Hearing healthcare gaps in LMICS: snapshot from a semi-urban community in Nigeria.
Hearing loss
developing countries
disease burden
ear diseases
healthcare delivery
Journal
African health sciences
ISSN: 1729-0503
Titre abrégé: Afr Health Sci
Pays: Uganda
ID NLM: 101149451
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
entrez:
19
11
2021
pubmed:
20
11
2021
medline:
15
12
2021
Statut:
ppublish
Résumé
Low and middle-income countries (LMICs) have high prevalence of hearing loss which are mainly due to preventable causes. While urban communities in LMICs are likely to have functional hearing healthcare delivery infrastructure, rural and semi-urban communities may have different reality. This study aimed to provide: (i) a snapshot of the burden of ear diseases and (ii) a description of available hearing healthcare resources in a semi-urban Nigerian community. A cross-sectional study of households selected by multistage random sampling technique. Seventy-four participants: 39 males and 35 females with mean age of 34 years ± 5.24 were recruited and answered a structured questionnaire. In addition, the availability of hearing healthcare services in 15 health centers within the community were determined. All participants reported recent occurrence of ear complaints or gave similar history in a household member. Common complaints were ear discharge, ear pain and hearing loss. Medical intervention was sought from patent medicine stores, hospitals and traditional healers. None of the assessed hospitals within the study site was manned by an ENT surgeon or ENT trained nurse. Despite the heavy burden of ear complaints there is inadequate hearing healthcare delivery in a typical LMIC community. This highlights the need for urgent improvement of hearing healthcare.
Sections du résumé
BACKGROUND
BACKGROUND
Low and middle-income countries (LMICs) have high prevalence of hearing loss which are mainly due to preventable causes. While urban communities in LMICs are likely to have functional hearing healthcare delivery infrastructure, rural and semi-urban communities may have different reality.
OBJECTIVES
OBJECTIVE
This study aimed to provide: (i) a snapshot of the burden of ear diseases and (ii) a description of available hearing healthcare resources in a semi-urban Nigerian community.
METHODS
METHODS
A cross-sectional study of households selected by multistage random sampling technique. Seventy-four participants: 39 males and 35 females with mean age of 34 years ± 5.24 were recruited and answered a structured questionnaire. In addition, the availability of hearing healthcare services in 15 health centers within the community were determined.
RESULTS
RESULTS
All participants reported recent occurrence of ear complaints or gave similar history in a household member. Common complaints were ear discharge, ear pain and hearing loss. Medical intervention was sought from patent medicine stores, hospitals and traditional healers. None of the assessed hospitals within the study site was manned by an ENT surgeon or ENT trained nurse.
CONCLUSION
CONCLUSIONS
Despite the heavy burden of ear complaints there is inadequate hearing healthcare delivery in a typical LMIC community. This highlights the need for urgent improvement of hearing healthcare.
Identifiants
pubmed: 34795751
doi: 10.4314/ahs.v21i2.53
pii: jAFHS.v21.i2.pg912
pmc: PMC8568223
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
912-918Informations de copyright
© 2021 Adeyemo A et al.
Références
Trends Amplif. 2011 Dec;15(4):209-14
pubmed: 22068223
J Laryngol Otol. 2019 Jan;133(1):39-48
pubmed: 30558687
Bull World Health Organ. 2014 May 1;92(5):367-73
pubmed: 24839326
J West Afr Coll Surg. 2015 Apr-Jun;5(2):117-133
pubmed: 27830126
Int J Audiol. 2010 Nov;49(11):804-14
pubmed: 20831460
Lancet. 2017 Dec 2;390(10111):2503-2515
pubmed: 28705460
J Otol. 2018 Sep;13(3):92-96
pubmed: 30559772
Lipids. 2011 Aug;46(8):781-8
pubmed: 21547555
Otolaryngol Head Neck Surg. 2016 Aug;155(2):208-19
pubmed: 27118820
Int J Health Policy Manag. 2018 Jul 01;7(10):943-954
pubmed: 30316247
Vestn Otorinolaringol. 2013;(4):67-71
pubmed: 24312958
Pediatrics. 2017 Aug;140(2):
pubmed: 28689189
Acta Otorhinolaryngol Ital. 2016 Jun;36(3):155-66
pubmed: 27214827
Otol Neurotol. 2010 Jan;31(1):31-41
pubmed: 20050266
Arch Dis Child. 2006 May;91(5):391-5
pubmed: 16464964
J Laryngol Otol. 2019 Jan;133(1):18-25
pubmed: 30047343
Ear Hear. 2017 Sep/Oct;38(5):621-627
pubmed: 28353521
J Family Med Prim Care. 2018 Jul-Aug;7(4):780-786
pubmed: 30234053
J Family Med Prim Care. 2014 Oct-Dec;3(4):379-82
pubmed: 25657947
Maturitas. 2016 Jun;88:52-7
pubmed: 27105698
BMC Health Serv Res. 2015 Jun 12;15:231
pubmed: 26067426
Otol Neurotol. 2015 Jan;36(1):93-8
pubmed: 25325844
PLoS One. 2015 May 15;10(5):e0125905
pubmed: 25978376
J Public Health Afr. 2015 Aug 16;6(1):512
pubmed: 28299138
Rural Remote Health. 2010 Jan-Mar;10(1):1319
pubmed: 20136347
Annu Rev Public Health. 2016;37:395-412
pubmed: 26735432
Laryngoscope. 2017 Oct;127(10):2362-2367
pubmed: 28144961