Читать книгу Early Detection and Intervention in Audiology - Группа авторов - Страница 36

A significant quota of hearing-impaired children in South Africa will continue to have their rights denied until EHDI is incorporated as a cohesive, systematic and comprehensive nationalised health care strategy that is contextually responsive and relevant. Health care practitioners bear the ethical responsibility to facilitate the realisation of the rights of the hearing impaired to actualise their potential through EHDI (Petrocchi-Bartal, 2011).

Due consideration of factors influencing NHS practicability and efficiency is necessary. As Kanji, Khoza-Shangase, Petrocchi-Bartal et al. (2018) state, the level of health care influences the factors that manifest, and these factors may facilitate or inhibit NHS.

In the South African context, current evidence supports the MOU three-day assessment clinic as the most accessible and efficient context for hearing screening programme implementation (Kanji, Khoza-Shangase, Petrocchi-Bartal et al., 2018). Inclusion of these findings in NHI planning is important to ensure hearing screening as part of the re-engineered PHC services. However, Kanji (2016) suggests consideration of a two-tiered approach involving early hearing screening of high-risk babies in the hospital setting, with screening of well babies at clinic level. There should be continued reassessment of the South African contexts for hearing screening and the associated assets and barriers regarding practicability and efficiency. Although other health care contexts such as in-hospital clinics and PHC clinics demonstrate potential for viable hearing screening settings, barriers to successful NHS programme implementation must be addressed before hearing screening can be practicably and efficiently implemented in the ever-changing health care landscape (Kanji, Khoza-Shangase, Petrocchi-Bartal et al., 2018). Only in this way can hearing screening as promulgated by the HPCSA (2007, 2018) be accommodated in this dynamic process.