“…These approaches show promise in other low-income countries, but require the availability of precise equipment and trained audiologists, which remains a challenge in many low-income schools and school districts. Similarly, studies of hearing impairment prevalence found that Nigeria (Fasunla, Samdi, & Nwaorgu, 2013), Kenya (Hatcher et al, 1995), and India (Singh & Kumar, 2010) all relied on clinic, hospital, or health center personnel to conduct the screenings.…”