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Infant hearing screening at maternal and child health clinics in a developing South African community
Thesis (DPhil (Communication Pathology))--University of Pretoria, 2004.
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University of Pretoria
2013
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| _version_ | 1867613669568806912 |
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| access_status_str | Open Access |
| author2 | Louw, Brenda |
| author_browse | Louw, Brenda |
| author_facet | Louw, Brenda |
| collection | Thesis |
| dc_rights_str_mv | © 2005, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Thesis (DPhil (Communication Pathology))--University of Pretoria, 2004. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/27492 |
| institution | University of Pretoria (South Africa) |
| last_indexed | 2026-06-10T12:39:49.604Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2013 |
| publishDateRange | 2013 |
| publishDateSort | 2013 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/27492 Infant hearing screening at maternal and child health clinics in a developing South African community Louw, Brenda Hugo, Rene dewet.swanepoel@up.ac.za Swanepoel, De Wet Early hearing detection and intervention programme High frequency immittance High-risk register Immunisation programmes Infant hearing Maternal and child health Services delivery model Newborn hearing screening South africa Developing countries Audiological services UCTD Thesis (DPhil (Communication Pathology))--University of Pretoria, 2004. Newborn hearing screening has become an increasingly important element of neonatal care in developed countries whilst only a few fragmented screening programmes are evident in developing countries. The numerous socio-economic, cultural and healthcare barriers in developing contexts do not, however, negate or diminish the need to ensure optimal outcomes for infants with hearing loss through early identification and intervention programmes. South Africa has taken a first step toward addressing this need by publishing a Year 2002 Hearing Screening Position Statement that was produced by the Professional Board for Speech, Language and Hearing Professions of the Health Professions Council of South Africa. Interim recommendations are made toward universal newborn hearing screening programmes in three contexts: well-baby nurseries,; neonatal intensive care units (NICU) and Maternal and Child Health (MCH) clinics through their 6-week immunisation programmes. Although these clinics constitute an unfamiliar hearing screening context, they are essential platforms toward widespread screening of the majority of infants in South Africa. An urgent need therefore exists to ascertain the feasibility of hearing screening programmes at MCH 6-week immunisation clinics in order to guide the future implementation of widespread hearing screening services in South Africa. To attend to this need, an exploratory descriptive design that jointly implements quantitative and qualitative methods in a dominant-less-dominant model of triangulation was utilised to critically describe a screening programme conducted at two MCH clinics in Hammanskraal (a developing, peri-urban South African community). The quantitative methods included a structured interview to compile biographical and risk information; high frequency immittance measurements; hearing screening with OAE and AABR according to specified protocols, and diagnostic assessment of referred infants. The qualitative methods included field notes and critical reflections describing clinics as screening contexts and elucidating interactional processes involved in sustaining programmes. A total number of 510 infant-caregiver pairs were enrolled as subjects during the five-month research period. Results indicate that clinics not only provide a suitable context, but also the possibility of effective collaborations toward facilitating effective initial infant hearing screening programmes. The caregivers and infants who attended the clinics demonstrated significant degrees of socio-economic deprivation. They also reported an increased incidence of risk indicators exacerbating the population’s risk for congenital hearing loss, poor participation in the hearing screening/follow-up process, and subsequent poor involvement in a family-centred early intervention process for infants identified with hearing loss. The screening protocol effectively classified infants into risk categories for hearing loss and established useful norms for high frequency immittance in infants. The efficiency of the programme was acceptable considering the short period of implementation, but inefficient coverage with the AABR and poor follow-up return rates were obtained at the clinics. Despite prevailing barriers, the MCH 6-week immunisation clinics showed promise as platforms for widespread hearing screening programmes for infants in South Africa. The clinical implications and recommendations that emerged from the research conducted in this study were compiled and presented in the form of a preliminary service delivery model for infant hearing screening at MCH clinics. Speech-Language Pathology and Audiology unrestricted 2013-09-07T11:39:01Z 2005-08-24 2013-09-07T11:39:01Z 2005-01-04 2004 2005-08-24 Thesis Swanepoel, D 2004, Infant hearing screening at maternal and child health clinics in a developing South African community, DPhil thesis, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/27492 > http://hdl.handle.net/2263/27492 http://upetd.up.ac.za/thesis/available/etd-08242005-093303/ © 2005, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria |
| spellingShingle | Early hearing detection and intervention programme High frequency immittance High-risk register Immunisation programmes Infant hearing Maternal and child health Services delivery model Newborn hearing screening South africa Developing countries Audiological services UCTD Infant hearing screening at maternal and child health clinics in a developing South African community |
| title | Infant hearing screening at maternal and child health clinics in a developing South African community |
| title_full | Infant hearing screening at maternal and child health clinics in a developing South African community |
| title_fullStr | Infant hearing screening at maternal and child health clinics in a developing South African community |
| title_full_unstemmed | Infant hearing screening at maternal and child health clinics in a developing South African community |
| title_short | Infant hearing screening at maternal and child health clinics in a developing South African community |
| title_sort | infant hearing screening at maternal and child health clinics in a developing south african community |
| topic | Early hearing detection and intervention programme High frequency immittance High-risk register Immunisation programmes Infant hearing Maternal and child health Services delivery model Newborn hearing screening South africa Developing countries Audiological services UCTD |
| url | http://hdl.handle.net/2263/27492 http://upetd.up.ac.za/thesis/available/etd-08242005-093303/ |