(RE) HABILITATION OF THE DEAF AND HARD OF HEARING(DHH) CHILDREN TO MEET THE MDGs - MAINSTREAMING DISABILITY. DR. MUNIR AHMED. MAINSTREAMING OF DHH. A DHH child, who possess spoken language can Integrate effectively in our society, because our society communicates with spoken language
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DR. MUNIR AHMED
MAINSTREAMING OF DHH
The JCIH endorses early detection and intervention for infants with hearing loss
PROPOSED SCREENING PROTOCOL
All infants who are at risk for hearing loss are to be screen out.
A two stage screening process should be adopted:
- Automated ABR for the initial screening. Failing should re screened using ABR.
-Those passing ABR should return for re screen at the ages between 3-6 months
Babies failing in ABR should be referred for complete audiologic evaluation to:
- Determine the type and severity of the impairment;
- Initiate a remedial program for the infants and family.
PROTOCOL FOR HEARING EVALUATION
Regardless of age
Case history /parents observation report
Tympanometry and Acoustic reflex
Auditory Brainstem Response (ABR)
ABR should not stand alone for diagnostic purpose. Lack of response does not necessarily indicate an absent of useable hearing.
Amplification and auditory learning are recommended as first option unless CT scan or MRI confirm absence of cochlea.
2. Behavioural testing, amplification and therapy
6 months - 30 months
Behavioural Observation, Visual Reinforcement Audiometry
Evaluation of auditory skills development.
30 months and above
Conditioned play Audiometry
2.Speech Awareness Threshold
3.Pure Tone Audiometry
1.Excellent management of child’s hearing loss