Olusanya B O
Institute of Child Health and Primary Care, College of Medicine, University of Lagos, P.O. Box 75130, Lagos, Nigeria.
Int J Pediatr Otorhinolaryngol. 2000 Oct 16;55(3):167-71. doi: 10.1016/s0165-5876(00)00392-x.
It is estimated that at least two thirds of the world's population of persons with disabling hearing impairment reside in developing countries. Yet, little and slow progress have been reported in these countries towards tackling this problem principally on account of inadequate resources. The prospects for improvement remain uncertain. This paper re-examines the peculiar nature of hearing impairment prevention within the context of the existing health-care needs of most of these nations. It establishes that the failure to recognize the dynamics of the social change that underlie an effective national programme on hearing impairment prevention may, in itself, forestall a successful and sustainable outcome even when more resources become available.
据估计，全球至少三分之二的重度听力障碍者生活在发展中国家。然而，由于资源不足，这些国家在解决这一问题方面进展甚微且缓慢。改善的前景仍不明朗。本文在这些国家大多数现有的医疗保健需求背景下，重新审视听力障碍预防的特殊性质。研究表明，即使有更多资源可用，但如果未能认识到有效国家听力障碍预防计划背后的社会变革动态，这本身可能会阻碍取得成功和可持续的成果。
