Skip to main content Accessibility help
×
Home

Paediatric hearing loss: a community-based survey in peri-urban Kumasi, Ghana

  • R Larsen-Reindorf (a1), E Otupiri (a2), J E Anomah (a1), B M Edwards (a3), B Frimpong (a1), B Waller (a3), M E Prince (a3) and G J Basura (a3)...

Abstract

Background

Paediatric hearing loss rates in Ghana are currently unknown.

Methods

A cross-sectional study was conducted in peri-urban Kumasi, Ghana; children (aged 3–15 years) were recruited from randomly selected households. Selected children underwent otoscopic examination prior to in-community pure tone screening using the portable ShoeBox audiometer. The LittlEars auditory questionnaire was also administered to caregivers and parents.

Results

Data were collected from 387 children. After conditioning, 362 children were screened using monaural pure tones presented at 25 dB. Twenty-five children could not be conditioned to behavioural audiometric screening. Eight children were referred based on audiometric screening results. Of those, four were identified as having hearing loss. Four children scored less than the maximum mark of 35 on the LittleEars questionnaire. Of those, three had hearing loss as identified through pure tone screening. The predominant physical finding on otoscopy was ear canal cerumen impaction.

Conclusion

Paediatric hearing loss is prevalent in Ghana, and should be treated as a public health problem warranting further evaluation and epidemiology characterisation.

Copyright

Corresponding author

Author for correspondence: Dr Gregory J Basura, Department of Otolaryngology/Head and Neck Surgery, Division of Otology/Neurotology and Skull Base Surgery, 1500 W Medical Center Drive, University of Michigan, Ann Arbor, MI 48109, USA E-mail: gbasura@umich.edu Fax: +1 (734) 764 0014

Footnotes

Hide All

Dr G J Basura takes responsibility for the integrity of the content of the paper

Presented orally at the 9th Annual Coalition for Global Hearing Health International Conference, 27–28 October 2018, Cape Town, South Africa.

Footnotes

References

Hide All
1Olusanya, BO, Ruben, RJ, Parving, A. Reducing the burden of communication disorders in the developing world: an opportunity for the millennium development project. JAMA 2006;296:441–4
2WHO global estimates on prevalence of hearing loss [PowerPoint]. In: https://www.who.int/deafness/estimates/en/ [18 August 2018]
3Stevens, G, Flaxman, S, Brunskill, E, Mascarenhas, M, Mathers, CD, Finucane, M. Global and regional hearing impairment prevalence: an analysis of 42 studies in 29 countries. Eur J Public Health 2013;23:146–52
4WHO global estimates on prevalence of hearing loss. In: https://www.who.int/pbd/deafness/WHO_GE_HL.pdf [20 July 2019]
6Perier, O, De Temmerman, P. The child with defective hearing. Medical, educational, sociological and psychological aspects [in French]. Acta Otorhinolaryngol Belg 1987;41:129420
7Schenkel, LS, Rothman-Marshall, G, Schlehofer, DA, Towne, TL, Burnash, DL, Priddy, BM. Child maltreatment and trauma exposure among deaf and hard of hearing young adults. Child Abuse Negl 2014;38:1581–9
8Kennedy, CR, McCann, DC, Campbell, MJ, Law, CM, Mullee, M, Petrou, S et al. Language ability after early detection of permanent childhood hearing impairment. N Engl J Med 2006;354:2131–41
9Moller, MP. Early intervention and language development in children who are deaf and hard of hearing. Pediatrics 2000;106:E43
10WHA48.9 Prevention of hearing impairment. In: https://www.who.int/pbd/publications/wha_eb/wha48_9/en/ [22 October 2017]
11American Academy of Pediatrics, Joint Committee on Infant Hearing. Year 2007 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics 2007;120:898921
12Olusanya, BO. Addressing the global neglect of childhood hearing impairment in developing countries. PLoS Med 2007;4:e74
13Acquah, RA. Prevalence and Risk Factors of Hearing Loss among Pediatric Patients at a Tertiary Teaching Hospital in Accra. Accra: University of Ghana, 2015
14Amedofu, GK, Ocansey, G, Antwi, BB. Characteristics of hearing-impairment among patients in Ghana. Afr J Health Sci 2006;13:110–16
15Nyarko, EA. Prevalence of Hearing Impairment at the Korle-Bu Teaching Hospital. Accra: University of Ghana, 2013
16Marfoh, A. Prevalence of Hearing Impairment in the Offinso Municipality. Kumasi: Kwame Nkrumah University of Science and Technology, 2011
17Osei, AO, Larnyo, PA, Azaglo, A, Sedzro, TM, Torgbenu, EL. Screening for hearing loss among school going children. Int J Pediatr Otorhinolaryngol 2018;111:712
18Offei, YN, Coninx, F. Mode of administration of LittlEARS (MED-EL) auditory questionnaire (LEAQ) as a screening tool in Ghana: are there any differences in final test scores between “self administration” and “interview”? J Educ Pract 2014;5:7781
19Mulwafu, W, Kuper, H, Ensink, RJ. Prevalence and causes of hearing impairment in Africa. Trop Med Int Health 2016;21:158–65
20Yousuf Hussein, S, Swanepoel, DW, Mahomed-Asmail, F, Biagio de Jager, L. Community-based hearing screening for young children using an mHealth service-delivery model. Glob Health Action 2018;11:1467077
21Westerberg, BD, Skowronski, DM, Stewart, IF, Stewart, L, Bernauer, M, Mudarikwa, L. Prevalence of hearing loss in primary school children in Zimbabwe. Int J Pediatr Otorhinolaryngol 2005;69:517–25
22Bagatto, MP, Moodie, ST, Seewald, RC, Bartlett, DJ, Scollie, SD. A critical review of audiological outcome measures for infants and children. Trends Amplif 2011;15:2333
23Mahomed-Asmail, F, Swanepoel, DW, Eikelboom, RH. Hearing loss in urban South African school children (grade 1 to 3). Int J Pediatr Otorhinolaryngol 2016;84:2731
24Jayawardena, ADL, Kahue, CN, Cummins, SM, Netterville, JL. Expanding the capacity of otolaryngologists in Kenya through mobile technology. OTO Open 2018;2:2473974X18766824
25Thompson, GP, Sladen, DP, Borst, BJH, Still, OL. Accuracy of a tablet audiometer for measuring behavioral hearing thresholds in a clinical population. Otolaryngol Head Neck Surg 2015;153:838–42
26Phanguphangu, MC. Otoscopic examinations reveal high prevalence of outer and middle ear pathologies in paediatrics in Limpopo, South Africa. Int J Audiol 2017;56:215–18
27Adebola, SO, Ayodele, SO, Oyelakin, OA, Babarinde, JA, Adebola, OE. Pre-school hearing screening: profile of children from Ogbomoso, Nigeria. Int J Pediatr Otorhinolaryngol 2013;7:1987–91
28Ravi, R, Gunjawate, DR, Yerraguntla, K, Lewis, LE, Driscoll, C, Rajashekhar, B. Follow-up in newborn hearing screening--a systematic review. Int J Pediatr Otorhinolaryngol 2016;90:2936
29Taylor, EJ, Emanuael, DC. Assessment of the efficacy of a hearing screening program for college students. J Am Acad Audiol 2013;24:607–15
30MOH inaugurates Ear Care technical working group. In: https://citinewsroom.com/2018/09/19/moh-inaugurates-ear-care-technical-working-group/ [18 August 2018]
31Waller, B, Larsen-Reindorf, R, Duah, M, Opoku-Buabeng, J, Edwards, BM, Brown, D et al. Otolaryngology outreach to Komfo Anokye Teaching Hospital: a medical and educational partnership. J Laryngol Otol 2017;131:608–13
32Foundation provides free hearing aid for the deaf. In: http://www.ghananewsagency.org/social/foundation-provides-free-hearing-aid-for-the-deaf-70441 [18 August 2018]
33In Ghana, the deaf live in isolation. In: https://www.aljazeera.com/indepth/features/ghana-deaf-live-isolation-180617180707102.html [18 August 2018]

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed