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Gina A, Bednarczuk NF, Jayawardena A, Rea P, Arshad Q, Saman Y. Universal newborn hearing screening in South Africa: a single-centre study. BMJ Paediatr Open 2021; 5:e000976. [PMID: 33791442 PMCID: PMC7978244 DOI: 10.1136/bmjpo-2020-000976] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Accepted: 02/16/2021] [Indexed: 11/27/2022] Open
Abstract
Hearing screening for newborn babies is an established protocol in many high-income countries. Implementing such screening has yielded significant socioeconomic advantages at both an individual and societal level. This has yet to permeate low/middle-income countries (LMIC). Here, we illustrate how newborn hearing screening needs to be contextually adapted for effective utilisation and implementation in an LMIC. Specifically, this advocates the use of auditory brainstem testing as the first-line approach. We propose that such adaptation serves to maximise clinical efficacy and community participation at a reduced cost.
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Affiliation(s)
- Ayanda Gina
- School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa
| | - Nadja F Bednarczuk
- inAmind Laboratory, Department of Psychology, Neuroscience and Behaviour, University of Leicester, Leicester, UK.,King's College Hospital London, Denmark Hill, SE5 9RS, London UK, London, UK
| | - Asitha Jayawardena
- E.N.T Department, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA
| | - Peter Rea
- E.N.T Department, Leicester Royal Infirmary, Leicester, UK
| | - Qadeer Arshad
- inAmind Laboratory, Department of Psychology, Neuroscience and Behaviour, University of Leicester, Leicester, UK
| | - Yougan Saman
- School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa.,inAmind Laboratory, Department of Psychology, Neuroscience and Behaviour, University of Leicester, Leicester, UK.,E.N.T Department, Leicester Royal Infirmary, Leicester, UK
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