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. 2023 Jan 31;7(1):e001752. doi: 10.1136/bmjpo-2022-001752

Table 2.

Hearing screening programmes for older children

Author and year Citation Country Duration of programme Age of screening (years) Screened (n) Screening protocol Screening test used Pass/fail criteria Screening personnel Diagnostic test Diagnostic person
Tuli et al 2012 66 India 2 years 5–16 years 111 1 stage Case history, audiological and ENT evaluation, awareness and SIFTER Not mentioned Not mentioned ENT and PTA and diagnostic ABR Audiologist
Chadha et al 2013 67 India 3 years 5–12 years 15 718 1 stage Otoscopy,
10-Question Screening Index for Disabilities in English and Hindi
Positive history of hearing or speech defects, a positive finding on examination Proforma: parents,
otoscopy: otolaryngologists
Not mentioned Not mentioned
Ramkumar et al 2018 77 India 2 years Birth–5 years 1335 2 stages DPOAE+DPOAE >SNR 3 dB Trained village health worker Telediagnostic ABR Audiologist
Ramkumar et al 2019 76 India 2 years Birth–5 years 2815 2 stages DPOAE+DPOAE >SNR 3 dB Trained village health Worker Diagnostic ABR—in person and telediagnostic ABR Audiologist
Verma et al 2022 91 India 6 months 6–17 years 597 1 stage Tuning fork test Not mentioned Not mentioned PTA and Tymp Audiologist
Shekhar et al 2022 68 India Not mentioned 5–14 years 474 1 stage PTA Not mentioned ENT specialist ENT examination ENT specialist
et al 2011 69 China 1 year 3–6 years 21 427 1 stage PTA 1, 2 and 4 kHz >20 dB Screening person with training (training programme with certificate) PTA (5–6 years)
VRA or play PTA (3–4 years)
Not mentioned
Chen et al 2013 80 China 1 year 5 months 3–6 years 28 546 1 stage TEOAE >SNR 3 dB School nurses and doctors
2 hours of training
Comprehensive test Not mentioned
Audiologist
Wu et al 2014 70 China Not mentioned 3–6 years 6288 1 stage Software-based new PTA >30 dBHL at 1, 2 and 4 kHz Preschool teachers—minimally trained Not mentioned Not mentioned
Kam et al 2014 71 China Not mentioned 3–7 years 6231 1 stage Automated PTA >30 dBHL at 1, 2 and 4 kHz Automatic test: nurses with 2 hours’ training as facilitator Tymp, DPOAE and PTA (0.25–8.0 kHz) Not mentioned
Tokgöz-Yılmaz et al 2013 72 Turkey 3 years 3–5 years 239 1 stage PTA Not mentioned Audiologist and SLP ENT examination ENT specialist
Kaplama et al 2020 79 Turkey 1 year 69–84 months 23 664 2 stage PTA,
10 questionnaire
500, 1000, 2000 and 4000 Hz >20 dB
10 questions—refer in 1 question
Certified nurses, midwives, health officers or audiometrists, ENT examination ENT specialist
TarvijEslami et al 2017 78 Iran 1 year 6–7 years 2237 Not mentioned PTA Not mentioned Not mentioned PTA,
Weber, Rinne test
Not mentioned
Jalali et al 2020 73 Iran 4 months 6–13 years 2019 1 stage PTA 0.5–4.0 kHz >15 dBHL Not mentioned ENT examination and comprehensive audiological examination Not mentioned
Skarzyński et al 2016 8 Tajikistan (LMIC) Not mentioned 6–8 years 143 1 stage Questionnaire,
PTA using SZOK telemed model
PTA module (500–8 kHz) >25 dB at one frequency Medical doctors
Other specialists
Detailed PTA Audiologists
Alaqrabawi et al 2016 74 Jordan (UMIC) 4 years 5–15 years 1649 1 stage PTA 500 Hz, 1, 2 and 4 kHz >25 dB Not mentioned Audiometry,
otoscopy and Tymp
Audiologists
Al-Obeidy et al 2019 75 Iraq (UMIC) 1 year 6 years 425 1 stage HR questionnaire Not mentioned Not mentioned ENT examination,
TFT (Weber, Rinne and absolute bone conductio).
HRR children: PTA
Not mentioned

ABR, auditory brainstem response; BOA, behavioral observation audiometry; DPOAE, distortion product otoacoustic emission; HRR, high-risk register; LMIC, lower middle-income country; PTA, pure tone audiometry; SIFTER, Screening Identification For Targeting Educational Risk; SNR, signal-to-noise ratio; TEOAE, transient evoked otoacoustic emission; TFT, Tuning Fork Test; Tymp, tympanometry; UMIC, upper middle-income country.