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WHO Ear and Hearing Care Survey Protocol: A view point.
Background: WHO works to help develop community-based programmes for prevention, identification and management of hearing loss in low- and middle-income countries.
Aim: To study prevalence of Hearing Loss and probable causes of hearing loss.
Methods: WHO with an aim to assess Ear and Hearing disorders in community, has come out with a handbook on Survey for Prevalence of Hearing Loss and Associated Ear Conditions. The handbook includes a standard protocol for screening all age groups for Ear and Hearing disorders. Core set of questions will be asked from participants and those identified with hearing loss, will be asked additional questions to determine cause of hearing loss. The focus of survey will be on household and not on individuals. Children over 5 years will be tested using Pure-Tone Audiometry and for those under 5 years, Otoacoustic Emission testing will be carried out. The core survey will include all people aged 5 years and older, and if resources allow, under 5 year group will be included. Order of examination will be hearing assessment followed by ear examination. Insert phones will not be used for audiometry. If impacted wax is present and is removed following ear examination, then hearing test will be repeated after removal. Cause of hearing loss will be determined by using otoscopy and a questionnaire. For diagnosing ear diseases, team member with expertise to determine cause of hearing loss or Video otoscopy (where available) will be used as an alternative technique to make the diagnosis.
Findings: The Survey Protocol developed by WHO will facilitate conduct of studies to determine prevalence of hearing loss and probable causes of hearing loss in a standardized manner. The information obtained and compiled can be used for advocacy and for development of new or to update existing strategic plan for Ear and Hearing Care.
- To detect the prevalence of hearing loss.
- To determine the probable causes of hearing loss.
- To advocate and develop standardized strategic plan for Ear and Hearing Care.
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Dr Suneela Garg (POC,Primary Presenter), Sound Hearing 2030, Department of Community Medicine, Maulana Azad Medical College, New Delhi, gargsuneela@gmail.com;
Director Professor & Head, Department of Community Medicine, MAMC
Honorary Secretary General and Coordinator Sound Hearing 2030,
Maulana Azad Medical College & Associated Hospitals, New Delhi
Ex-Head, Community Medicine at Faculty of Medical Sciences, New Delhi
Director Professor & Head Deptt.of Community Medicine, & Sub-Dean MAM College, Delhi. She has been in the field of Community Medicine since the last 36 years. She is also Secretary General Sound Hearing 2030. She has professional and research experience with National and International Organizations viz. WHO, UNFPA, Population Council and Rockfeller Foundation. She is an advisor to CBM for National & International Projects on disability. She has been involved in capacity building and research related to Geriatrics for over a decade. She has published and presented over 200 papers International and National peer reviewed journals and conferences. She was conferred fellowship of the Indian Public Health Association and Indian Association of Preventive & Social Medicine. She has been awarded a WHO Biennium Fellowship in 1992-93 and Fellowship by Overseas Development Agency in 1996, and CBM Fellowship in 2011. She has been conferred with the State Doctor’s Award for her meritorious services and also awarded State AIDS Award for contribution in the field of HIV/AIDS.
She has been investigator/co-investigator in several National and International research projects funded by various agencies such as UNFPA, DFID, Rockefeller Foundation, WHO, ICMR, Sanofi Pasteur. She has organized about 200 training programmes for prevention and control of HIV/AIDS, RTIs/STIs for doctors, nurses, laboratory technicians, group D workers in Delhi in collaboration with Delhi State AIDS Control Society; six training programmes for call centre executives of JansankhyaSthirtakosh (Min. of H & F W, Govt. of India). In addition she has also worked towards sensitization of Health care staff regarding Gender based violence and developed a tool for identification of violence. Her areas of interest are: Qualitative Research, Gerontology, Adolescent & Reproductive Health, Gender Based Issues, Non communicable diseases, HIV, Tuberculosis.
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ASHA DISCLOSURE:
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Nonfinancial -
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AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
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Vipra Mangla (Co-Presenter,Co-Author), vipramangla@yahoo.com;
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ASHA DISCLOSURE:
Financial -
Nonfinancial -
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AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
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Charu Kohli (Co-Presenter,Co-Author), kohlicdoc17@gmail.com;
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ASHA DISCLOSURE:
Financial -
Nonfinancial -
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AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
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