DOCSLIB.ORG

Audiology for Malawi

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Audiology for Malawi 22/10/2016 Outline Audiology for Malawi: Creating a sustainable audiology • Sound Seekers • History of audiology in Malawi department in a developing • Sound Seekers’ Malawi project country’s healthcare system • Building infrastructure • Training local staff • Creating standards and protocols • Education Courtney Caron, Au.D, CCC-A • Outreach Renee Garuccio • Building funding sources for self sustainability BSc, DipAudSc, MClinAud, MAudSA, CCP • Advantages/Disadvantages of working within an established healthcare system • Improving access to quality service Sound Seekers History of Audiology in Malawi • Population of Malawi: 17.2 million • Established in 1959 • Prior to 2010: no audiology professionals, extremely limited audiology • UK registered charity services • 2010: Peter & Rebecca Bartlett (EARS, Inc.) established the first • Previously called the Commonwealth Society for the audiology clinic in Lilongwe on the campus of African Bible College in Deaf Lilongwe, ABC Hearing Clinic & Training Centre (ABC HCTC) • Currently work in 5 countries in Africa • Established at a private hospital that serves both private and community patients • Cameroon • Helped to pave the way for the Sound Seekers project in Blantyre • The Gambia • Malawi • Sierra Leone • Zambia • Project in Malawi is the largest in the charity’s history Sound Seekers in Malawi: A history Sound Seekers and Malawi healthcare • 2007: Malawi’s first ENT Dr Wakisa Mulwafu negotiated to have Sound • External NGO establishing an Seekers’ original HARK vehicle moved from Cape Town to Blantyre as it was audiology department within no longer being used in South Africa Queen Elizabeth Central • 2010: Dr Mulwafu meets Sound Seekers’ CEO in London. Hospital, Malawi’s largest public • Sound Seekers assist in funding refurbishing of old HARK hospital • 2011: Sound Seekers funded the first Malawian Audiology Officer to attend • Partnering with the Malawi a one-year training course in Nairobi, Kenya Ministry of Health to work directly within the existing • 2012: First Malawian Audiology Officer returned to Malawi. Another healthcare system Malawian funded by Sound Seekers to attend same course. • A first for Malawi audiology • Sound Seekers team comes to Malawi to begin discussions with Dr Mulwafu, • Memorandum of Understanding Queen Elizabeth Central Hospital administration and Ministry of Health for large in place between MOH and audiology project. Correspondence continues virtually. Sound Seekers • 2013: Sound Seekers team returns to Malawi finalize discussions and • Increasing the level of create a partnership accountability of both parties • July 2014: International audiologist moves to Malawi to begin 4-year project 1 22/10/2016 Building infrastructure: comprehensive QECH Audiology Clinic Comprehensive list of services offered • 3 consultation rooms • Cerumen management • Vestibular screening • Manual extraction, irrigation, • Bedside testing • Adults, Paeds, Auditory suction (January 2017) • Treatment for BPPV (Epley Evoked Potentials • Tympanometry (226 + 1000Hz) maneuverer) • Hearing aid fittings can • Otoacoustic emissions (TE + DP) • Tinnitus assessment/counselling be conducted in any • Comprehensive hearing • Hearing aid fittings with verification assessments and validation measures consultation room as • Conventional, Visual Reinforcement • Traditional and non-surgical bone equipment is portable Audiometry, Conditioned Play conduction hearing aids Audiometry • On-site earmould making • Earmould Laboratory • Auditory evoked potentials • Targeted newborn hearing • Auditory brainstem response screening • Training Room (screening + diagnostic) • Auditory steady state response • Outreach services to southern (sleep-deprived and sedated) region of Malawi • Cochlear Implant evaluation and mapping QECH Audiology Staff Creating standards and protocols for the practice of audiology with the country • Paediatric Diagnostic Audiology protocols • Vestibular protocols • Hearing Aid fitting protocols • Auditory Evoked Potential (AEP) Protocols • Development of Database for data collection • Targeted newborn hearing screening • Sedated AEP testing Planning, implementation, review Moving towards standardization of protocols with only other audiology clinic in the country in Lilongwe (ABC HCTC) Outreach Outreach • Currently partnering with • Audiology services from local NGOs and other otoscopy through hearing organizations such as aid fittings with verification MACHOA (local disability and instant earmoulds to association) who already follow-up services have well established connections in the more rural parts of the southern region. • Future outreaches within the Ministry of Health System (district • Currently approximately 3-5 outreach days a month hospitals, health centres, etc.) • Audio-trailer houses two sound booths for accurate diagnostic assessments in the field. • Runs entirely from a small generator 2 22/10/2016 Building a funding sources for self Working within an established healthcare sustainability system: Disadvantages • • Supplementing services for community patients with funds Bureaucracy received from private patients • Slow moving • Memorandum of Understanding helps to reduce time • Partnering with organizations within and outside Malawi to • Hierarchical structure and protocols, which can be obtain donated supplies, services and professional expertise unclear • Less flexibility in systems and practices • Future development of industrial screenings for large companies and private school screenings to assist with the financial sustainability of the program Working within an established healthcare Working within an established healthcare system: Advantages system: Advantages • Established name • Some costs covered by Ministry of Health • Everyone recognises where you are from • Staff salaries, electricity, water, internet, some consumables • Working within a hospital with many specialties • Established connections • Particularly working closely with ENT and Paediatric departments • Dr Wakisa Mulwafu, Malawi’s first ENT surgeon • Referral hospital for the entire southern region of Malawi • Access to a pool of healthcare professionals for • Better integration of international audiologist. Viewed as further training “one of us” – the Audiology expert in Malawi's Ministry of • Our audiology officers were all nurses except one who Health was an ENT clinical officer • Easier transition for future local audiologists to become the • Already have a medical background and have other skill Audiology experts within MOH sets such as the ability to prescribe medication • Long term sustainability Improving access to quality service The future of QECH Audiology June 2014 January 2016 • October 2016- Malawian Audiologists returned to To 2015 To QECH from University of Manchester December September • 2014 2016 Volunteer audiologist will supervise newly trained audiologists Total number of patients 299 751 1379 • Business management, human resources Clinic patients 299 751 992 responsibilities, financial management, etc. slowly Audiology Outreach patients N/A N/A *387 handed over to office manager and new Children (17 years & under) 96 194 576 audiologists Women 95 219 368 • By July 2018, the Audiology clinic will be run and Infection(s) 11 74 203 supported by local Malawians Patients fit with hearing aid(s) 48 158 191 *Audiology outreach began in June 2016 3 22/10/2016 All of this would not have been possible without…. • The generous support of: Zikomo 4.
Load more

Recommended publications
  • Sound Seekers Helping People with Hearing Loss in Africa
    Sound Seekers Helping people with hearing loss in Africa Programme Manager Job Description www.sound-seekers.org.uk Job Title: Programme Manager Location: London Reporting to: CEO Contract: Full time, Permanent Salary: £33,000 - £35,000 (depending upon experience) Closing Date: 3rd June 2018 Interview Date: 22nd June 2018 Summary Sound Seekers (The Commonwealth Society for the Deaf) is a small charity based in London working in some of the poorest communities in our countries of operation, which include Malawi, Zambia, The Gambia, Sierra Leone and Cameroon. Our mission is to support people with hearing loss realise their rights by enabling access to healthcare and education. We partner with major hospitals, health service providers and schools to establish sustainable hearing care services and improve the quality of education for children with hearing loss. We also work with families and communites to advocate for equal opportunities for people with hearing loss and address the stigma and discrimination associated with hearing loss. Job Purpose: To lead the implementation, development and management of Sound Seekers’ projects currently running across five countries in Africa and be the main point of contact for Sound Seekers’ programmes. Key Responsibilities 1. Programme Management and Development 1.1 Programme delivery • Oversee the delivery of all projects, working closely with local partners in countries of operation. • Oversee the setting-up of new projects, including supporting the recruitment of project staff, developing monitoring and reporting systems and project documents. • Track project activity and expenditure, ensuring project progress and spend. • Work with Sound Seekers Finance and Office Manager to manage transfer of funds to projects to ensure good cash flow management and compliance with internal processes.
    [Show full text]
  • Governments and Organisations Signing the Global Disability Summit Charter for Change
    Governments and organisations signing the Global Disability Summit Charter for Change National Governments Afghanistan Ministry of Labor, Social Affairs, Martyrs and Disabled Australian Government Department of Foreign Affairs and Trade Cameroon Ministry of Social Affairs DRC Ministry of Social Affairs Finland Ministry for Foreign Affairs Ghana Ministry of Gender, Children and Social Protection Government of Andorra Government of Bangladesh Government of Canada, Global Affairs Government of Denmark Government of India, Ministry of Social Justice & Empowerment Government of Jordan Government of Kenya Government of Malawi Government of Malta Government of Mozambique Government of Nepal, Ministry of Women, Children and Senior Citizen Government of Norway Government of Portugal Government of Rwanda Government of Somalia Government of Switzerland Government of Tanzania Government of Uganda Iraq Ministry of Labour and Social Affairs Japan International Cooperation Agency Jordan Higher Council of the Rights of Persons with Disabilities Korea International Cooperation Agency (KOICA) Kyrgyz Republic Ministry of Labour and Social Protection Lebanon Ministry of Education and Higher Education Lesotho Ministry of Social Development Myanmar Ministry of Education Myanmar, Ministry of Social Welfare Relief and Resettlement Namibia Disability Affairs in the Presidency Nigeria Federal Ministry of Women Affairs and Social Development Nigeria Plateau State Nigeria, Jigawa State Rehabilitation Board Pakistan Ministry of National Health Services, Regulations
    [Show full text]
  • Global Health 2018
    GLOBAL HEALTH 2018 ESSENTIAL GUIDE OF ENT PRODUCTS & ENT UK JOURNAL OF GLOBAL HEALTH Recommended by ELS! NARROW BAND IMAGING: CORDS IN THE SPOTLIGHT AT LAST? Join Our Breakfast Symposium at BACO Thursday 5 July 2018, 08:00 - 08:45, Exchange 9, Upper Level, Manchester Central More head and neck cancers are diagnosed every day, majority of them not diagnosed early stage. In the last few years NBI technology, which is already widely used in various endoscopic applications, has also proved to be useful in ENT medicine and in the pre-operative, intraoperative and follow up of patients affected by squamous cell carcinoma in the head and neck area. Come to learn more about evidence of its success and how to practically use it in your clinic. Speakers: Prof. V Paleri (United Kingdom) Prof. C Piazza (Italy) Dr B Plaat (The Netherlands) Olympus Medical UKIE OlympusMedicalEurope KeyMed House, Stock Road, Southend-on-Sea, Essex, SS2 5QH, UK @OlympusMedUKIE Olympus Medical UK&I GLOBAL HEALTH 2018 ESSENTIAL GUIDE OF ENT PRODUCTS & ENT UK JOURNAL OF GLOBAL HEALTH Published in 2018 for ENT UK Global Health Compiled by: Vijay Pothula For information please contact: Vijay Pothula [email protected] 01942 773546 Designed and Printed by: www.beamreachuk.co.uk contents Foreword Tony Narula 7 Brian Bingham 8 Nirmal Kumar 9 Profiles (ENT UK Global Health Committee) 10 Essential Guide Of Ent Products 14 Journal of Global Health 19 Managing Childhood Hearing Loss & Ear Disease in Malawi 19 The role of CBM International in addressing hearing loss among children in low and middle income countries 23 The Britain Nepal Otology Service (BRINOS) 31 Developing Services to Support Children with Hearing Loss in Malawi 34 Paediatric tympanoplasty in developing countries: surgical technique and predictors for success 39 SHRAVANA project working with hearing impaired children in India 49 Conference Report 57 ENT UK GLOBAL HEALTH 2018 7 foreword I am delighted to be asked to write a foreword for this booklet.
    [Show full text]
  • Chindhood Hearing Loss Act Now,Here's How!
    World Hearing Day: 3 March 2016 CHINDHOOD HEARING LOSS ACT NOW,HERE'S HOW! CHILDHOOD HEARING LOSS ACT NOW, HERE’S HOW! Report of activities WORLD HEARING DAY www.who.int/pbd/deafness/world-hearing-day/en World Health Organization This report has been prepared by the China Rehabilitation Research Center for Deaf Children, Beijing, China, in collaboration with the World Health Organization PREVENT to reduce the magnitude of hearing loss IDENTIFY to minimize the impact of childhood hearing loss INTERVENE World Hearing Day: 3to March promote access 2016 to communication and education Childhood hearing loss: act now; here is how Report of activities ACT NOW, HERE’S HOW EMPOWER to ensure participation in society CHILDHOOD on equal basis with others HEARING LOSS World Hearing Day, previously referred to as the International Ear Care Day, is observed on 3 March every year. The aim of the day is to raise awareness of hearing loss, and towww.who.int/pbd/deafness/world-hearing-day/en promote ear and hearing care at a national and community level across the world. Every year, this day addresses a specific theme, and to reflect this, activities are carried out by WHO and its partners. This year the theme for World Hearing Day was Childhood Hearing Loss: Act Now, Here’s How! WHO Headquarters, WHO Regional Offices, Member States and collaborating centres were involved in organizing this day. Around 360 million people- 5% of the world’s population- live with hearing loss which is considered disabling. Of these, nearly 32 million are children, with the majority living in low- and middle-income countries.
    [Show full text]
  • Lucy Carter CEO of Sound Seekers
    HUMANITARIAN NEWS IN CONVERSATION WITH Lucy Carter CEO of Sound Seekers Sound Seekers is a UK based charity, seeking to help deaf people, particularly children, in the poorest communities in the world. The aim is to work in partner- ship with local organisations and institutions to ensure we deliver sustainable and cost-effective projects that advance understanding of deaf people’s needs and improve their access to health services, education, and social support, together with initiatives that enable people to avoid, or overcome, the effects of deafness. Lucy Carter has been the CEO of Sound Seekers since July 2012, having a rich and varied background in management consulting and as a government advisor in both Afghanistan and Rwanda. Her mission is to transform and modernise Sound Seekers, and Lucy has a particular focus on capacity building for hearing health- care professionals in Africa. David Baguley recently caught up with Lucy to find out more about Sound Seekers, and her role in particular. How did you get involved in the loss and how there is so much in field of hearing impairment? between ‘deaf’ and ‘hearing’. I learned It was a completely random piece of about how important talking to people luck. I had absolutely no experience with hearing loss is, that sign language of anyone with hearing loss, except is only part of communication. I for my grandfather having some learned how subtle and beautiful unsurprising age-related loss. I was signing can be, and how much you can preparing to take a year’s unpaid communicate without even that.
    [Show full text]
  • The Commonwealth Plan of Action for Gender Equality 2005 – 2015 the COMMONWEALTH PLAN of ACTION for GENDER EQUALITY 2005-2015
    The Commonwealth Plan of Action for Gender Equality 2005 – 2015 THE COMMONWEALTH PLAN OF ACTION FOR GENDER EQUALITY 2005-2015 Commonwealth Secretariat Marlborough House, Pall Mall, London SW1Y 5HX, United Kingdom ACKNOWLEDGEMENTS The Commonwealth Plan of Action for instrumental in co-ordinating civil society Gender Equality 2005–2015 would not have participation in the process of developing been possible without the invaluable the PoA. They convened the Partners’ contribution of member governments as Forum at 7WAMM which included civil well as numerous partner organisations society organisations (CSOs); and individuals: parliamentarians; magistrates, judges and lawyers; women entrepreneurs; and donor Commonwealth Governments agencies. They also facilitated CSO contributions to the brainstorming and Commonwealth Ministers Responsible for discussion of the first draft of the PoA in Women’s/Gender Affairs took the lead in New York, and the final negotiations at developing the Plan of Action, negotiated 7WAMM. Particular thanks are due to Rudo and agreed the final PoA at their 7th Chitiga, Sharon Robinson, Katie Tiller and Meeting (7WAMM) held in Fiji Islands on 30 Helen Dalton. May – 2 June 2004. A number of Commonwealth associations Heads of National Women’s Machineries contributed to developing the PoA. Thanks brainstormed the PoA and discussed a first are due to Denis Marshall, Niall Johnston draft at their annual meetings held in New and Meenakshi Dhar of the Commonwealth York in 2003 and 2004 in the wings of the Parliamentary Association
    [Show full text]
  • Audiology in Developing Countries
    Review Review AUDIOLOGY IN DEVELOPING COUNTRIES No part of this digital document may be reproduced, stored in a retrieval system or transmitted in any form or Reviewby any means. The publisher has taken reasonable care in the preparation of this digital document, but makes no expressed or implied warranty of any kind and assumes no responsibility for any errors or omissions. No liability is assumed for incidental or consequential damages in connection with or arising out of information contained herein. This digital document is sold with the clear understanding that the publisher is not engaged in rendering legal, medical or any other professional services. Review AUDIOLOGY IN DEVELOPING COUNTRIES BRADLEY MCPHERSON AND RON BROUILLETTE EDITORS Nova Science Publishers, Inc. New York Review Copyright © 2008 by Nova Science Publishers, Inc. All rights reserved. No part of this book may be reproduced, stored in a retrieval system or transmitted in any form or by any means: electronic, electrostatic, magnetic, tape, mechanical photocopying, recording or otherwise without the written permission of the Publisher. For permission to use material from this book please contact us: Telephone 631-231-7269; Fax 631-231-8175 Web Site: http://www.novapublishers.com NOTICE TO THE READER The Publisher has taken reasonable care in the preparation of this book, but makes no expressed or implied warranty of any kind and assumes no responsibility for any errors or omissions. No liability is assumed for incidental or consequential damages in connection with or arising out of information contained in this book. The Publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in part, from the readers’ use of, or reliance upon, this material.
    [Show full text]
  • Report of Activities
    World Hearing Day: 3 March 2017 Report of activities World Health Organization This report has been compiled by Ms Shae Flint of WHO and designed by the China Rehabilitation Research Center for Deaf Children, Beijing, China, in collaboration with the World Health Organization 1 World Hearing Day: 3 March 2017 Activity Report INTRODUCTION World Hearing Day, previously referred to as International Ear Care Day, is observed on 3 March every year. The aim of this day is to raise awareness regarding hearing loss, and to promote ear and hearing care at national and community levels across the world. Every year, this day addresses a specific theme, and to reflect this, activities are carried out by WHO and its partners. The theme for World Hearing Day 2017 was ‘Action for hearing loss: make a sound investment’. This drew attention to the economic impact of hearing loss and cost effectiveness of interventions to address it. Unaddressed hearing loss poses a high cost for the economy globally and has a significant impact on the lives of those affected. Interventions to address hearing loss are available and are cost-effective. Prevention, screening for early identification, rehabilitation through hearing devices, captioning and sign language education are among the strategies which can mitigate hearing loss and its consequences. World Hearing Day 2017 highlighted the need for actions which can be undertaken by decision-makers to address hearing loss at country level. WHO Headquarters, WHO Regional Offices, Member States, collaborating centres and
    [Show full text]
  • Governments and Organisations Signing the Global Disability Summit Charter For
    Governments and organisations signing the Global Disability Summit Charter for Change National Governments Afghanistan Ministry of Labor, Social Affairs, Martyrs and Disabled Australian Government Department of Foreign Affairs and Trade Cameroon Ministry of Social Affairs DRC Ministry of Social Affairs Finland Ministry for Foreign Affairs Ghana Ministry of Gender, Children and Social Protection Government of Andorra Government of Bangladesh Government of Canada, Global Affairs Government of Denmark Government of India, Ministry of Social Justice & Empowerment Government of Jordan Government of Kenya Government of Malawi Government of Malta Government of Mozambique Government of Nepal, Ministry of Women, Children and Senior Citizen Government of Norway Government of Portugal Government of Rwanda Government of Somalia Government of Switzerland Government of Tanzania Government of Uganda Government of United Arab Emirates Iraq Ministry of Labour and Social Affairs Japan International Cooperation Agency Jordan Higher Council of the Rights of Persons with Disabilities Korea International Cooperation Agency (KOICA) Kyrgyz Republic Ministry of Labour and Social Protection Lebanon Ministry of Education and Higher Education Lesotho Ministry of Social Development Myanmar Ministry of Education Myanmar, Ministry of Social Welfare Relief and Resettlement Namibia Disability Affairs in the Presidency Nigeria Federal Ministry of Women Affairs and Social Development Nigeria Plateau State Nigeria, Jigawa State Rehabilitation Board Pakistan Ministry of National
    [Show full text]
  • Towards a Common Future for Education
    Towards a Common Future for Education A report commissioned by the Commonwealth Consortium for Education John Kirkland February 2018 Foreword This study of future possible directions for Commonwealth educational co-operation has been commissioned by the Commonwealth Consortium for Education (CCfE), a grouping of Commonwealth voluntary and professional organisations in the fields of education, youth and culture. On the eve of the 20th Conference of Commonwealth Education Ministers in Fiji in February 2018, and the ensuing Commonwealth Heads of Government Meeting in London in April, this report is intended as a conversation starter to stimulate constructive dialogue on how educational collaboration can be enhanced through partnerships among (and beyond) members of the Commonwealth family. The combined resources of Commonwealth organisations and programmes in the education sector represent some of the Commonwealth’s greatest assets. Consortium members believe there is great potential for mobilising these in the pursuit of Commonwealth objectives in the framework of global efforts to achieve the Sustainable Development Goals. The need for a stocktaking of Commonwealth education potential is given fresh urgency by significant reductions in the Commonwealth Secretariat’s allocations for education work and its consequent calls for greater partnership working. Now is therefore a key moment for the Secretariat and its civil society partners to work together to identify new modes of engagement and cooperative mechanisms that strengthen both the Secretariat’s contribution to education and that of its civil society partners who rely on the Secretariat for leadership, guidance, information, and for its brokerage services in facilitating access to governments and international organisations. We believe that Commonwealth effectiveness in education is most readily realised through productive partnerships between Commonwealth member governments, its intergovernmental organisations and Commonwealth associations.
    [Show full text]
  • Committee of the Whole Meeting with Accredited Commonwealth Organisations
    Committee of the Whole Meeting with Accredited Commonwealth Organisations Submission by Commonwealth Civil Society Organisations 20 October 2015, Marlborough House Contents Background 1 Finding Commonwealth Solutions: Climate Change and the Blue Economy 2 Freedom of Expression in the Commonwealth: Rights and Responsibilities 6 The Implementation of the Sustainable Development Goals: Commonwealth Economic and Social Values 10 Civil Society: Adding Value in the Commonwealth 12 Civil society in action 16 Annex I: Profiles of the Commonwealth Accredited Organisations 20 Meeting of Commonwealth Accredited Organisations \ 1 Background A reformed approach has been adopted in 2015 to the traditional interaction between accredited Commonwealth organisations and senior representatives of member governments, which occurs on the eve of the meeting of the Committee of the Whole. The reforms have aimed to strengthen the relevance of the contributions made by accredited organisations before the Communique of the Commonwealth Heads of Government Meeting (CHOGM) is developed through intergovernmental discussion. Specifically, the accredited Commonwealth organisations met and decided that, rather than making individual submissions as in the past, they would develop four short thematic papers collectively, which reflect their shared views and suggestions, and which broadly reflect the priority themes that are likely to be reflected in leaders’ discussions at the CHOGM. The four thematic papers are: yyFinding Commonwealth Solutions: Climate Change and the
    [Show full text]
  • British Overseas Ngos for Development (BOND)
    Company number: 3395681 Charity Number: 1068839 British Overseas NGOs for Development (BOND) Report and financial statements For the year ended 31 March 2017 British Overseas NGOs for Development (BOND) Contents For the year ended 31 March 2017 Reference and administrative information ...................................................................................... 1 Trustees’ annual report .................................................................................................................. 9 Independent auditor's report ........................................................................................................ 25 Statement of financial activities (incorporating an income and expenditure account) ................... 29 Balance sheet ............................................................................................................................... 30 Statement of cash flows……………………………………………………………………………………….……31 Notes to the financial statements ................................................................................................. 32 British Overseas NGOs for Development (BOND) Reference and administrative information For the year ended 31 March 2017 Company number 3395681 Charity number 1068839 Registered office and operational address Society Building 8 All Saints Street London N1 9RL British Overseas NGOs for development (also trading as Bond) Country of incorporation: United Kingdom Country of registration: England and Wales Trustees Trustees, who are also directors under company
    [Show full text]