Model DeveModel Development for Universal Newborn Hearing Screening (UNHS) in Province Level: Action Researchlopment for Universal Newborn Hearing Screening (UNHS) in Province Level: Action Research
Keywords:
Hearing loss, Newborn, OAE, Otoacoustic emissionAbstract
Background : Hearing impairment in newborns affects their life, communication, growth and development over the long term. Screening for hearing defect is important and reduces this problem. Otoacoustic emission (OAE) test is used as a standard device for newborn hearing screening. If the result shows “Refer”, infants will be rescreened at 1 month after discharge and those who are not pass will be referred to see otolaryngologist for definite diagnosis, treatment and rehabilitation before 6 months of age.Objective : to develop an appropriate model of universal newborn hearing screening (UNHS) in Trang Province as a case study.Method : This action research aimed to develop a newborn hearing screening model for 10 government hospitals in Trang. The model was developed based on 5 OAE devices, number of newborns and the distance between hospitals. The universal newborn hearing screening (UNHS)model in Trang consisted of 3 parts which were; 1) part one: 1 OAE for 1 hospital (Trang Hospital, Kantang Hospital and Huai Yot Hospital), 2) part two: 1 OAE for 3 hospitals (Ratsada Hospital, Wangwiset Hospital and Sikao Hospital) which turned one week per hospital, and 3) part three: 1 OAE for 4 hospitals (Yan Ta Khao Hospital, Na Yong Hospital, Palian Hospital, and Hat Samran Chaloem Phra Kiat 80 Phansa Hospital) which fixed date in a week per hospital. We performed this study during April–September 2018.Results : From 2,701 newborn in Trang, 2,604 were screened using OAE (96.4%) and 3.6% was not. Hearing screening at hospital that they delivered 95.5% (2,486/2,604) which screened at 48 hours after birth and one month later were 67.6% (1,680/2,486) and 32.4% (806/2,486) respectively. 4.5% newborns were screened at other hospitals. The coverage of hearing screening in hospitals in part one, part two and part three were 96%, 82.8% and 76.1% respectively. 97 newborns loss follow up at one month (37 from 3 hospitals in part two and 60 from 4 hospitals in part three). After screening, the results showed “Refer” for 4 newborns and “Pass” after rescreened at one month.Conclusion : The model development of universal newborns hearing screening (UNHS) in Trang has high coverage (more than 96%).
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