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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Costs and performance of early hearing detection programmes in Lagos, Nigeria
Transactions of the Royal Society of Tropical Medicine and Hygiene, Volume 103, No. 2, Year 2009
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Description
In line with global progress towards early detection of permanent congenital and early-onset hearing loss (PCEHL), the costs and performance of hospital-based and community-based infant hearing screening models were evaluated in Lagos, Nigeria. The protocol consisted of two-stage screening with transient-evoked otoacoustic emissions and automated auditory brainstem response followed by diagnostic evaluation for all infants referred after the second-stage screening. The main outcome measures were referral rates at screening, cost per baby screened, cost per case detected and yield for PCEHL. First-stage referrals were 32.2% for universal and 31.7% for targeted screening in the hospital, compared with 14.3% and 15.2%, respectively for the community-based programme. Second-stage referrals ranged from 3.3% under hospital-based universal screening to 4.9% under community-based targeted screening. The highest yields of 27.4 and 22.5 per 1000 were recorded under community-based targeted and universal screening, respectively. Screening cost per child was lowest (US$7.62) under community-based universal screening and highest (US$73.24) under hospital-based targeted screening. Similarly, cost per child detected with PCEHL was lowest (US$602.49) for community-based universal screening and highest (US$4631.33) for hospital-based targeted screening. Community-based universal screening of infants during routine immunisation clinics appears to be the most cost-effective model for early detection of PCEHL in low-income countries. © 2008 Royal Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Olusanya, Bolajoko Olubukunola
Nigeria, Lagos
University of Lagos
United Kingdom, London
Ucl Great Ormond Street Institute of Child Health
Emokpae, Abieyuwa A.
Nigeria, Lagos
Massey Street Children's Hospital
Renner, James Kweku
Nigeria, Lagos
Lagos University Teaching Hospital
Wirz, Sheila L.
United Kingdom, London
Ucl Great Ormond Street Institute of Child Health
Statistics
Citations: 44
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1016/j.trstmh.2008.07.001
ISSN:
00359203
Research Areas
Disability
Health System And Policy
Maternal And Child Health
Study Locations
Nigeria