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Children with hearing impairment in Malawi, a cohort study
OBJECTIVE: To assess the outcomes of children diagnosed with hearing impairment 3 years earlier in terms of referral uptake, treatment received and satisfaction with this treatment, and social participation. METHODS: We conducted a population-based longitudinal analysis of children with a hearing im...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
World Health Organization
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796677/ https://www.ncbi.nlm.nih.gov/pubmed/31656330 http://dx.doi.org/10.2471/BLT.18.226241 |
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author | Mulwafu, Wakisa Tataryn, Myroslava Polack, Sarah Viste, Asgaut Goplen, Frederik Kragerud Kuper, Hannah |
author_facet | Mulwafu, Wakisa Tataryn, Myroslava Polack, Sarah Viste, Asgaut Goplen, Frederik Kragerud Kuper, Hannah |
author_sort | Mulwafu, Wakisa |
collection | PubMed |
description | OBJECTIVE: To assess the outcomes of children diagnosed with hearing impairment 3 years earlier in terms of referral uptake, treatment received and satisfaction with this treatment, and social participation. METHODS: We conducted a population-based longitudinal analysis of children with a hearing impairment in two rural districts of Malawi. Key informants within the community identified the cohort in 2013 (baseline). Informants clinically screened children at baseline, and by questionnaires at baseline and follow-up in 2016. We investigated associations between sociodemographic characteristics and outcomes by multivariate logistic regression. RESULTS: We diagnosed 752 children in 2013 as having a hearing impairment and traced 307 (40.8%) children of these for follow-up in 2016. Referral uptake was low (102/184; 55.4%), more likely among older children (odds ratio, OR: 3.5; 95% confidence interval, CI: 1.2–10.2) and less likely for those with an illiterate caregiver (OR: 0.5; 95% CI: 0.2–0.9). Few of the children who attended hospital received any treatment (33/102; 32.4%) and 63.6% (21/33) of caregivers reported satisfaction with treatment. Difficulty making friends and communicating needs was reported for 10.0% (30/299) and 35.6% (107/301) of the children, respectively. Lack of school enrolment was observed for 29.5% (72/244) of children, and was more likely for older children (OR: 28.6; 95% CI: 10.3–79.6), girls (OR: 2.4; 95% CI: 1.2–4.8) and those with an illiterate caregiver (OR: 2.1; 95% CI: 1.0–4.1). CONCLUSION: More widespread and holistic services are required to improve the outcomes of children with a hearing impairment in Malawi. |
format | Online Article Text |
id | pubmed-6796677 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | World Health Organization |
record_format | MEDLINE/PubMed |
spelling | pubmed-67966772019-10-25 Children with hearing impairment in Malawi, a cohort study Mulwafu, Wakisa Tataryn, Myroslava Polack, Sarah Viste, Asgaut Goplen, Frederik Kragerud Kuper, Hannah Bull World Health Organ Research OBJECTIVE: To assess the outcomes of children diagnosed with hearing impairment 3 years earlier in terms of referral uptake, treatment received and satisfaction with this treatment, and social participation. METHODS: We conducted a population-based longitudinal analysis of children with a hearing impairment in two rural districts of Malawi. Key informants within the community identified the cohort in 2013 (baseline). Informants clinically screened children at baseline, and by questionnaires at baseline and follow-up in 2016. We investigated associations between sociodemographic characteristics and outcomes by multivariate logistic regression. RESULTS: We diagnosed 752 children in 2013 as having a hearing impairment and traced 307 (40.8%) children of these for follow-up in 2016. Referral uptake was low (102/184; 55.4%), more likely among older children (odds ratio, OR: 3.5; 95% confidence interval, CI: 1.2–10.2) and less likely for those with an illiterate caregiver (OR: 0.5; 95% CI: 0.2–0.9). Few of the children who attended hospital received any treatment (33/102; 32.4%) and 63.6% (21/33) of caregivers reported satisfaction with treatment. Difficulty making friends and communicating needs was reported for 10.0% (30/299) and 35.6% (107/301) of the children, respectively. Lack of school enrolment was observed for 29.5% (72/244) of children, and was more likely for older children (OR: 28.6; 95% CI: 10.3–79.6), girls (OR: 2.4; 95% CI: 1.2–4.8) and those with an illiterate caregiver (OR: 2.1; 95% CI: 1.0–4.1). CONCLUSION: More widespread and holistic services are required to improve the outcomes of children with a hearing impairment in Malawi. World Health Organization 2019-10-01 2019-05-28 /pmc/articles/PMC6796677/ /pubmed/31656330 http://dx.doi.org/10.2471/BLT.18.226241 Text en (c) 2019 The authors; licensee World Health Organization. This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. |
spellingShingle | Research Mulwafu, Wakisa Tataryn, Myroslava Polack, Sarah Viste, Asgaut Goplen, Frederik Kragerud Kuper, Hannah Children with hearing impairment in Malawi, a cohort study |
title | Children with hearing impairment in Malawi, a cohort study |
title_full | Children with hearing impairment in Malawi, a cohort study |
title_fullStr | Children with hearing impairment in Malawi, a cohort study |
title_full_unstemmed | Children with hearing impairment in Malawi, a cohort study |
title_short | Children with hearing impairment in Malawi, a cohort study |
title_sort | children with hearing impairment in malawi, a cohort study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796677/ https://www.ncbi.nlm.nih.gov/pubmed/31656330 http://dx.doi.org/10.2471/BLT.18.226241 |
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