Cochlear implantation in Malawi: report of the first four cases

Mulwafu, Wakisa; Strachan, David; Bartlett, Ronald Ernest; Caron, C

doi:10.1017/s0022215117001724

Cited by 7 publications

(5 citation statements)

References 7 publications

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“…The global evidence indicates that early treatment for CSOM involves inexpensive topical antibiotics and ear cleaning and has been reported to be managed by non-specialists in appropriately equipped local or regional health facilities. 5 A model utilising community healthcare workers has been used to deliver ear and hearing care in other low resource settings, [53][54][55] although the current structure to support such workers in Cambodia is somewhat fragmented. 56 Community healthcare workers have been an essential link between health centres and the community and are seen as key for health education and promotion of prevention activities.…”

Section: Discussionmentioning

confidence: 99%

Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences

Waterworth

Watters²,

Sokdavy³

et al. 2022

J. Laryngol. Otol.

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Objective Chronic suppurative otitis media is a major global disease disproportionately affecting low- and middle-income countries, but few studies have explored access to care for those with ear and hearing disorders. Method In a tertiary hospital in Cambodia providing specialist ear services, a mixed method study was undertaken. This study had three arms: (1) quantitative analysis of patients undergoing ear surgery, (2) a questionnaire survey and (3) semi-structured in-depth interviews. Results Patients presented with advanced middle-ear disease and associated hearing loss at rates that are amongst the highest per capita levels globally. Patients reported several structural, financial and socio-cultural barriers to treatment. This study showed a significant burden of ear disease in Cambodia, which reflects a delay in receiving timely and effective treatment. Conclusion This study highlights the opportunity to integrate effective ear and hearing care into primary care service provision, strengthening the package of activities delivered at government facilities.

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Section: Discussionmentioning

confidence: 99%

Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences

Waterworth

Watters²,

Sokdavy³

et al. 2022

J. Laryngol. Otol.

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“…Children with severe to profound bilateral deafness are increasingly likely to receive cochlear implants (CIs) in infancy/toddlerhood. Already considered the standard of care in most advanced economies (Sorkin, 2013), cochlear implantation is beginning to expand to emerging economies as well (Adoga, Nwaorgu, Anthis, & Green, 2014;Emmett et al, 2015;Harris, M. S. & Dodson, 2017;Mulwafu, Strachan, Bartlett, & Caron, 2017;Saunders et al, 2015). Recent, large-scale studies of spoken language outcomes in pediatric CI recipients have been conducted in Australia and the United States.…”

mentioning

confidence: 99%

Deaf children need language, not (just) speech

2019

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Deaf and Hard of Hearing (DHH) children need to master at least one language (spoken or signed) to reach their full potential. Providing access to a natural sign language supports this goal. Despite evidence that natural sign languages are beneficial to DHH children, many researchers and practitioners advise families to focus exclusively on spoken language. We critique the Pediatrics article ‘Early Sign Language Exposure and Cochlear Implants’ (Geers et al., 2017) as an example of research that makes unsupported claims against the inclusion of natural sign languages. We refute claims that (1) there are harmful effects of sign language and (2) that listening and spoken language are necessary for optimal development of deaf children. While practical challenges remain (and are discussed) for providing a sign language-rich environment, research evidence suggests that such challenges are worth tackling in light of natural sign languages providing a host of benefits for DHH children – especially in the prevention and reduction of language deprivation.

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“…In Africa, cochlear implants are very popular in Egypt and South Africa 16 , 17 . It has also been pioneered in less developed African countries like Libya and Malawi 18 , 19 . Our review explores the experiences of different centres with CI in Nigeria.…”

Section: Discussionmentioning

confidence: 99%

Overcoming developing-world challenges in cochlear implantation: A Nigerian perspective

Jesuyajolu,

Obuh,

Edeh

2023

Annals of Medicine &Amp; Surgery

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The emergence of cochlear implantation (CI) in the mid-20th century was a transformation to the field of restorative otology. The advance in this field has not been felt in lower-income countries where a huge burden of profound hearing loss lies. We sought to review the literature on the practice of cochlea implantation in Nigeria. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews, we conducted a scoping review of the literature on CI in Nigeria. All observational studies with information on cochlear implants and/or implantation in Nigeria were included with no limitations on outcomes. We extracted the following data; age, sample size, sex, aetiology, outcome, type of devices, complications, challenges and the location of the surgery. The results were pooled and reported as frequencies and percentages. Three studies were utilised in this review. The study included 25 patients. The age of the identified patients ranged from 1.2 months to 63 years. There were slightly more males than females (52% males). The most common aetiology of deafness in the participants was following a febrile illness (40%), followed by deafness post-meningitis (24%). The challenges identified included high cost, lack of full rehabilitative facilities and staff, scepticism, and lack of funding. CI remains the most effective for those that are profoundly deaf. Although successful CI programmes exist in Nigeria, the number of implant programmes and the affordability are not yet commensurate to the needs of the entire Nigerian population.

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Cochlear implantation in Malawi: report of the first four cases

Cited by 7 publications

References 7 publications

Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences

Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences

Deaf children need language, not (just) speech

Overcoming developing-world challenges in cochlear implantation: A Nigerian perspective

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