ArticleThe South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings2022
Analysis of barriers and facilitators to early hearing detection and intervention in KwaZulu-Natal, South Africa.
Article in The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Bridging the policy-practice gap: A call for urgent early intervention and early education South African policy reform for children who are deaf or hard-of-hearing.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2026Article
- Delays in diagnosis and intervention for paediatric hearing loss: the role of parental psychological inflexibility in a multicentre Iranian study.BMJ paediatrics open · 2026Observational
- Status and gaps in newborn hearing screening in South Africa: A cross-sectoral review.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2026Article
- Article
- Caregiver beliefs and practices about communication disorders in early childhood development centres from Durban: A qualitative study.BMJ public health · 2026Article
- The Economic Costs of Congenital Hearing Loss in a South African Cohort.Health services insights · 2026Review
- Reliability of nurse-administered infant hearing screening using otoacoustic emissions.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2025Article
- Exploration of parental perspectives and involvement in therapeutic communication approaches for deaf and/or hard-of-hearing children at special schools in South Africa.Medical humanities · 2025Article
- Towards Context-Specific EHDI Services: Understanding Caregivers' Priorities and Preferences in South Africa Through a Conjoint Analysis.Child: care, health and development · 2025Article
- Caregiver Challenges and Opportunities for Accessing Early Hearing Detection and Intervention: A Narrative Inquiry from South Africa.International journal of environmental research and public health · 2025Article
- Cochlear Implant Decisions in South Africa: Parental Views, Barriers, and Influences.Healthcare (Basel, Switzerland) · 2025Article
- Family-Centred Early Hearing Detection and Intervention in the African Context: Relevance and Responsiveness to African Culture.Audiology research · 2025Review
- Communication Outcomes of Children with Hearing Loss: A Comparison of Two Early Intervention Approaches.Audiology research · 2025Article
- Early Intervention for Hearing-Impaired Children-From Policy to Practice: An Integrative Review.Audiology research · 2025Review
- Age of detection of congenital hearing loss in South Africa: A systematic review.Journal of public health in Africa · 2025Review
- Stakeholders' perspectives on the implementation of school hearing screening in Botswana.Journal of public health in Africa · 2025Article
- Community-based infant hearing screening: Outcomes of a rural pilot programme.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024Article
- Availability of resources for paediatric hearing care in a South African province.African journal of primary health care & family medicine · 2024Article
- A call for linguistic and culturally congruent family-centred early hearing detection and intervention programmes in South Africa.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
backgroundThere is slow progress in early hearing detection and intervention (EHDI) services within South Africa. Audiologists are EHDI gatekeepers and can provide valuable insights into the barriers and facilitators that can progressively move EHDI towards best practice in South Africa.
objectivesThe study aimed to determine the barriers and facilitators to EHDI in KwaZulu-Natal as reported by audiologists/speech therapists and audiologists (A/STAs).
methodA descriptive qualitative approach was used. Telephonic interviews were conducted with 12 A/STAs working in public and private healthcare facilities, using the strengths, weaknesses, opportunities, threats (SWOT) conceptual framework. Data was analysed using thematic analysis in conjunction with NVivo software.
resultsOne of the main barriers perceived by A/STAs, affecting EHDI was the lack of resources in healthcare facilities. The participants indicated that although there was a guideline in place to guide practice, it may be more suited to an urban area versus a rural area. Poor knowledge and awareness of EHDI was also identified as a barrier. Information provided from A/STAs at grassroots level, in the various provinces, may benefit in developing a more contextually relevant and practical guideline. Facilitators included; development of task teams specifically for EHDI programmes, creation of improved communication networks for collaboration and communication, training of healthcare professionals and improving data management systems.
conclusionStrategies such as an increase in resources, further education and training, development of contextually relevant, culturally, and linguistically diverse practices and protocols need to be in place to improve EHDI implementation. Further research, clinical implications and limitations are provided emanating from the study.
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