International EHDI - User contributions [en]

User:Will2

2014-09-03T22:53:43Z

Chief: Creating user page for new user.

2014-08-27T23:04:01Z

Chief:

== Welcome to the International EHDI Wiki ==

African Region
<li>[[Algeria]]</li>
<li>[[Angola]]</li>
<li>[[Cameroon]]</li>
<li>[[Cote d'Ivoire]]</li>
<li>[[Congo]]</li>
<li>[[Kenya]]</li>
<li>[[Malawi]]</li>
<li>[[Mali]]</li>
<li>[[Mauritania]]</li>
<li>[[Nigeria]]</li>
<li>[[Namibia]]</li>
<li>[[South Africa]]</li>
<li>[[Tanzania]]</li>
<li>[[Zimbabwe]]</li>
 
Region of the Americas
<li>[[Argentina]]</li>
<li>[[Bolivia]]</li>
<li>[[Brazil]]</li>
<li>[[Canada]]</li>
<li>[[Chile]]</li>
<li>[[Colombia]]</li>
<li>[[Costa Rica]]</li>
<li>[[El Salvador]]</li>
<li>[[Guatemala]]</li>
<li>[[Honduras]]</li>
<li>[[Mexico]]</li>
<li>[[Paraguay]]</li>
<li>[[Peru]]</li>
<li>[[United States of America]]</li>
<li>[[Uruguay]]</li>
 
European Region
<li>[[Austria]]</li>
<li>[[France]]</li>
<li>[[Germany]]</li>
<li>[[Hungary]]</li>
<li>[[Italy]]</li>
<li>[[Norway]]</li>
<li>[[Poland]]</li>
<li>[[Portugal]]</li>
<li>[[Romania]]</li>
<li>[[Russian Federation]]</li>
<li>[[Serbia]]</li>
<li>[[Slovakia]]</li>
<li>[[Sweden]]</li>
<li>[[The Netherlands]]</li>
<li>[[United Kingdom]]</li>
 
Eastern Mediterranean Region
<li>[[Armenia]]</li>
<li>[[Cyprus]]</li>
<li>[[Georgia]]</li>
<li>[[Iran]]</li>
<li>[[Iraq]]</li>
<li>[[Lybia]]</li>
<li>[[Morocco]]</li>
<li>[[Pakistan]]</li>
<li>[[Syria]]</li>
 
South-East Asia and Western Pacific Regions
<li>[[Bangladesh]]</li>
<li>[[Indonesia]]</li>
<li>[[Laos]]</li>
<li>[[Malaysia]]</li>
<li>[[New Zealand]]</li>
<li>[[Taiwan]]</li>
<li>[[Vietnam]]</li>

Austria

2014-08-27T23:03:09Z

Chief: Blanked the page

Germany

2014-08-27T23:02:51Z

Chief: Created page with "==Germany== * Population (2012 est): 81,305,856 * Percent of Annual Births (2012 est): 677,300 * Birth rate: 8.33 per 1,000 * Percent of GDP spent on health care (2009): 10.5..."

==Germany==

* Population (2012 est): 81,305,856
* Percent of Annual Births (2012 est): 677,300
* Birth rate: 8.33 per 1,000
* Percent of GDP spent on health care (2009): 10.5%
* Percent of Health Care expenditures spent by government: 74.6%
* Physician density: 3.531 per 1,000
* Percent of newborns attended by skilled providers: 100%
* Infant Mortality: 3.51 per 1,000
* Literacy (age 15 and over can read and write): 99%
* Percent of children screened for hearing loss:
* Incidence of permanent hearing loss among newborns:

===Current Status of Early Hearing Detection and Intervention for Children (500 word limit)===

In Germany, newborn hearing screening has been mandatory since 1 January 2009. Screening is designed to detect a permanent hearing loss of 35 dBHL or greater. The goal is to diagnose congenital hearing loss before the end of the 3rd month of life and begin therapy before the end of the 6th month of life. Screening is performed binaurally as a TEOAE-AABR two-stage screening or as a one-stage AABR screening. For babies with a risk factor for hearing loss, AABR is required. All parents receive written information on newborn hearing screening, and those who do not want to have their baby screened must sign a form indicating that screening has been refused in the booklet which documents the child’s regular medical check-ups. For healthy babies, screening is recommended by the 3rd day of life and before discharge from the maternity ward (if the baby is born in a clinic), and must occur before the 10th day of life. For severely ill babies, screening should be done as soon as is practical considering the baby’s medical condition, and before the end of the 3rd month of life. For pre-term babies screening should occur by the calculated birth date.

Tracking of screening is done by documenting in the child’s booklet its first occurrence, the results, the occurrence of a second screening (if necessary), and the follow-up to final diagnosis and therapy. The home paediatrician is responsible for initiating any examinations that are lacking. However, the responsibility for the initiation, performance, documentation and quality assurance of the screening is clearly defined for hospitals and practices. Clinics have to provide annual hearing-screening reports, while nationwide evaluations of screening allow for the quality control of the overall newborn hearing screening programme.

In the German State of Hesse, a unique network exists where all 78 birth clinics involved in the newborn hearing screening programme send their data every day directly from the screening device via a telephone line to a central server in the screening centre. The data is then automatically fed into a database that indicates which babies failed the screening or did not receive a complete screen; creates reminder letters for the parents of babies who did not show up for a follow-up; and produces various reports and statistics. These reports include the proportion of invalid measurements to valid measurements, calibration errors, and the quality of the measurements made by the screening personnel. Based on data for 150 000 babies, median age at diagnosis of congenital hearing loss has decreased to 3.7 months, with a median age of 5.8 months at initiation of therapy.

===Publications about EHDI Programs in Germany (maximum of 5)===

# World Health Organization. 2010. Newborn and infant hearing screening- current issues and guiding principles for action. WHO Report 2010:1-39.

===Person responsible for most recent update:===

Name:

Affiliation:

Email:

United Kingdom

2014-08-27T23:02:14Z

Chief: Created page with "==United Kingdom== * Population (2012 est): 63,047,162 * Number of Annual Births (2012 est): 773,600 * Birth rate: 12.27 per 1,000 * Percent of GDP spent on health care (2009..."

==United Kingdom==

* Population (2012 est): 63,047,162
* Number of Annual Births (2012 est): 773,600
* Birth rate: 12.27 per 1,000
* Percent of GDP spent on health care (2009): 8.7%
* Percent of Health Care expenditures spent by government: 82.6%
* Physician density: 2.739 per 1,000
* Percent of newborns attended by skilled providers: N/A
* Infant Mortality: 4.56 per 1,000
* Literacy (age 15 and over can read and write): 99%
* Percent of children screened for hearing loss:
* Incidence of permanent hearing loss among newborns:

===Current Status of Early Hearing Detection and Intervention for Children (500 word limit)===

Since 2006, newborn hearing screening has been offered to the parents of all babies in England. Since then, more than 3.5 million babies have been screened and 5200 cases of permanent childhood deafness detected in one or both ears. The test is optional but 99.8% of parents take up the opportunity. Across England, there are 118 local hearing screening services with over 2000 trained health care professionals carrying out the screening.

Two models are used:

* in hospital before discharge – if discharge takes place before the test is completed, a letter is sent asking the mother to attend an appointment for the screening test; and
* in some areas the test is done at home by a health visitor nurse.

The Newborn Hearing Screening Programme (NHSP) is guided by a comprehensive set of national standards which state that screening must be offered and completed for all well babies in hospital-based programmes by 4 weeks of age. For well babies in community-based programmes the standard is 5 weeks.

Two methods are used – automated otoacoustic emissions (AOAE) testing and automated auditory brainstem response (AABR). AOAE testing is carried out, and where there is no clear response in one or both ears then a second screening is conducted using AOAE and/or AABR. If there is no clear response on the second screening, the baby is referred to the local paediatric audiology department for follow-up. NHSP standards state that the family should receive a referral in 3 working days and that a baby should be seen in audiology no more than 4 weeks from the second screening.

NHSP quality assurance is underpinned by a national information and performance management system. Every local hearing screening programme in England uses this system to capture data from the screening tests. System functionality and analysis make it possible to assess local performance against national quality standards; to compare performance between different sites; and to track the progress of babies referred after screening through the early assessment care pathway. Standards also exist for the provision of support to parents and services for children following the identification of hearing loss.

Moving forward, the challenge for the NHSP is to maintain quality and drive its high standards through to audiological assessment and parental support. The NHSP must also continue to reduce health inequalities, and to work with health care and education professionals to ensure that babies who are diagnosed as deaf get the best outcomes from early interventions – including hearing aid services, cochlear implants and educational support. A major challenge at present is ensuring appropriate electrophysiological assessment after screening, as compliance with protocol has been found to be problematic in up to 10% of programmes.

Improving the health and well-being of children through prevention and early intervention – within the context of an integrated approach to supporting children and families – remains the key priority. In support of this, the NHSP will continue to work alongside other newborn and antenatal screening programmes to identify improvements and share best practice.

===Publications about EHDI Programs in the United Kingdom (maximum of 5)===

# World Health Organization. 2010. Newborn and infant hearing screening- current issues and guiding principles for action. WHO Report 2010:1-39.

===Person responsible for most recent update:===

Name:

Affiliation:

Email:

Russian Federation

2014-08-27T22:59:27Z

Chief: Created page with "==Russian Federation== * Population (2012 est): 138,082,178 * Number of Annual Births (2012 est): 1,510,600 * Birth rate: 10.94 per 1,000 * Percent of GDP spent on health car..."

Chief: 1 revision

==Armenia==

* Percent of children screened for hearing loss:
* Incidence of permanent hearing loss among newborns:

===Current Status of Early Hearing Detection and Intervention for Children (500 word limit)===

Please provide a short description (500 word limit) about the status of hearing screening, diagnosis and intervention for infants and young children in your country. The description should include information about:

* How health care is delivered in general, the number of babies born each year, percentage of babies born in hospitals, and other relevant information.

* The equipment and procedures for doing hearing screening with infants and young children, who does the screening, where it is done, etc., including if different parts of the country use different approaches.

* Any legal mandates or regulations about hearing screening and diagnosis.

* An Estimate of the percentage of total births that are screened for hearing loss, including the year to which the estimate applies.

*The biggest challenges or barriers that interfere with succesfull newborn hearing screening and diagnosis.

===Demographics===

* Population:
* Number of Annual Births:
* Birth rate:
* Percent of GDP spent on health care:
* Percent of Health Care expenditures spent by government:
* Physician density:
* Percent of newborns attended by skilled providers:
* Infant Mortality:
* Literacy (age 15 and over can read and write):

===Publications about EHDI Programs in Armenia (maximum of 5)===

# Publication 1
# Publication 2
# Publication 3
# Publication 4
# Publication 5

===Person responsible for most recent update:===

Name:

Affiliation:

Email:

Sweden

2014-08-27T16:56:40Z

Chief: 1 revision

==Sweden==

* Percent of children screened for hearing loss:
* Incidence of permanent hearing loss among newborns:

===Current Status of Early Hearing Detection and Intervention for Children (500 word limit)===

Please provide a short description (500 word limit) about the status of hearing screening, diagnosis and intervention for infants and young children in your country. The description should include information about:

* How health care is delivered in general, the number of babies born each year, percentage of babies born in hospitals, and other relevant information.

* The equipment and procedures for doing hearing screening with infants and young children, who does the screening, where it is done, etc., including if different parts of the country use different approaches.

* Any legal mandates or regulations about hearing screening and diagnosis.

* An Estimate of the percentage of total births that are screened for hearing loss, including the year to which the estimate applies.

*The biggest challenges or barriers that interfere with succesfull newborn hearing screening and diagnosis.

===Demographics===

* Population:
* Number of Annual Births:
* Birth rate:
* Percent of GDP spent on health care:
* Percent of Health Care expenditures spent by government:
* Physician density:
* Percent of newborns attended by skilled providers:
* Infant Mortality:
* Literacy (age 15 and over can read and write):

===Publications about EHDI Programs in Sweden (maximum of 5)===

# Publication 1
# Publication 2
# Publication 3
# Publication 4
# Publication 5

===Person responsible for most recent update:===

Name:

Affiliation:

Email: