Evidence map›Paper›PMID 38344005›Full record

ArticleAnnals of global health2024

Hearing Loss Detection and Early Intervention Strategies in Kenya.

Serah Ndegwa, Michelle Pavlik, Emily R Gallagher, Maureen King'e, Manaseh Bocha, Lilian Wairimu Mokoh, Isaac Macharia, Paige Stringer, Irene Njuguna, Dalton Wamalwa and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
7.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Serah Ndegwa *Department of Surgery, University of Nairobi, Nairobi, Kenya.
Michelle Pavlik *Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA.ORCID 0000-0001-6930-1870
Emily R GallagherDepartments of Pediatrics and Global Health, University of Washington, Seattle, WA, USA.
Maureen King'eDepartment of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
Manaseh BochaClinical Services, Ministry of Health, Nairobi, Kenya.
Lilian Wairimu MokohKenyatta University Teaching, Referral and Research Hospital, Nairobi, Kenya.
Isaac MachariaDepartment of Surgery, University of Nairobi, Nairobi, Kenya.
Paige StringerGlobal Foundation For Children With Hearing Loss, Poulsbo, WA, USA.ORCID 0000-0002-5339-1709
Irene NjugunaKenyatta National Hospital, Nairobi, Kenya.ORCID 0000-0003-4250-3231
Dalton WamalwaDepartment of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
Sarah Benki-NugentDepartment of Global Health, University of Washington, Seattle, WA, USA.ORCID 0000-0002-3564-6245
University of Nairobi · KEUniversity of Washington · USKenyatta University · KEMinistry of Health · KESeattle Children's Hospital · US

Funding

mHealth OAE: Towards Universal Newborn Hearing Screening in Kenya (mTUNE)R21DC021643 · NIDCD · UNIVERSITY OF WASHINGTON · PI BENKI-NUGENT, SARAH F., GALLAGHER, EMILY · 2023 to 2024
$311k
NIDCD NIH HHS R21 DC021643
6 · The paper itself

Abstract

Background: Thirty-four million children globally have disabling hearing loss, with the highest prevalence in low- and middle-income countries (LMICs). Early identification and management is crucial, yet barriers to screening and treatment of hearing loss are extensive in LMICs. Unaddressed hearing loss negatively impacts individuals and communities. The WHO's 2021 World Report on Hearing urges the development of Ear and Hearing Care (EHC) programs to improve access to all aspects of care, including screening, diagnostics, management, and developmental support. A joint Nairobi- and Seattle-based group convened in 2021 to discuss strategies for program development in Kenya, as presented in this paper. Findings: Developing a national EHC program must include the necessary support services for a child with a diagnosed hearing loss, while simultaneously promoting engagement of family, community, and healthcare workers. Existing government and healthcare system policies and priorities can be leveraged for EHC programming. Strategies for success include strengthening connections between policymakers at national, county, and municipal levels and local champions for the EHC agenda, with a concurrent focus on policy, early detection and intervention, habilitation, and family-centered care. Updates to health policy and funding to support the accessibility of services and equipment should focus on leveraging national healthcare coverage for hearing technologies and services, strengthening referral pathways, training to bolster the workforce, and metrics for monitoring and evaluation. Additional strategies to support forward progress include strategic engagement of partners and leveraging local partners for phased scale-up. Conclusions and Recommendations: Recommendations to strengthen EHC within the Kenyan health system include concurrent leverage of existing health policies and priorities, partner engagement, and strengthening referral pathways, monitoring and evaluation, and training. These strategies may be generalized to other countries too.

Indexed as

Hearing LossBenchmarkingChildDelivery of Health CareHumansKenyaProgram Developmenthearing losshearing screeningneurodevelopmentpediatrics

Identifiers

PMID38344005
PMCPMC10854416
OpenAlexW4391535163

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.