• XUONG TUYET NGUYEN Department of Ear-Nose-Throat, Vietnam National Hospital of Paediatrics, Hanoi 100000, Vietnam.
  • HA NGOC NGUYEN Department of Ear-Nose-Throat, Viet Tiep Friendship Hospital, Hai Phong 180000, Vietnam.
  • TRAM VAN TA Department of Paediatric,Tien Giang General Hospital, Tien Giang Province 860000, Vietnam.
  • VU KIEN TRAN Department of Surgery, Tra Vinh General Hospital, Tien Giang Province 860000, Vietnam.
  • HIEN THE PHAM Department of Medicine and Pharmacy, Tra Vinh University, Tra Vinh Province 940000, Vietnam.


Objective: Hearing loss is a serious disease that needs attention from society because of its considerable effects on the normal development of children. This study incorporated systematic solutions into early intervention delivery systems for children with hearing loss in Hai Phong, Vietnam, and evaluated the effectiveness of the strategies.

Methods: This community intervention study, which was carried out from 2013 to 2014, involved a comparison of the early intervention delivery systems before and after the implementation of the proposed solutions.

Results: Two years after the solutions were applied, the following results were derived: The availability of resources and the quality of service provision improved and access to and the use of services by families whose children suffer from hearing loss increased. The solutions also facilitated the creation of an early communal intervention program and significantly enhanced the situations of children with hearing loss as regards the average ages at which disease onset was suspected, the disease was definitively identified, hearing aid fitting was initiated, and language intervention was implemented (15.5, 21, 23.7, and 26.5 months, respectively). Finally, the solutions enabled detection, diagnosis, and early intervention at <12 and 24 months of age (p<0.001).

Conclusion: The strategy of reinforcing intervention programs with general and comprehensive solutions can be expanded to other Vietnamese provinces grappling with similar problems.

Keywords: Deaf children, Early intervention, Hearing loss, Intervention delivery service, Vietnam


1. Olusanya BO, Neumann KJ, Saunders JE. The global burden of disabling hearing impairment: A call to action. Bull World Health Organ 2014;92:367-73.
2. World Health Organization. Deafness Prevention. Geneva: World Health Organization; 2019. Available from: https://www.who.int/ deafness/estimates/en.
3. Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: A systematic analysis for the global burden of disease study 2015. Lancet 2016;388:1545-602.
4. World Health Organization. Addressing the Rising Prevalence of Hearing Loss. Geneva: World Health Organization; 2019 Available from: http://www.apps.who.int/iris/bitstream/hand le/10665/260336/9789241550260-eng.pdf?sequence=1&ua=1.
5. Ruben RJ. Redefining the survival of the fittest: Communication disorders in the 21st century. Laryngoscope 2000;110:241-5.
6. Yen NT. General Education about Hearing Impaired Children [in Vietnamese]. Hanoi, Vietnam: University of Education Publishing House; 2007.
7. Lien NN. Applied Audiology [in Vietnamese]. Hanoi, Vietnam: Medical Publishing House; 2001.
8. Thiep TT, Lam BT, Nho HT, Thanh TT. Early Intervention and Inclusive Education Curriculum for Children with Disabilities [in Vietnamese]. Hanoi, Vietnam: Medical Publishing House; 2006.
9. World Health Organization. Newborn and Infant Hearing Screening. Current Issues and Guiding Principles for Action. Geneva: World Health Organization; 2011.
10. American Academy of Pediatrics, Joint Committee on Infant Hearing. Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics 2007;120:898-921.
11. Neumann K, Chadha S, Tavartkiladze G, Bu X, White KR. Newborn and infant hearing screening facing globally growing numbers of people suffering from disabling hearing loss. Int J Neonatal Screen 2019;5:7.
12. Ching TY, Dillon H, Leigh G, Cupples L. Learning from the longitudinal outcomes of children with hearing impairment (LOCHI) study: Summary of 5-year findings and implications. Int J Audiol 2018;57:S105-11.
147 Views | 58 Downloads
How to Cite
XUONG TUYET NGUYEN, HA NGOC NGUYEN, TRAM VAN TA, VU KIEN TRAN, and HIEN THE PHAM. “EFFECTIVENESS OF INITIAL SOLUTIONS INCORPORATED INTO EARLY INTERVENTION DELIVERY SYSTEMS FOR CHILDREN WITH HEARING LOSS: EVIDENCE FROM HAI PHONG, VIETNAM”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 12, no. 10, Sept. 2019, pp. 268-71, https://innovareacademics.in/journals/index.php/ajpcr/article/view/35482.
Original Article(s)