Keywords
Hearing Health
Primary Care
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Abstract
Objective: To analyze the role of community health agents in the management of hearing health in Primary Care. Methods: In December 2023, an integrative literature review was conducted using articles published in the last five years, available in the Virtual Health Library. The search strategy returned 126 articles, of which 11 were included. The category variables evaluated were: casuistry, training time, testers, environmental conditions, feedback and training methodology. Results: 9 studies prioritized school-age children and only 2 included children under 2 years of age; Ten studies focused on hearing screening and diagnosis, with only 1 dealing with health promotion. Most of the studies were developed with smartphone hearing screening with Hands-on training of Community Health Agents (CHA). However, all the studies make it clear that the work of the CHWs was successfully carried out by the training programs, with good results and even increasing adherence to the follow-up of children with hearing loss, due to their proximity to the community. Conclusion: Community agents can be a fundamental link in the decentralization of the management of children's hearing health in Primary Health Care.
References
ARAÚJO ES, et al. Community health worker training for infant hearing health: Effectiveness of distance learning. International Journal of Audiology, 2013; 52(9): 636-641.
BRASIL. Ministério da Saúde (MS). Lei nº 10.507, de 10 de julho de 2002. Cria a profissão de Agente Comunitário de Saúde e dá outras providências. Diário Oficial da União 2002; 10 jul.
BUSH ML, et al. Disparities in access to pediatric hearing health care. Curr Opin Otolaryngol Head Neck Surg., 2017; 25(5): 359-364.
DAWOOD N, et al. Mhealth hearing screening for children by nonspecialist health workers in communities. International Journal of Audiology, 2021; 60(S1): S23–S29.
DHARMAR M, et al. Reducing loss to follow-up with & tele-audiology diagnostic evaluations. Telemed J E Health, 2016; 22: 159– 164.
EKSTEEN S, et al. Hearing and vision screening for preschool children using mobile technology, South Africa. Bull World Health Organ. 2019; 97: 672–680.
FAISTAUER M, et al. Etiology of early hearing loss in Brazilian Children.Brazilian Journal Of Otorhinolaringology, 2022; 88(S1).
FRISBY C, et al. m-Health Applications for Hearing Loss: A Scoping Review. Telemed. J. E Health, 2022, 28: 1090–1099.
GANONG LH. Integrative reviews of nursing research. Res Nurs Healt, 1987; 10(1): 1-11.
HARTZLER AL, et al. Roles and functions of Community Health Workers in Primary Care. Ann Fam Med., 2018; 16(3): 240–245.
JAYAWARDENA ADL. Community health worker-based hearing screening on a mobile platform: A scalable protocol piloted in Haiti. Laryngoscope Investigative Otolaryngology. 2020; 5: 305–312.
JOINT COMMITTEE ON INFANT HEARING. Year 2000 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics, 2000; 106(4): 798-817.
JOINT COMMITTEE ON INFANT HEARING. Year 2019 position statement: principles and guidelines for early hearing detection and intervention programs. J Early Hear Detect Interv., 2019; 4(2): 1-44.
KENNEY MK e KOGAN MD. Special needs children with speech and hearing difficulties: prevalence and unmet needs. Acad Pediatr., 2011; 11(2): 152-160.
LEONG S, et al. Community Health Worker Intervention for Newborns Not Passing Initial Universal Hearing Screening. Annals of Otology, Rhinology & Laryngology, 2023; 133(2).
LIEU JEC, et al. Hearing Loss in ChildrenA Review. JAMA, 2020; 324(21): 2195-2205.
MINNAERT J, et al. CSHCN with hearing difficulties: disparities in access and quality of care. Disabil Health J. 2020; 13(1): 100798.
NEUMANN K, et al. Newborn Hearing Screening Benefits Children, but Global Disparities Persist. J Clin Med., 2022; 11(1): 271
NOGUEIRA ML. Expressões da precarização no trabalho do agente comunitário de saúde: burocratização e estranhamento do trabalho. Saude Soc., 2019; 28(3): 309-323.
O'DONOVAN J et al. The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature, 2019; 4(2): e001141.
PAGE MJ, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 2021; 342(71): 1-9.
RAMKUMAR V, et al. Cost and outcome of a community-based paediatric hearing screening programme in rural India with application of tele-audiology for follow-up diagnostic hearing assessment. International Journal of Audiology. 2018, p. online: 1–8
RAMKUMAR V, et al. Implementation and evaluation of a rural community-based pediatric hearing screening program integrating in-person and tele-diagnostic auditory brainstem response (ABR). BMJ Global Health, 2019; 4(2): e001141.
SAUNDERS JE, et al. Community health workers and mHealth systems for hearing screening in rural Nicaraguan schoolchildren. Journal of Global Health. 2022; 12: 1-12.
SHINN JR, et al. Community health workers obtain similar results using cell-phone based hearing screening tools compared to otolaryngologists in low resourced settings. International Journal of Pediatric Otorhinolaryngology. 2019; 127: 109670.
SILVA CLF e JORGE TM. Educação Permanente em Saúde na atenção primária: percepções de trabalhadores sobre conceito e prática. Medicina, 2023; 56(2): e-196780.
THE LANCET. Hearing loss: Time for sound action. Lancet, 2017; 390: 2414.
VAN WYK T, et al. Supporting hearing health in vulnerable populations through community care workers using mHealth Technologies. International journal of audiology, 2019; 58(11).
WHITTEMORE R e KNAFL K. The integrative review: updated methodology. J Adv Nurs [Internet]. 2005 [acesso em 2021 dez. 09]; 52 (5): 546-53. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16268861/
WHO. Childhood hearing loss Strategies for prevention and care. 2016. Disponível em: https://www.who.int/docs/default-source/imported2/childhood-hearing-loss--strategies-for-prevention-and-care.pdf?sfvrsn=cbbbb3cc_0. Acessado: 13 de fevereiro de 2024.
WHO. Deafness and hearing loss. Disponível em: https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss. Acessado: 2 de fevereiro de 2024.
WILSON B, et al. “Global Hearing Health Care: New Findings and Perspectives.” The Lancet, 2017; 390(10111): 2503–2515.
YANCEY KL. Et al. Pediatric hearing screening in low-resource settings: Incorporation of video-otoscopy and an electronic medical record. International Journal of Pediatric Otorhinolaryngology, 2019; 126: 109633.
YOUSUF-HUSSEIN S, et al. Community-based hearing screening for young children using an mHealth service-delivery model. Glob Health Action, 2018; 11(1): 1467077.
YOUSUF-HUSSEIN S, et al. Knowledge and attitudes of early childhood development practitioners towards hearing health in poor communities. International Journal of Pediatric Otorhinolaryngology, 2018; 106: 16-20.