This article seeks to establish the coverage of neonatal hearing screening in Brazil between January 2008 and June 2015. It is an ecological study that uses the country, through the Urban Articulation Regions, as a base. To calculate the screening coverage percentage, the Live Births Information System, the Outpatient Information System and the Beneficiaries of the National Supplementary Health Agency Information System were used. An exploratory analysis of maps and spatial statistical analysis was conducted using TerraView 4.2.2 software. The coverage of neonatal hearing screening saw an increase of 9.3% to 37.2% during the study period. In 2008-2009 it was observed that the percentage of coverage ranged from 0% to 79.92%, but most areas received coverage from 0% to 20%, though in 2014-2015 coverage ranged from 0% to 171.77%, and there was a visible increase in the percentage of coverage in the country, mainly in the Southern Region. The screening coverage has increased over time, but is still low with an uneven distribution in the territory, which may be explained by local laws and policies and by the existence of different types of auditory health service in the country.
Introduction: Universal Neonatal Hearing Screening (UNHS) is the recommended screening test for hearing loss diagnosis. Purpose: To perform a spatial analysis of the coverage of the Neonatal Hearing Screening (NHS) in the Northeastern of Brazil and to verify the possible association of the coverage with the number of Speech-Language Pathology and Audiology (SLPA) maternities and reference centers in hearing health. Methods: The reference population was of live newborns registered in the Live Birth Information System (Sistema de Informação sobre Nascidos Vivos -SINASC). For the data collection, electronic banks were set up in the Health Information Systems. Exploratory spatial analysis was performed using TabWin software; Descriptive statistical analysis: absolute and relative distribution and weighted mean calculation; Analytical, using Chi-square and Fisher's Exact tests, in which a significance level of 0.05 was adopted. Results: There was similarity throughout the Northeastern, regarding the low coverage of the NHS. The highest indices were concentrated in specific areas and there was a homogenous distribution among states. However, the states of Piauí and Paraíba stand out as to the frequency of coverage in municipalities with the NHS service. It was found an association between the coverage and the number of maternities, Speech-Language Pathology and Audiology and centers of reference in hearing health. Conclusion:The low coverage of the triage prevails throughout the Northeastern, and the best coverages are found in peculiar areas, where the large population centers are located. There was association with the lack of Speech-Language Pathology and Audiology enrolled in the Unified Health System, centers of reference in hearing health and the number of maternities.
Objetivo avaliar as habilidades de manipulação do AASI do tipo open fit em indivíduos deficientes auditivos idosos, por meio do instrumento denominado Practical Hearing Aid Skills Test (PHAST), traduzido como Teste de Habilidades Práticas com Aparelho Auditivo. Métodos no estudo, desenvolvido na Divisão de Saúde Auditiva, participaram 18 idosos (idade entre 60 e 87 anos) deficientes auditivos, sendo 7 homens e 11 mulheres, novos usuários AASI tipo de open fit. Para a metodologia, na primeira etapa a pesquisadora realizou a orientação sobre o AASI aos deficientes auditivos e ao seu cuidador e, na segunda, após aproximadamente 1 mês de uso do dispositivo, foi aplicado o instrumento PHAST, o qual contém 8 questões na forma de tarefas práticas referentes ao manipulação do AASI para classificar a desenvoltura do indivíduo. Resultados foi constatado que nas tarefas referentes à limpeza do AASI e ao uso ao telefone, os indivíduos revelaram maior dificuldade de executá-las expondo as menores pontuações, em contrapartida às tarefas referentes à remoção do AASI e à abertura do compartimento de bateria, os indivíduos realizaram com maior facilidade. Quanto aos resultados do desempenho dos participantes a classificação final foi: 33,33% excelente, 22,22% boa, 27,78% satisfatório e 16,67% pobre. Conclusão 55,55% dos idosos deficientes auditivos realizaram adequadamente as tarefas referentes à manipulação do AASI open fit, obtendo classificação final no instrumento PHAST excelente e boa.
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