Outcomes of newborn hearing screening at an academic secondary level hospital in Johannesburg, South Africa

South African Journal of Communication Disorders


 
 
Field Value
 
Title Outcomes of newborn hearing screening at an academic secondary level hospital in Johannesburg, South Africa
 
Creator Bezuidenhout, Jacqueline K. Khoza-Shangase, Katijah De Maayer, Tim Strehlau, Renate
 
Subject — otoacoustic emission; newborn hearing screening; refer rates; risk factors; public healthcare; outcomes.
Description Background: The Health Professions Council of South Africa (HPCSA) issued early hearing detection and intervention guidelines, which has universal newborn hearing screening (UNHS) as one of the important goals. Despite established evidence of the importance of UNHS globally, there has been no mandated formalised and standardised implementation as yet in South Africa.Objectives: The aim of this study was to describe the outcomes of newborn hearing screening (NHS) in an academic secondary level hospital in Johannesburg, South Africa.Methods: This was a prospective non-experimental feasibility study over a 3-month period, involving conducting hearing screening of 121 neonates. Audiologists conducted a risk factor assessment, otoscopic examinations and distortion product otoacoustic emissions (DPOAEs) screening on each neonate, with follow-up appointments for re-screening and diagnostic audiological assessments for all neonates with refer findings. Data were analysed using STATA intercooled version 11©, through both descriptive and inferential statistics (Fisher’s exact test), with significance established where p-values less than 0.05 were considered statistically significant.Results: Of the 121 neonates screened, the majority (75%) were screened in the first 24 h of life. A high refer rate (47%) of the total sample was found on DPOAE screening. No maternal or neonatal risk factors were found to be significantly associated with refer findings.Conclusion: Findings contribute towards the existing evidence base that raises implications for successful implementation of NHS programmes in public healthcare in South Africa. Screening protocols need to consider the timing of screening, the measures and procedures adopted in the screening protocols, as well as the follow-up strategies.
 
Publisher AOSIS
 
Contributor
Date 2021-01-27
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — universal newborn hearing screening
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajcd.v68i1.741
 
Source South African Journal of Communication Disorders; Vol 68, No 1 (2021); 8 pages 2225-4765 0379-8046
 
Language eng
 
Relation https://sajcd.org.za/index.php/sajcd/article/view/741/1432 https://sajcd.org.za/index.php/sajcd/article/view/741/1431 https://sajcd.org.za/index.php/sajcd/article/view/741/1433 https://sajcd.org.za/index.php/sajcd/article/view/741/1430
 
Coverage — — neonates
Rights Copyright (c) 2021 Jacqueline K. Bezuidenhout, Katijah Khoza-Shangase, Tim De Maayer, Renate Strehlau https://creativecommons.org/licenses/by/4.0