Mukari, S. Z., ... & McPherson, B. (2007). Progress towards early detection services for infants with hearing loss in developing countries. BMC health services research, 7(1), 1-15. DOI: https://doi.org/10.1186/1472-6963-7-14
Pak, J. H., Kim, Y., Yi, J., & Chung, J. W. (2020). Antioxidant therapy against oxidative damage of the inner ear: Protection and preconditioning. Antioxidants, 9(11), 1076.
Qureshi, T. A., Awan, M. S., Hassan, N. H., Aftab, A. H., & Ali, S. A. (2017). Effects of bomb blast injury on the ears: The Aga Khan University Hospital experience. JPMA: Journal of the Pakistan Medical Association, 67(9), 1313.
Sajjad, M., Khattak, A. A., Bunn, J. E. G., & Mackenzie, I. (2008). Causes of childhood deafness in Pukhtoonkhwa Province of Pakistan and the role of consanguinity. The Journal of Laryngology & Otology, 122(10), 1057-1063. DOI: https://doi.org/10.1017/S0022215108002235
Sambah, I., Zhao, F., & El-Lishani, R. (2020). The Professional's experience with causes of delay in the diagnosis and management of children with a congenital hearing loss in Libya. International Journal of Pediatric Otorhinolaryngology, 128, 109687.
Smith, R. J., Kochhar, A., & Friedman, R. A. (2009). Hereditary hearing impairment. Ballenger’s otorhinolaryngology-head and neck surgery, 289-303.
Wallhagen, M. I. (2010). The stigma of hearing loss. The gerontologist, 50(1), 66-75. DOI: https://doi.org/10.1093/geront/gnp107
White, K. R., Forsman, I., Eichwald, J., & Munoz, K. (2010, April). The evolution of early hearing detection and intervention programs in the United States. In Seminars in perinatology (Vol. 34, No. 2, pp. 170-179). WB Saunders. DOI: https://doi.org/10.1053/j.semperi.2009.12.009
World Health Organization. (2018). Addressing the rising prevalence of hearing loss.
World Health Organization. (2021). Deafness and hearing loss. https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
World Health Organization. (2021). Deafness and hearing loss. https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
World Health Organization. (2021). World report on hearing. World Health Organization.
World Health Organization. (2018). Nurturing care for early childhood development: a framework for helping children survive and thrive to transform health and human potential.
Zakzouk, S. (2002). Consanguinity and hearing impairment in developing countries: a custom to be discouraged. The Journal of Laryngology & Otology, 116(10), 811-816.
Zakzouk, S. (2002). Consanguinity and hearing impairment in developing countries: a custom to be discouraged. The Journal of Laryngology & Otology, 116(10), 811-816. DOI: https://doi.org/10.1258/00222150260293628
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