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世界卫生组织关于新生儿及婴幼儿听力筛查的新报告要点及对发展中国家的影响。

Highlights of the new WHO Report on Newborn and Infant Hearing Screening and implications for developing countries.

作者信息

Olusanya Bolajoko O

机构信息

Department of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria.

出版信息

Int J Pediatr Otorhinolaryngol. 2011 Jun;75(6):745-8. doi: 10.1016/j.ijporl.2011.01.036.

Abstract

The Report summarizes the outcome of a recent informal consultation convened by the World Health Organization (WHO) in 2009 pursuant to the 1995 resolution of the World Health Assembly (WHA) urging Member States to promote programs for early hearing detection in babies and infants. The consultation was geared towards reaching global consensus on key principles on this subject based on the experiences and contributions of leading experts from various world regions and across relevant disciplines. After reviewing the current evidence on early hearing detection in babies and infants the Report outlined guiding principles for action by Member States covering issues such as etiology, case definition of hearing impairment, options for screening, program implementation, cost-effectiveness as well as policy and legislation. The need for context-specific adaptations of current practices in the developed world to facilitate the development of effective and culturally appropriate early hearing detection programs in developing countries was emphasized. The potential role of private-public partnerships including non-governmental organizations in designing and implementing hearing screening programs was highlighted while recognizing the necessity to develop requisite support services for infants detected with hearing impairment. Overall, the Report is likely to stimulate greater interest and progress towards early hearing detection initiatives particularly in countries where necessary actions are yet to be taken to implement the WHA resolution. However, any effort in this direction must be backed by greater professional engagement, appropriate national policies and strong involvement of WHO regional offices in developing countries.

摘要

本报告总结了世界卫生组织(WHO)于2009年根据世界卫生大会(WHA)1995年的决议召开的一次非正式磋商会的成果,该决议敦促会员国推动针对婴幼儿的听力早期检测项目。此次磋商会旨在基于世界各地区及相关学科顶尖专家的经验和贡献,就这一主题的关键原则达成全球共识。在审查了关于婴幼儿听力早期检测的现有证据后,本报告概述了会员国行动的指导原则,涵盖病因、听力障碍的病例定义、筛查选项、项目实施、成本效益以及政策和立法等问题。报告强调,需要根据具体情况对发达国家的现行做法进行调整,以促进发展中国家制定有效且符合文化背景的听力早期检测项目。报告强调了公私伙伴关系(包括非政府组织)在设计和实施听力筛查项目中的潜在作用,同时认识到有必要为被检测出听力障碍的婴幼儿发展必要的支持服务。总体而言,本报告可能会激发人们对听力早期检测倡议产生更大的兴趣并取得更大进展,特别是在那些尚未采取必要行动来执行世界卫生大会决议的国家。然而,朝着这个方向所做的任何努力都必须得到更多专业参与、适当的国家政策以及世卫组织区域办事处在发展中国家的大力参与的支持。

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