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. 2026 Mar 23;40:29. doi: 10.47176/mjiri.40.29

Table 2. Challenges and Strategies of the Newborn Hearing Screening Program.

Categories Challenges Strategies
COVID-19 Impact - Missed initial hearing tests due to pandemic protocols. - Adjusting screening policies during public health crises.
- Maternal COVID-19 status affected follow-up compliance. - Implementing alternative follow-up methods, such as telehealth consultations.
Follow-Up and Referral Issues - High variability in referral and follow-up rates. - Developing centralized referral tracking systems.
- Sociodemographic factors affecting follow-up (rural residence, low maternal education). - Training audiologists and community workers for follow-up coordination.
- High loss-to-follow-up rates after initial screening. - Implementing the "1-3-6 model" (screening by 1 month, diagnosis by 3 months, intervention by 6 months).
Resource Constraints - Insufficient audiologists and screening equipment. - Establishing hospital partnerships for resource sharing.
- Lack of training facilities for medical staff. - Developing specialized training programs for pediatric audiologists.
- Low availability of screening programs in developing countries. - Promoting universal newborn hearing screening in all hospitals.
Structural and Systemic Issues - Poor communication infrastructure and reporting inefficiencies. - Implementing digital reporting systems for transparency.
- Delays in rescreening and diagnosis due to poor coordination. - Expanding community-based screening through immunization clinics.
- Limited awareness and insufficient research investment. - Conducting public awareness campaigns and boosting research funding.