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Hearing Impairment

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Hearing impairment

Hearing impairment in developing countries

The World Health Organisation estimates that a staggering 50% of hearing impairment
can be prevented.

Hearing impairment can have a disastrous impact on the development of effective


speech, communication, learning and social integration. Appropriate intervention is
essential for children to have a chance in life. Without auditory rehabilitation, hearing
impaired and deaf children in developing countries are routinely abandoned.

In developing countries, millions of hearing impaired children do not have hearing aids or
rehabilitation support. In contrast, Australian children with hearing loss receive
complete rehabilitation support including free hearing aids.

In developing countries there is a huge need for audiology services. In 1995 the World
Health Organisation estimated that there were at least 120 million people in the world
with a disabling hearing impairment of which 78 million were in developing countries.

This report also showed that in the South-East Asia, 25 million people were estimated to
have a disabling hearing impairment, of which approximately 2.5 million were children
aged under 18 years.

Hearing services in developing countries

The burden of deafness and hearing impairment is estimated to be almost twice as large
in developing countries as available services are almost non-existent.

In most developing countries, audiology has been established as a profession, however,


clinical services often only serve small areas, and government funding for hearing
services is limited. The lack of epidemiological research on the extent of hearing
impairment makes it difficult to develop strategies and programs on a national level.

Audiology services understandably become a lower priority for countries which are
struggling to provide the basic requirements of health in order to avoid life threatening
consequences. The result is that in most developing countries audiology services are
inaccessible to a large portion of the population. This gap can only be filled by
audiologists volunteering their services to these countries. <link>

Barriers to establishing hearing services

Cultural views of hearing impairment and disability will affect the importance the
community and government place on treatment and rehabilitation programs. Attitudes
toward deafness and hearing impairment are influenced by the socio-economic
conditions, lack of understanding about the nature of the disability and beliefs about the
origin of the disability.

Other contributing factors include political barriers, lack of trained personnel, inadequate
health education, insufficient research on communication disorders in developing
countries, and a lack of local and culturally valid assessment procedures.

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