ArticleBulletin of the World Health Organization2019
Children with hearing impairment in Malawi, a cohort study.
Article in Bulletin of the World Health Organization, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Patient Perceptions of Delays in Audiology Services in Johannesburg: A Secondary Analysis of Waiting Times and Alternative Service Models.Journal of evaluation in clinical practice · 2026Article
- Prevalence of Refractive Error Among School Children in Malawi.Journal of ophthalmology · 2026Article
- Knowledge, Beliefs, and Treatment Practices for Otitis Media in Malawi: A Community-Based Assessment.Audiology research · 2025Article
- Assessment of Outer and Middle Ear Pathologies in Lilongwe, Malawi.Audiology research · 2024Article
- Prevalence of Ocular Morbidity and Associated Factors Among Hearing Impaired Children at Embangweni School of the Deaf in Mzimba District, Malawi.Clinical optometry · 2024Article
- Hearing Health Awareness and the Need for Educational Outreach Amongst Teachers in Malawi.Audiology research · 2023Article
- Comparative evaluation of a low-cost solar powered otoscope with a traditional device among health care workers in Malawi.Laryngoscope investigative otolaryngology · 2021Article
- Health system requirements for hearing care services.Bulletin of the World Health Organization · 2019Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the outcomes of children diagnosed with hearing impairment 3 years earlier in terms of referral uptake, treatment received and satisfaction with this treatment, and social participation.
methodsWe conducted a population-based longitudinal analysis of children with a hearing impairment in two rural districts of Malawi. Key informants within the community identified the cohort in 2013 (baseline). Informants clinically screened children at baseline, and by questionnaires at baseline and follow-up in 2016. We investigated associations between sociodemographic characteristics and outcomes by multivariate logistic regression.
resultsWe diagnosed 752 children in 2013 as having a hearing impairment and traced 307 (40.8%) children of these for follow-up in 2016. Referral uptake was low (102/184; 55.4%), more likely among older children (odds ratio, OR: 3.5; 95% confidence interval, CI: 1.2-10.2) and less likely for those with an illiterate caregiver (OR: 0.5; 95% CI: 0.2-0.9). Few of the children who attended hospital received any treatment (33/102; 32.4%) and 63.6% (21/33) of caregivers reported satisfaction with treatment. Difficulty making friends and communicating needs was reported for 10.0% (30/299) and 35.6% (107/301) of the children, respectively. Lack of school enrolment was observed for 29.5% (72/244) of children, and was more likely for older children (OR: 28.6; 95% CI: 10.3-79.6), girls (OR: 2.4; 95% CI: 1.2-4.8) and those with an illiterate caregiver (OR: 2.1; 95% CI: 1.0-4.1).
conclusionMore widespread and holistic services are required to improve the outcomes of children with a hearing impairment in Malawi.
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