A case study of interventions to facilitate learning for pupils with hearing impairment in Tanzania

African Journal of Disability

Field Value
Title A case study of interventions to facilitate learning for pupils with hearing impairment in Tanzania
Creator Tronstad, Tron V. Gjessing, Bjørn Ørland, Ingvild Øderud, Tone Mnyanyi, Cosmas Myovela, Isaack Øygarden, Jon
Subject Primary health care; Education hearing impairment; personal sound amplification system; speech-in-noise test; hearing interventions; school children.
Description Background: Hearing is essential for learning in school, and untreated hearing loss may hinder quality education and equal opportunities. Detection of children with hearing loss is the first step in improving the learning situation, but effective interventions must also be provided. Hearing aids can provide great benefit for children with hearing impairment, but this may not be a realistic alternative in many low- and middle-income countries because of the shortage of hearing aids and hearing care service providers.Objective: In this study, alternative solutions were tested to investigate the potential to improve the learning situation for children with hearing impairment.Method: Two technical solutions (a personal amplifier with and without remote microphone) were tested, in addition to an approach where the children with hearing impairment were moved closer to the teacher. A Swahili speech-in-noise test was developed and used to assess the effect of the interventions.Results: The personal sound amplifier with wireless transmission of sound from the teacher to the child gave the best results in the speech-in-noise test. The amplifier with directive microphone had limited effect and was outperformed by the intervention where the child was moved closer to the teacher.Conclusion: This study, although small in sample size, showed that personal amplification with directive microphones did little to assist children with hearing impairment. It also indicated that simple actions can be used to improve the learning situation for children with hearing impairment but that the context (e.g. room acoustical parameters) must be taken into account when implementing interventions.Contribution: The study gives insight into how to improve the learning situation for school children with hearing impairment and raises concerns about some of the known technical solutions currently being used.
Publisher AOSIS
Date 2022-11-10
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Case study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v11i0.974
Source African Journal of Disability; Vol 11 (2022); 9 pages 2226-7220 2223-9170
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/974/2072 https://ajod.org/index.php/ajod/article/view/974/2073 https://ajod.org/index.php/ajod/article/view/974/2074 https://ajod.org/index.php/ajod/article/view/974/2075
Coverage South Africa March 2020 School children
Rights Copyright (c) 2022 Tron V. Tronstad, Bjørn Gjessing, Ingvild Ørland, Tone Øderud, Cosmas Mnyanyi, Isaack Myovela, Jon Øygarden https://creativecommons.org/licenses/by/4.0