Educational Foundations and Research, Gallaudet University, Washington, DC, USA.
Rev Panam Salud Publica. 2011 Mar;29(3):145-52.
Ascertain the status of early hearing detection and intervention services in Latin America.
Between June and November 2007, Gallaudet University, in collaboration with the U.S. Centers for Disease Control and Prevention Early Hearing Detection and Intervention Diversity Committee, disseminated a survey to 11 Latin American countries. It included questions about newborn hearing screening (NHS) procedures, the availability of intervention services for infants with hearing loss, and challenges in identifying infants with hearing loss. In addition, a literature review was conducted to help identify the status of NHS efforts in Latin America.
Six countries (Chile, Costa Rica, Guatemala, Mexico, Panama, and Uruguay) and one U.S. territory (Puerto Rico) responded to the survey. Responses indicated that efforts to identify infants with hearing loss vary within and across countries in Latin America. In some countries, activities have been implemented at a national level; in others, activities have been implemented at a single hospital or region within a country. Common barriers to implementation of NHS programs include a lack of funding, screening and diagnostic equipment, public awareness, and personnel qualified to work with infants and young children.
In spite of several barriers, NHS programs have been implemented in at least some facilities and regions in Latin America. Additional efforts are needed to expand NHS activities in Latin America.
了解拉丁美洲地区早期听力检测和干预服务的现状。
2007 年 6 月至 11 月,加劳德特大学与美国疾病控制与预防中心早期听力检测和干预多样性委员会合作,向 11 个拉丁美洲国家分发了一份调查问卷。问卷内容包括新生儿听力筛查(NHS)程序、为听力损失婴儿提供干预服务的情况,以及识别听力损失婴儿所面临的挑战。此外,还进行了文献回顾,以帮助确定 NHS 在拉丁美洲的实施状况。
有 6 个国家(智利、哥斯达黎加、危地马拉、墨西哥、巴拿马和乌拉圭)和 1 个美属地区(波多黎各)对调查做出了回应。答复表明,拉丁美洲各国之间以及各国内部识别听力损失婴儿的工作存在差异。在一些国家,活动已在国家层面开展;而在其他国家,活动仅在单个医院或国内某一地区开展。实施 NHS 计划的常见障碍包括缺乏资金、筛查和诊断设备、公众意识以及有能力与婴儿和幼儿合作的人员。
尽管存在多种障碍,但 NHS 计划已在拉丁美洲的一些设施和地区得到实施。需要进一步努力,以扩大 NHS 在拉丁美洲的活动。