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It is estimated that while more than 400 million people worldwide could benefit from hearing aid use alone, only 17% get to use these devices. This gap of 83% poses a substantial global challenge as unaddressed hearing loss is a leading cause of morbidity with an annual global cost of 980 billion international dollars. The WHO Hearing aid service delivery approaches for low- and middle-income settings is intended for use by people who plan to implement a national or subnational community level programme for the delivery of hearing aid services. It provides guidance on important factors to be considered when developing a community-level programme for the delivery of hearing aid services in low- and middle-income settings through trained non-specialists. This document targets 2 population groups: - children aged older than 5 years; and, - adults aged 18 years and older. The approaches provide directions on who should be fitted with a hearing aid; the process of assessment; the tools to be used; and the protocol for follow-up. Target audience - ear and hearing care coordinators or focal points within ministries of health. - public health planners. - nongovernmental organizations or civil society entities that provide ear and hearing care.
The loss of hearing - be it gradual or acute, mild or severe, present since birth or acquired in older age - can have significant effects on one's communication abilities, quality of life, social participation, and health. Despite this, many people with hearing loss do not seek or receive hearing health care. The reasons are numerous, complex, and often interconnected. For some, hearing health care is not affordable. For others, the appropriate services are difficult to access, or individuals do not know how or where to access them. Others may not want to deal with the stigma that they and society may associate with needing hearing health care and obtaining that care. Still others do not recognize they need hearing health care, as hearing loss is an invisible health condition that often worsens gradually over time. In the United States, an estimated 30 million individuals (12.7 percent of Americans ages 12 years or older) have hearing loss. Globally, hearing loss has been identified as the fifth leading cause of years lived with disability. Successful hearing health care enables individuals with hearing loss to have the freedom to communicate in their environments in ways that are culturally appropriate and that preserve their dignity and function. Hearing Health Care for Adults focuses on improving the accessibility and affordability of hearing health care for adults of all ages. This study examines the hearing health care system, with a focus on non-surgical technologies and services, and offers recommendations for improving access to, the affordability of, and the quality of hearing health care for adults of all ages.
This book examines the role of everyday technology throughout the life cycle in order to demonstrate the wide acceptance and impact of everyday technology and how it is facilitating both practitioners and patients in contemporary practices. In response, then, this text speaks to a number of audiences. Students writing for undergraduate and postgraduate dissertations/proposals will find the array of works insightful, supported with a vast number of references signposting to key texts. For academics, practitioners and prospective researchers this text offers key empirical and methodological insight that can help focus and uncover originality in their own field. We anticipate that readers will find the collection of empirical examples useful for informing their own work, but also, it attempts to ignite new discussions and arguments regarding the application and use of everyday technology for enhancing health internationally. Explores the multifaceted use and application of each ‘everyday technology’ that impact on diagnosis, treatment and management of individuals. Examines an array of everyday technologies and how these that can either enhance and/or hinder patient/service user outcomes i.e. handheld devices, computer workstations, gamification and artificial intelligence. Discusses technologies that are intended to facilitate patient diagnosis, practitioner-patient relations, within an array of health contexts. Provides readers with an overview with future direction of everyday technologies and its limitations.
Although half of all deafness and hearing impairment is avoidable, an estimated 278 million people worldwide are living with disabling hearing impairment (moderate or worse level of hearing loss in the better hearing ear). Many more have mild hearing loss and/or ear diseases. One quarter of hearing impairment begins during childhood, and 80% of all deaf and hearing impaired people live in low and middle income countries. These problems can be life-long and sometimes life-threatening; they may have profound effects on: inter-personal communication, education, employment prospects, social relationships and through stigmatization. They produce substantial economic burdens on countries. Some of the most effective and cost-effective interventions against ear and hearing problems can be implemented at the primary level by trained primary ear and hearing care (PEHC) workers or primary health care (PHC) workers or their equivalents. Used on a large scale, these interventions will have a major impact on the burden of ear disease and hearing loss. However most developing countries do not have PEHC workers and the topic is hardly addressed in the training of PHC workers. The Primary Ear and Hearing Care Training Resource manuals provide practical information and guidance and can be used as part of a training course, stand-alone training module or in a self-taught manner. They are designed to be useful to a wide range of primary health care personnel. The manuals can also be used to help communities understand common causes of deafness and hearing impairment and ways to prevent and/or treat the conditions.
A textbook with case studies for audiologists and speech pathologists to make recommendations for early detection and intervention of hearing impairments in the South African context Early hearing detection and intervention (EHDI) is the gold standard for any practicing audiologist, and for families of infants and children with hearing impairment. EHDI programs aim to identify, diagnose and provide intervention to children with hearing impairment from as early as six months old (as well as those at risk for hearing impairment) to ensure they develop and achieve to their potential. Yet EHDI remains a significant challenge for Africa, and various initiatives are in place to address this gap in transferring policy into practice within the southern African context. The diversity of factors in the southern African context presents unique challenges to teaching and research in this field, which has prompted this book project. The South African government’s heightened focus on increasing access to health care which includes ongoing Early Childhood Development (ECD) programs, make this an opportune time for establishing and documenting evidence-based research for current undergraduate and postgraduate students. Early Detection and Intervention in Audiology: An African Perspective aims to address this opportunity. Grounded in an African context with detailed case studies, this book provides rich content that pays careful attention to contextual relevance and contextual responsiveness to both identification and intervention in hearing impairment. With diverse contributions from experts in local and international contexts, but always with an African perspective, this is textbook will be an invaluable resource for students, researchers and practitioners.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
The fifth edition of this landmark volume has been substantially updated and expanded to encompass an abundance of innovative rehabilitation research supported by changing technology and new research methodologies. Written for rehabilitation practitioners, researchers, and students, it distills crucial new information regarding aspects of disability pertaining to medical conditions commonly encountered in rehabilitation settings. The fifth edition addresses new topics at the forefront of medical rehabilitation and disability from clinical, functional, and psychological perspectives, including traumatic brain injury, stroke and spinal cord injury, limb deficiency, organ transplantation, geriatric rehabilitation, and new and technology-based rehabilitation research. The book delivers new findings about social work in physical medicine, complementary and alternative treatments, trends in treatment delivery and payment systems, relevant legislation, and telerehabilitation. New chapter authors—noted authorities in their fields—address rheumatic diseases, stroke, rehabilitation nursing, research directions, and integrative medicine, among other topics. The text continues to be the only guide to medical aspects of disability for nonphysician rehabilitation professionals and other health care providers outside of rehabilitation medicine. It serves as a comprehensive guide on what to expect and how to manage each medical issue, causative agents, classification, pain management, psychological factors, and more. New to the Fifth Edition: Updated coverage of rheumatic diseases, stroke, rehabilitation nursing, research directions, and integrative medicine New information about traumatic brain injury, limb deficiency, organ transplantation, geriatric rehabilitation, and Technology-based research Innovations in delivery and payment systems, accreditation, opportunities and challenges for quality, and outcome assessments New findings regarding social work in physical medicine, complementary and alternative medicine, relevant legislation, and telerehabilitation Updates on speech, language, hearing, and swallowing disorders New coverage of neuromuscular, musculoskeletal, and pediatric disorders Key Features: Delivers key information critical to the study of disability including functional status, prognosis, psychology, and vocational issues Discusses how changes in health care regulations have impacted rehabilitation medicine delivery Analyzes the convergence of emerging technologies and clinical practice Includes the contributions of distinguished practitioners, researchers, and educators Provides a robust Instructor’s Manual
"Public health is concerned with the process of mobilizing local, state/provincial, national, and international resources to assure the conditions in which all people can be healthy (Detels and Breslow 2002). To successfully implement this process and to make health for all achievable, public health must perform the functions listed in Box 1.1.1"--