WHY SHOULD

WE JOIN

HAND ?

APPROACHING COMMUNITIES

THROUGH PUBLIC PRIVATE PARTNERSHIP

By Dr. Rohit Mehrotra

PRESENT SCENARIO

Hearing loss is the most common deficiency in human today.

As per WHO estimates in India there are 63 million people suffering from significant auditory impairment.

Estimated Prevalence 6.3% in Indian population.

PREVALENCE OF COMMUNICABLE DISEASES HAS REDUCED FROM 56% TO 27% WHILE INCIDENCE OF NON CIOMMUNICABLE DISEASES HAS INCREASED FROM 26% TO 57%.

SO FOCUS ON NONCOMMUNICABLE DISEASE IN THE NEXT DECADE IS IMPORTANT

EVERY CHILD BORN SHOULD BE SCREENED FOR HEARING EHDI (EARLY NEWBORN SCREENING FOR HEARING LOSS AND INTERVENTION)

Any child that is born is tested for deafness everywhere in the United States.

“Of course follow-up, such as with intervention and amplification, is also critical. In India, many children are born with hearing loss that is medically treatable, so in a matter of a few months, many children can be helped just with intervention or surgery.

Deafness: IssuesDeafness Issues are not community priorities. Access barriers

PhysicalFinancial Behavioral Information

Lack of integration of ear care in wider health systems

Resigning to the fate No community ownership

50% CAUSES OF HEARING LOSS ARE PREVENTABLE AND REST ARE TREATED BY SURGERY OR REHABILITATED BY HEARING AIDS AND SPEECH THERAPY

National Programme for prevention and control of Deafness take a pledge to reduce the total disease burden by 25% of the existing burden by the end of eleventh five year plan and the National programme agrees to work with the organizations working for Deafness .

Dr. S.N. Mehrotra Memorial ENT Foundation Organize screening camps.

On screening - identification and ensure complete management of hearing impairment and deafness cases.

Ensured management of speech impaired cases and rehabilitation.

IEC activities for early identification of hearing impaired specially the children so as to ensure timely management.

OUR ACHIVEMENTS THROUGH

VISUAL JOURNEY

PILOT PROJECT FOR ONE DISTRICT OF UP KANPUR DEHAT

Demographic Characteristics of Kanpur Dehat Population 1,563,336, Gram sabha- 602, No. of villages 1032 Population

density 415.8 % Urban/Rural 6.91 / 93.09 Literacy Rate ( M & F)66.4 No. of schools/lakh population 93

PREVALENCE OF DEAFNESS 6.3%APPROX 1.1 LAKH

Interventions CONDUCT SCREENING CAMPS AND IDENTIFY

CHLIDREN AND ADULTS WITH DEAFNESS

PROVIDING INSTANT SOLUTIONS TO THOSE REQUIRING MEDICAL TREATMENT

SELECTING PATIENTS REQUIRING HEARING REHABILITATION / AID

SELECTING PATIENTS REQUIRING SURGERY

SCREENING CAMPSTWO MOBILE VANS CONVERTED INTO AN ENT

AND AUDIOLOGY SETUPFIRST VAN PATIENTS WILL BE SEEN BY ENT

SURGEONSECOND VAN PATIENTS WILL BE TESTED FOR

HEARING LOSS WITH FACILITIES OF PURE TONE AUDIOMETRY, IMPEDANCE, BERA, OAE, HEARING AIDS TRIAL

DURING SCREENING PATIENTS WITH MEDICAL AILMENTS WOULD BE TREATED LIKE WAX, FUNGUS, ACUTE INFECTIONS.PATIENTS WOULD BE PROVIDED WITH MEDICINES.

PATIENTS REQUIRING TESTING WOULD BE SENT TO AUDIOLOGIST FOR TESTING

PATIENTS IDENTIFIED WITH DEAFNESS WOULD BE TREATED BY SURGERY OR REHABILITATION

PATIENTS REQUIRING SURGERY WOULD BE BROUGHT TO MAIN CENTRE AT KANPUR AND SURGERY DONE

PATIENTS REQUIRING HEARING REHABILITATION WOULD BE DONE AT THE CAMP ITSELF ,FOLLOW UP WOULD BE AT THE MAIN CENTRE

INITIALLY ONE CAMP PER DAY WOULD BE PLANNED

ONE CAMP WOULD SCREEN 100 PATIENTS

SURGERY WOULD RANGE FROM MYRINGOPLASTY, MASTOIDECTOMY, STAPEDOTOMY, TORP, PORP TO COCHLEAR IMPLANTS

HEARING AIDS WOULD RANGE FROM BODY AIDS TO BTE ,CIC AND IMPLANTS

“Every child must be insured the best start in life – their future ,and indeed the future of their communities, nations and the whole world depends on it”

YES WE SHOULD

THANK YOU