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Approaches to early detection

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There are two main approaches to early detection of hearing impairment, namely UNHS and TNHS. UNHS is the recommended screening approach and has replaced TNHS, particularly in high-income countries (Olusanya et al., 2007). This choice is due to a considerable proportion of infants not having risk factors for hearing impairment in most developed contexts (Patel, Feldman, Canadian Paediatric Society, & Community Paediatrics Committee, 2011). NHS programmes from 46 countries were reviewed and evaluated against the JCIH (2007) recommendations (Tann, Wilson, Bradley, & Wanless, 2009). From the 26 high-income countries included in the review, 18 (69 percent) were recorded as having implemented UNHS. This is in comparison to the middle-income countries where UNHS was indicated for eight (44 percent) of the 18 countries, and low-income countries where no UNHS programmes were indicated at the time (Tann et al., 2009). In South Africa, the 2007 position statement and the 2018 EHDI guidelines by the Health Professions Council of South Africa (HPCSA) also recommend the use of UNHS as the preferred approach for the public health care sector (HPCSA, 2007, 2018).

Early Detection and Intervention in Audiology

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