PROVISION CAPACITY OF SERVICE DELIVERY FACILITIES FOR CHILDREN WITH HEARING LOSS IN HAI PHONG, VIETNAM
Objective: Hearing loss is a commonly occurring disability that affects 466 million people worldwide. This study aimed at determining the actual situations of early intervention delivery facilities for children with hearing loss. Out of this affected population, 7% are children (34 million) who, along with their families, grapple with the serious lifelong problems that accompany the disease.
Methods: This descriptive cross-sectional study was conducted with facilities investigated consisting of a school for the deaf, hospitals, an audiology center, and a social agency in Hai Phong province from January 2013 to December 2014. A sample composed of 353 children was also recruited.
Results: The examined facilities suffer from shortcomings in provision capacity, which manifest in deficient materials, supplies and equipment, and human resources; the lack of interdisciplinary coordination of activities; inadequate community awareness; and the unaddressed need for early detection and intervention. The conditions of most of the children (98%) were detected by their families, and among those who were clinically diagnosed, the majority (76.8%) received such diagnosis at central hospitals. Hearing impairment among the children were detected, diagnosed, and subjected to intervention at a very late stage (on average, at ages 22.3, 34, and 32.5 months, respectively), thereby compelling up to 63.6% of the families to struggle with their children’s hearing loss.
Conclusion: Solutions to current interventions are needed to enhance service delivery systems and guarantee early detection as well as timely and appropriate treatment.
2. World Health Organization. Deafness Prevention: World Health Organization; 2019. Available from: https://www.who.int/deafness/estimates/en.
3. Centers for Disease Control and Prevention. Hearing Loss in Children: Hearing loss Treatment and Intervention Services; 2019. Available from: https://www.cdc.gov/ncbddd/hearingloss/treatment.html.
4. Decker KB, Vallotton CD. Early intervention for children with hearing loss: Information parents receive about supporting children’s language. J Early Interv 2016;38:151-69.
5. World Health Organization. Newborn and Infant Hearing Screening: Current Issues and Guiding Principles for action. Geneva: World Health Organization Press; 2010.
6. Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early and later-identified children with hearing loss. Pediatrics 1998;102:1161-71.
7. Yen NT. Special Education and Basic Terms [in Vietnamese]. Hanoi, Vietnam: University of Education Publishing House; 2012.
8. Phuonng DT. Current Situation of Early Intervention for Deaf Children in Some Specialized Schools in Ho Chi Minh City. Ho Chi Minh City: Pedagogical University Scientific Topics at the Grassroots Level; 2010.
9. Ministry of Education and Training. Policies, Strategies and Plans for Inclusive Education Development in Vietnam. Hanoi, Vietnam: Ministry of Education and Training; 2011.
10. Huu ND. Current situation and orientation for the development of education for children with disabilities in Vietnam in the period 2015-2020 [in Vietnamese]. J Edu 2014;8:2-6.
11. Le NV. Research Report on Human Resource Capacity for Early Intervention of Vietnamese Children with Disabilities. Hanoi, Vietnam: Ministry of Health; 2012.
12. Yen NT. General Education about Hearing-impaired Children [in Vietnamese]. Hanoi, Vietnam: University of Education Publishing House; 2007.
13. White KR. The current status of EHDI programs in the United States. Ment Retard Dev Disabil Res Rev 2003;9:79-88.
14. UNICEF and the Ministry of Labour, War Invalids, and Social Affairs. Qualitative Research on Children with Disabilities in An Giang and Dong Nai: Knowledge Attitude Practice [in Vietnamese]. Hanoi, Vietnam: Ministry of Labour, War Invalids, and Social Affairs; 2011.
15. Thiep TT. Some Measures to Implement Early Intervention for Deaf Children [Vietnamese]. Hanoi, Vietnam: Hanoi National University of Education; 2004.
16. Jafari Z, Malayeri S, Ashayeri H. The ages of suspicion, diagnosis, amplification, and intervention in deaf children. Int J Pediatr Otorhinolaryngol 2007;71:35-40.
17. Ozcebe E, Sevinc S, Belgin E. The ages of suspicion, identification, amplification and intervention in children with hearing loss. Int J Pediatr Otorhinolaryngol 2005;69:1081-7.
18. Robertson C, Aldridge S, Jarman F, Saunders K, Poulakis Z, Oberklaid F, et al. Late diagnosis of congenital sensorineural hearing impairment: Why are detection methods failing? Arch Dis Child 1995;72:11-5.
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.