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Original Articles

Maternal views on infant hearing loss and early intervention in a South African community

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Pages S44-S48 | Received 23 Apr 2008, Published online: 07 Jul 2009
 

Abstract

Parental knowledge and attitudes regarding infant hearing loss are crucial to the successful implementation of EHDI programs, especially in developing countries where concerns have been raised of cultural-based ignorance and resistance towards childhood disabilities. This study investigated maternal knowledge and attitudes amongst 100 South African mothers accessing the public healthcare system using a face-to-face survey. The questionnaire (16 items) probed knowledge of infant hearing loss, superstitious cultural beliefs, and attitude towards early detection and intervention for hearing loss. Results indicate that more than 50% of the sample correctly identified three common etiological factors (ear discharge, medication, congenital) for infant hearing loss. At least one superstitious cultural belief regarding a possible cause of hearing loss was held by 57%. Maternal attitude was overwhelmingly positive with 99% indicating the desire to have their baby's hearing screened after birth and a high acceptance of hearing aids. The study demonstrates a need for increased maternal awareness regarding infant hearing loss but also a readiness for implementation of EHDI programs.

Abbreviations
EHDI=

Early hearing detection and intervention

HL=

Hearing loss

Abbreviations
EHDI=

Early hearing detection and intervention

HL=

Hearing loss

El conocimiento y las actitudes de los progenitores en relación con la hipoacusia infantil son cruciales para la implementación exitosa de programas de EHDI, especialmente en países en desarrollo donde han surgido preocupaciones sobre ignorancia y resistencia cultural hacia la discapacidad en la niñez. Este estudio investigó el conocimiento y las actitudes de 100 madres sudafricanas que acudieron al sistema de salud pública utilizando una encuesta cara a cara. El cuestionario (16 items) midió el conocimiento sobre la hipoacusia infantil, creencias culturales supersticiosas, y actitudes hacia la detección temprana y la intervención en los trastornos auditivos. Los resultados indican tres factores etiológicos comunes (supuración ótica, medicamentos, y congénitos) para la hipoacusia infantil. Al menos un 57% mostró una creencia cultural supersticiosa relacionada con la posible causa de un trastorno auditivo. La actitud materna fue impresionantemente positiva pues un 99% indicó el deseo de que su bebé fuera evaluado auditivamente después del nacimiento, así como una alta aceptación de los auxiliares auditivos. El estudio demuestra la necesidad incrementar la conciencia materna sobre la hipoacusia infantil pero también de una buena disposición para implementar programas de EHDI.

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