WHO Programme for Prevention of Deafness And Hearing Impairment

WHO PRIMARY EAR AND HEARING CARE TRAINING RESOURCE

Vancouver, Canada2 – 6 July 2008

Ms Sally HarvestEducation Consultant

WHO WHO

PRIMARY EAR & PRIMARY EAR & HEARING CARE HEARING CARE

TRAINING TRAINING RESOURCERESOURCE

Student’s WorkbookStudent’s Workbook- Intermediate Level- Intermediate Level

PEHC Home Page: http://www.who.int/pbd/deafness/activities/hearing_care/en/index.html

Developing an appropriate training

resource• WHO – 278 million have disabling

hearing impairment• Estimated 50% is preventable• 1 ENT per 2 million population in

developing countries (IFOS)• PHC workers lack training, equipment

& facilities

Project Aim

• Develop appropriate materials for the training of Health Care Workers in Primary Ear & Hearing Care

Generic Training Resource

• Modular – select relevant modules for

training specific groups

• Flexible – can be added to….

• Adapt for specific countries – Health

Authorities criteria

Project Objectives

Produce a knowledge & skills-based training resource

Produce outcomes based training resource

Develop (culturally) appropriate materials

Ensure that training materials can be utilized as a key resource in the workplace

Establish content of training manual using the Delphi Technique

Delphi Technique

An information gathering technique

Elicits information and judgements from participants

Facilitates problem-solving, planning & decision-making

PHC experts recruited globally

Reduces costs without jeopardising participation

Advantages - Delphi tech

Input from experts

Reliability – get what you want every time

Relevance - inclusion of necessary knowledge & skills Consensus reached

Cost effective

Participating organisations:

• IFOS – Int. Federation of oto-rhinolaryngological societies • HI - Hearing International • IFHOH • International Society of Audiology• Univ of Manchester - Centre Human communication• WHO – Collaborating Centres • CBM

Advisory Committee

32 Countries

Field testing: PEHC training resource

• India & Nigeria

Why?• Not office based• Identify training needs of dev countries• Include locals – participation• Encourage ownership of training resource• Ensure culturally appropriate training

GLOBAL INITIATIVE

LAUNCH

STRATEGIC PLANNING

TRAIN THE TRAINERS

Completed to Date:NigeriaColombiaKenya

Making an impact

Through the development of the outcomes-based, interactive teaching resource it is hoped that PHC workers will become competent ……

Primary Ear & Hearing Care Workers

PEHC Training Resource

• Aimed at primary level health workers in developing countries

• Simple, effective methods - reduce burden of ear disease & hearing disorders

• Prevention, treatment & management

• Outcomes based training

Launched 7 March ‘06 on WHO web

So….what do these Training Resources consist of?

RESOURCES:

• Basic level - village health workers

• Intermediate trainer’s manual

& Intermediate student’s workbook

• Advanced level (experienced PHC workers)

BASIC RESOURCE

Raises Awareness: • Need for ear hygiene• How to prevent common ear &

hearing disorders• Reasons for hearing impairment• How to encourage communication

with deaf/hard of hearing• Management & possible solutions

(ear/hearing)

Basic Resource

PEHC Home Page: http://www.who.int/pbd/deafness/activities/hearing_care/en/index.html

Page from Basic level Manual

Intermediate Resource Contents - Modules

1. Structure & function of the ear

2. Hearing Impairment & Deafness: causes & prevention

3. The Outer ear: examine, treat, refer

4. The ear canal: examine, diagnose, clean

5. The Middle ear: examine, diagnose, treat

6. Assessing hearing & counselling

7. Hearing aids

By the end of this module the Health Care Worker should be able to:

• Explain why hearing is important

• Recognise and name the parts of the ear

• Explain the function of the ear

• Explain the path sound travels through the ear

• Explain how people hear

STRUCTURE OF MODULES

Trainer’s manual• Title• Graphic(s)• Outcomes• Terminology• Pre-test (with

answers)• Preparation• Activity symbols• Content• Post-test (with

answers)

Student’s workbook• Title• Graphic(s)• Outcomes• Terminology• Pre-test• Activity symbols• Content• Post-Test

ADVANCED RESOURCEContents - Modules

1. Prevalence, Causes & Prevention of deafness

2. Examination of the ear

3. Detection & Testing of Hearing Impaired

4. Ear conditions – diagnosis & treatment

5. Ear operations

6. Noise-induced h/impairment & hearing conservation

7. Aural rehabilitation & Deaf Education

8. Hearing Aids

Performance testing Prof Valerie Newton

Tester’s 2nd Position Tester’s 3rd Position

TableTester in 1st Position

Child Parent or carer

1m

Aural RehabilitationCommunication Methods - Deaf

Education

• Oral / Aural (HOH Deaf wearing H/Aids with good speech)

• Total

Communication

• Bilingual-Bicultural

• develop listening, speech & speech reading skills

• Speech & signing

• 1st language (local sign language)

Other languages thru’ reading & writing

EAR OPERATIONS

Minor operations

• myringotomy• insertion of

grommets

Patient information

• Grommets

Patient infoTYMPANOPLASTY (MYRINGOPLASTY and

OSSICULOPLASTY) Explanation: Hearing loss for some time could

be caused by a hole in the eardrum that doesn’t heal.

Description of procedure……

Levels of training INTERMEDIATE RESOURCE

1. Structure & function of the ear

2. Hearing Impairment & Deafness: causes & prevention

3. The Outer ear: examine, treat, refer

4. The ear canal: examine, diagnose, clean

5. The Middle ear: examine, diagnose, treat

6. Assessing hearing & counselling

7. Hearing aids

ADVANCED RESOURCE

1. Prevalence, Causes & Prevention

2. Examination of the ear

3. Detection & Testing of H/Impaired

4. Ear conditions diagnosis treatment

5. Ear operations

6. Noise-induced hearing impairment & hearing conservation

7. Aural rehabilitation and Deaf Education

8. Hearing Aids

INTERACTIVE PARTICIPATION

Primary Health Care Workers

Become competent Primary Ear & Hearing Care Workers

Demonstrate an understanding of Primary Ear & Hearing Care

Confidently identify & manage common ear disease & hearing impairment

Fulfil a vital role in decreasing the number of hearing impaired people

Talk...talk…talk...talk… talk about H/Loss