Ear camp reports

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C L I N I C 1 9 O C T O B E R 2 0 1 2

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T I L L T H E W O R L D H E A R S

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It gives me pleasure to write this, the first Chairman’s

Statement, on reports concerning WIZEAR activities

for 2012. Since its launch in 2008, WIZEAR did not

underestimate the arduous task it was embarking on.

Faced with a host of problems in our country Zim-

babwe and restrained financial resources at the dis-

posal of Wizear, the road was not going to be easy.

However driven with our common passion to do some-

thing to improve the plight of the people with hearing

impairment and deafness in our country and beyond,

launch we did and with it opened up an exciting jour-

ney culminating to date in the many activities covered

in these WIZEAR Trust Ear Camp Reports. The journey

has only begun for us, the enthusiasm in our team is

palpable and the tasks ahead are almost insurmount-

able.

Remaining true to our operating model where WIZEAR

is a fountain of knowledge which leaves poor margin-

alised communities with world class hearing health-

care institutions and service providers. We at WIZEAR

believe we will leave an indelible mark on Hearing

Impairment and deafness programs.

The Ear Camp reports of 2012 make an interesting

and enriching read. Enjoy.

Sincerely,

Dr. Clemence Chidziva

MBChB (UZ), FC ORL (SA)

Founder and Chairman- The WIZEAR

Trust

C H A I R M A N S S T A T E M E N T

TILL THE WORLD HEARS

L E O N A R D C H E S H I R E

W E S T W O O D H A R A R E Z I M B A B W E :

H E A R I N G I N P A I R M E N T W O R K S H O P : 2 4 - 2 5 F E B R U A R Y 2 0 1 2

Page 3 E A R C A M P R E P O R T S

The workshop for teachers of students with hearing impairment was held on 24 - 25 February 2012 at Leonard Cheshire – West-

wood in Kambuzuma, Harare. The workshop was financed by WIZEAR TRUST, Leonard Cheshire, Save the Children Zim-

babwe and the Ministry of Education, Arts, Sports and Culture.

DAILY PROCEEDINGS

The workshop was officially opened by the director, division of special needs education Mrs Maisiri. She emphasized on the

four functions of the division which are to advise all special programs in the schools, procure and provide materials for special

needs education, monitoring standards and provision of the necessary human resources in schools.

After Mrs Maisiri’s opening remarks, Dr Chidziva gave a

lecture on anatomy and diseases of the ear. A detailed lecture

was presented using power point. The second lecture was on

types of hearing loss and identification of pupils with hear-

ing impairment. This was a paper which was prepared by

Tinashe Nhokwara an audiologist with the University of

Cape Town now pursuing her Masters degree in audiology

with the same university. After these lectures, the rest of the

day was devoted to practical lessons which involved using

the audiometer and otoscope in ear examining and screening.

There were three groups of pupils from Chitungwiza, Wedza

and Mhangura which had the privilege of being examined.

On the second day the main activities covered were, a lecture

on classroom management which was presented by Ms Mimi

from Emerald hill, demonstration on the use of audiometer,

completing the questionnaire and presentation of audiometer

to districts. The focus on classroom management was on the classroom physical environment, pupil to pupil interactions,

teacher to pupil interaction, parental guidance and types of records. A number of tips were given to teachers for them to

observe when teaching pupils with hearing impairment.

After the classroom management lecture, practical lessons continued

and participants were divided into two groups to practice on using

the audiometer. After the exercise there was a question and answer

session. This was followed by the completion of an evaluation

questionnaire by the participants


Page 4

ANALYSIS OF THE EVALUTION QUESTIONNAIRE

Twenty two participants completed the questionnaire,

eleven males and eleven females. Their academic

qualifications ranged from ‘O’ level to a degree. Pro-

fessional qualifications ranged from a diploma in spe-

cial education to a degree in special needs education,

only one had a masters degree. They were 21 qualified

teachers and one psychologist. All provinces were

represented although the majority came from Matabele-

land. Invitation to the workshop was at short notice, the

majority being invited one week before the workshop.

On the venue the majority indicated that it was very

suitable although the room was too small. The meals

were very good while accommodation facilities were

considered good. Almost all participants indicated that

the content of the workshop was very relevant and ap-

propriate to their work. They liked most the ‘hands on’

approach. They also commented that the content had adequate detail to enable them handle children with hearing impairment

with confidence in their various schools. The idea of Booths in districts was highly appreciated. However, they indicated that

there was need for booths in every district.

The topics/ content identified by the participants to be in a training manual included all the content covered during the work-

shop plus the following:

Sign language

Signs and symptoms of hearing impairment

Teaching methods of pupils with hearing impairment

Language development

Role of the teacher in interacting with parents of pupils with

hearing impairment

Detailed treatment of classroom management

Community awareness







RECOMMENDATIONS

1. Need for more time for hearing impairment candidates in national examinations.

2. Teachers of special needs education should mark scripts of special needs

candidates.

3. When ranking schools in examination results, special schools should be ranked

separately from the main stream schools.

4. All ECD pupils and Grade one pupils should have a hearing screening test.

5. There is need to continue in

service teachers of special

classes in the light of new de-

velopments.

CLOSURE

Three things happened during this time, which

were, presentation of certificates, presentation

of audiometers to the four districts and closing

remarks by the director Mrs Maisiri.

The representative of Save the Children Zim-

babwe Mr. Masawi gave a brief history of the

organization and he emphasized the four main

focus areas of the organization which are:

Education ( ECD and basic educa-

tion / primary education )

Children’s rights

HIV and AIDS

Humanitarian

He then presented the audiometers to the four districts.

After the presentation of audiometers there was the presentation of certificates by the WIZEAR repre-

sentative. Participants did not go with their certificates since they had not yet been signed by the perma-

nent secretary.

Lastly the director gave closing remarks. She asked the participants to go back to their stations

and complete the T & S forms and then send them back to her office for processing.

“When ranking

schools in

examination

results, special

schools should

be ranked

separately

from main

stream

schools.”





Musami

Mission was

an ideal place

because it

has a Hearing

Impairment

unit, Hospital,

Primary

school and a

Church.


INTRODUCTION

The second WizEar training workshop this year, for

teachers of students with special needs was held on 16 /

03 / 12 at St. Paul’s Musami Primary School. The

workshop was organized and sponsored by the WizEar

Trust. The workshop was attended by 5 WizEar staff, 3

officers from Murewa District Education Office, 5

health personnel from St. Paul’s Musami Mission hos-

pital and 23 teachers from Murewa district. Three of

the teachers were from Musami Primary School and the

other 20 were representatives from the 20 clusters in

Murewa District. A cluster is a group of 6 to 7 schools

geographically located within a radius of about 10 to

12km. The report will focus on proceedings of the day

and workshop evaluation.

PROCEEDINGS

The workshop was opened with a prayer by Mrs. Pam-

bireyi, a teacher of hearing impaired students at St.

Paul’s Musami Primary School. After the prayer, Mr.

James gave welcome remarks and later introduced

Musami staff and thereafter there were self introductions by the rest of the participants.

The District Education Officer ( DEO ) of Murewa District Mr. Sylvester Makunzva gave an opening

address in which he outlined the activities of WizEar in Murewa District and at St. Paul’s Musami in

particular. After the address, the hearing impaired pupils sang a song to the participants.

Next to present was Dr. C. Chidziva who talked briefly on the WizEar concept. This was a review of

where WizEar started, where it is now and where it wants to be. WizEar started in

2005 as a facilitating organization or as a knowledge base where information about Ear, Nose and Throat

( ENT ) was obtained. Musami Mission was an ideal place because it has a Hearing Impairment Unit,

hospital, primary school and a church. Between 2005 and end of 2008

WizEar was inactive, it then became active beginning of 2009 especially in the teaching of primary

ear care at Musami Mission Hospital. It’s activities have since expanded including

educational aspects.


S T P A U L S M U S A M I P R I M A R Y S C H O O L — 1 6 M A R C H 2 0 1 2


The next presentation was again by Dr. C. Chidziva on the topic, “Introduction to the ear and

hearing assessment.” The main areas covered were:

Anatomy of the ear

Types of hearing loss

Identifying pupils with hearing impairment

Behavioral characteristics of pupils with hearing impairment


Educational achievement

Social functioning

The next presentation was on classroom management and lesson demonstration by Mr. James and Mrs.

Pambireyi respectively.

Mr. James began by looking at the distinction between the terms “hard of hearing” and “deafness”.

These terms were clearly explained as they are normally used in the classroom situation. Other areas

which were discussed were identification of hearing loss in children in class, hearing tests, hearing

aids, the cycle in the placement of pupils with hearing impairment in special schools and special

schools in general.

Mrs. Pambireyi did a demonstration lesson, which was basically a language lesson in which

she was emphasizing total communication when teaching pupils with hearing impairment. This was a

very good lesson which even surpassed a normal class of the same grade level. This was

a grade 2 class. The standard of written work was very high, considering the fact that they are doing all

subjects being done in any normal grade 2 class. The only subject they had a challenge with was Chis-

hona because it would mean that if they learn Chishona they would be doing three (3) languages which

would be heavy for the children, hence limiting them to the

Sign and English languages only.

The next

presentation

was on

classroom

management

and lesson

demonstration



They were

more

enlightened

and exposed

to new ideas

and

knowledge on

hearing

impairment

education


WORKSHOP EVALUATION

This evaluation was meant for teachers only since they were attending the WizEar workshop for the

first time. Twenty (20) participants were supposed to have completed the questionnaire but only nine-

teen (19) returned their questionnaires.

Four (4) males and fifteen (15) females completed the questionnaires. The majority had “O” – level as

the highest academic qualification and Diploma in education as the highest professional qualification.

Seven had a degree in special education although none specialized in hearing impairment at degree

level. The majority of the teachers were very experienced teachers with over ten years of teaching

experience while four are qualified special class teachers.

In terms of the preparations for the workshop, the majority were notified a week before the actual date

for the workshop. All the participants except one indicated that the venue for the workshop was very

suitable for the workshop. On relevance and appropriateness of the content delivered at the workshop,

all participants except one indicated that it was very relevant and appropriate. They were more enlight-

ened and exposed to new ideas and knowledge on hearing impairment education. They indicated that

such workshops should be a permanent feature in Murewa District schools. They went on to suggest that

such workshops should be extended even to those who are not directly involved in teaching hearing

impaired pupils since they will always interact with them in schools. The demonstration lesson was

highly commended. They even suggested that if time was available, the teacher could have given more

demonstration lessons of different subjects. One of the most important things suggested was for the

WizEar and the district to work together in trying to find a way of cutting the red tape in the assessment

of pupils’ hearing.

The following content was suggested to be included in the WizEar training manual:

Sign language

Use of hearing aids

Ways of identifying pupils with hearing impairment

Parental involvement in the education of the hearing impaired child




Causes of hearing impairment

Communication strategies

Classroom management


Hearing assessment

Teaching pupils with hearing impairment in an inclusive setting

RECOMMENDATIONS

From what the participants discussed, the following recommendations were made:

1. Regular workshops on hearing impairment to be conducted in Murewa district.

2. Establishment of a hearing assessment booth at Musami Mission Hospital.

3. Murewa District Education Office and WizEar to find a way of cutting the red tape in placing

pupils in a special class.

4. Production of reading material for teachers of pupils with hearing impairment.

Conclusion

The participants were all qualified and well experienced teachers. The responses indicated that all

the participants benefited from the workshop and are looking forward to have more such workshops

in future covering various concepts and aspects. Useful suggestions were

made and this will help organizers when planning future workshops.

Murewa

District

Education

Office and

WizEar to find

a way of

cutting the red

tape in placing

pupils in a

special class




INTRODUCTION

The third WizEar training workshop / ear camp this year, for teachers of students with special needs and

nurses was held on 11 / 05 / 12 at Murewa High School in the Geography room. The workshop was

organized and sponsored by the WizEar Trust. The workshop was attended by WizEar staff (5 doctors,

the technician and the training coordinator). There were 5 nurses from Murewa District Hospital and 1

pharmacist. Ten teachers, the District Education Officer and the resource teacher represented the educa-

tion sector. The report will focus on proceedings of the day and workshop evaluation

PROCEEDINGS

The program began with a prayer from Mr. Mandavala. Mrs. Mharadzirwa in the chair introduced Mrs.

Mateura the Deputy Head Murewa High School who welcomed the participants. After welcoming the

participants she asked them for self introductions. After self introductions Ms Tsitsinenei, the District

Resource teacher introduced the District Education Officer, Murewa District, Mr S Makunzva. Mr A

Rarayi was asked to introduce the WizEar staff, after that Mr. Makunzva gave his opening speech. In

his opening speech, Mr. Makunzva thanked the WizEar Trust for coming up with such a wonderful

program to assist pupils with hearing impairment and also for staff developing teachers in the field of

hearing impairment. He highlighted that the link between teachers and the health sector was a signifi-

cant development in Murewa District. The DEO stressed that the District has three schools with special

needs classes catering for hearing impairment children, that is, Zaranyika primary school, Nhowe pri-

mary school and St. Paul’s Musami primary school. He stressed that he was greatly humbled by the

work which the WizEar TRUST is doing in the District. He then declared the workshop / ear camp

officially opened.

Dr. Chdziva started the ball rolling when he talked about the anatomy of the ear and the ear diseases.

This was a very detailed lecture in which all the participants greatly appreciated, mainly the nurses and

teachers. At one point one teacher acknowledged that she was now well equipped with the knowledge

on ear diseases which she was going to use in her school. This

U N I T E D M E T H O D I S T C H U R C H E A R C A M P

M U R E W A H I G H S C H O O L 1 1 M A Y 2 0 1 2



WORKSHOP EVALUATION

This evaluation was meant for teachers and nurses although the greater part of the evaluation question-

naire wanted responses from teachers as a follow up of the workshop of the 16th of March 2012. Five

(5) males and thirteen (13) females completed the evaluation questionnaire. All the respondents had O-

level as the least academic qualification and one had a Masters degree. All nurses had a diploma in nurs-

ing as the least professional qualification and a B.Sc in nursing as the highest professional qualification.

Three (3) teachers held a certificate in education; eight (8) a diploma in education, two (2) B.Ed, whilst

one (1) has an Advanced diploma in education and also a higher diploma in Human Resources.

The majority of the teachers were very experienced teachers with over ten years of teaching experience.

Out of the eighteen (18) respondents, only one was a qualified special education teacher. All the re-

spondents indicated that they had students with hearing impairment either in their school or cluster.

In terms of workshop notification, two (2) indicated that they were informed of the workshop one

week before the workshop date, three (3) were informed two (2) weeks before the workshop date and

the rest were informed three (3) weeks before the workshop date. Communication about the workshop

date was through SMS since it was during the vacation. Only three (3) who visited the District Educa-

tion Offices leant about the date from the notice board.

Ten (10) participants indicated that the venue for the workshop was very suitable while the rest sug-

gested that the Training centre could be a more suitable venue since it was near the bus terminus for the

majority of the participants. In terms of the relevance and appropriateness of the content ten (10) said

that it was very relevant to their jobs while four (4) said it was relevant.

On improvements, five (5) suggested that it would be a good thing if WizEar gives certificates of atten-

dance to participants. Four (4) respondents suggested that in future workshops parents of students with

hearing impairment, SDC members and heads be invited to attend the workshops.

CONCLUSION

The participants were all qualified professionals in their respective ministries and areas. The responses

indicated that they had developed a positive attitude towards the work being done by WizEar in the dis-

trict as indicated by suggestions they gave in their responses. The WizEar team will consider the imple-

mentation of some of the suggestions given in the evaluation questionnaires

Four(4)

respondents

suggested that

in future

workshops,

parents of

students with

hearing

impairment be

invited to

attend

U N I T E D M E T H 0 D I S T C H U R C H E A R C A M P

M U R E W A H I G H S C H O O L 1 1 M A Y 2 0 1 2



Following the third ear camp held at Murewa High School on 11th May, 2010, Chemhondoro Primary School made a verbal

request from the WIZEAR chairman for an ear camp to be held at Chemhondoro Primary School. This was then followed by

a formal invitation letter to the WIZEAR chairman requesting for an ear camp at the school. The request letter was accompa-

nied by the WIZEAR form posted to all heads in Murewa district which was requesting them to give information on all hear-

ing impairment cases in their schools. The form indicated 89 pupils with hearing and ear challenges.

PROCEDURES FOLLOWED

The invitation letter to the chairman was copied to:

The District Education Officer ( DEO ) Murewa District – Mr. S. Makunzva

The WIZEAR coordinator – Mr. A. Rarayi

The WIZEAR chairman – Dr. C. Chidziva

SELECTION OF THE PUPILS

The school has an enrolment of 2087 pupils including ECD pupils. Grade coordinators were in charge of the selection proc-

ess where class teachers fed them with information from the Home and Social record books which contain individual chil-

dren’s social records. The table below summarizes the results of the selection.

Table 1

Table showing pupils suffering from various ear ailments at Chemhondoro Primary

School.

Basing on the above statistics, the WIZEAR TRUST chairman agreed to hold an ear camp at the school on 20th July,

2010. Prior to the day of the ear camp, on 19th July, 2010, parents with pupils with identified ailments were invited to the

school to sensitize them on the visit by the WIZEAR doctors and to advise them to accompany their children as they were

in a better position to give the history of their children’s ear challenges. However some parents were unable to come with

their children while others did. Tables 2 and 3 below give a summary of the doctors’ findings.

Grade Male Female Totals

ECD 0 2 2

1 10 22 32

2 3 8 11

3 7 14 21

4 1 4 5

5 1 1 2

6 8 7 15

7 0 1 1

30 59 89

C H E M H O N D O R O P R I M A R Y S C H O O L 2 0 J U L Y 2 0 1 2



Table 2

The spectrum of ear, nose and throat conditions among children attending school at

Chemhondoro Primary School.

A total of 83 school children were examined.

21 (25%) of the children had normal ear, nose and throat examination. Two (2) girls were

referred for tympanoplasty. Two children require Hearing Aid assessment. Fifty – four

children (16 boys and 38 girls) had hearing assessment using audiometry and the results

are on table 3 below.

Table 3

Results for audiometry

Condition Number of boys

Number of girls

Totals

Otitis media with effusion ( OME ) 7 17 24 ( 29 % )

Chronic suppurative otitis media 2 5 7 ( 8 % )

Cerumen impaction ( wax ) 10 13 23 ( 28 % )

Allergic otitis externa 2 2 4 ( 5 % )

Allergic rhinitis 1 - 1 ( 1 % )

Rhinosinusitis 1 2 3 ( 4 % )

Acute otitis media 1 3 4 ( 5 % )

Fungul otitis externa - 3 3 ( 4 % )

Foreign body 3 1 4 ( 5 % )

Normal ENT examination 9 12 21 ( 25 % )

Totals 28 55 83 ( 100 % )

Level of hearing Boys Girls Total

Normal hearing Less than 25 dB 4 7 11 ( 20 % )

Mild hearing loss 26 – 40 dB 6 21 27 ( 50 % )

Moderate hearing loss

41 -60 dB 5 8 13 ( 24 % )

Severe hearing loss 61 – 80 dB 1 2 3 ( 6 % )

Profound hearing loss

Greater than 80 dB - - -



There are no

nearby

pharmacies

for parents to

purchase

prescribed

drugs


CHALLENGES

Not every parent accompanied his / her child. More has to be done in terms of informing

parents on the importance of the health of their children.

Schools do not have facilities for clinical examination.

There are no nearby pharmacies for the parents to purchase prescribed medicines.

Most parents are poor and cannot afford to buy the prescribed drugs.

Children who were not accompanied by their parents could easily lose their prescriptions and

some of them may not see the importance of taking it home to show their parents.

RECOMMENDATIONS

Musami Mission Hospital should be an epicenter for WIZEAR ear camps in Murewa district.

There is need for regular WIZEAR ear camps in Murewa district.

There is need for WIZEAR to be supported both financially and materially by the relevant

ministries.

CONCLUSION

On the whole this was a successful ear camp considering the number of children who were exam-

ined and also the results that came out. Considering the conditions under which doctors

worked WIZEAR needs to be applauded for a job well done.




INTRODUCTION

This is a combined report on the WIZEAR Camp held on 12 / 10 /12 at St. Paul’s Musami Mis-

sion and an ear clinic held at Leonard Cheshire disability centre on 19 / 10 /12. The Musami ear

camp is historic in the sense that it included students from Pakati primary school and Musami high

school which are part of Musami cluster schools which had never been attended to by WIZEAR

doctors. The idea was to include all schools in Musami cluster. However some students from

schools such as Beta primary school, Chemhondoro secondary school and St. Paul’s primary

school did not sent students even though these schools had students who were supposed to be

examined. The reasons for these students not turning up have not yet been established. It should

also be appreciated that adults and children from the community around these schools were also

attended to.

PREPARATIONS FOR THE MUSAMI EAR CAMP

Musami cluster held its third term meeting on 24 / 09 / 12 in which the cluster chairperson in-

formed cluster resource teachers about the WIZEAR camp to be held at St. Paul’s Musami mission

on 12th October, 2012. Each school was to compile a list of students with ear diseases and hearing

challenges so that the combined list could be forwarded to the WIZEAR trust before the ear camp

was held. The initial list is as follows:

SCHOOL SEX TOTAL

Male Female

Beta Primary school 13 15 28

Chemhondoro Primary school 25 63 88

Chemhondoro Secondary school 4 5 9

Pakati Primary school 7 23 30

Pakati Secondary school 5 3 8

St. Paul’s Primary school Nil nil Nil

St. Paul’s Secondary school Nil nil Nil

Totals 54 109 163

The idea was

to include all

schools under

the Musami

cluster

C O M B I N E D R E P O R T O N : M U S A M I M I S S I O N 1 2 O C T O B E R 2 0 1 2

E N T C L I N I C C O N D U C T E D A T L E O N A R D C H E S H I R E 1 9 O C T O B E R 2 0 1 2



SUMMARY OF RESULTS FOR CHEMHONDORO PRIMARY SCHOOL

HEARING MEASUREMENT

DISCUSSION

Eighty – eight (88) patients were supposed to have come from Chemhondoro primary school for review, but only fifteen

(15) came. Those who failed to turn up could have had financial challenges, the parents or guardians could not see the

importance of the review, they might have forgotten or they did not appreciate the importance of the whole exercise or

some other unknown reasons.

Out of the fifteen (15) patience, thirteen (13) were children and two (2) were adults, (6 males and 9 females). One patient

was referred for grommets insertion and one was referred for deaf education. All had pure tone audiometry done. No pa-

tience required hearing aids assessment.

SUMMARY OF THE RESULTS FOR PAKATI PRIMARY SCHOOL

Condition Male Female Children Adults Total

Chronic suppurative otitis media

2 0 2 0 2 ( 13 % )

Otitis media with effusion

0 2 2 0 2 ( 13 % )

Post herpetic neuralgia 1 0 0 1 1 ( 6 % )

Normal examination 2 5 7 0 7 ( 47 % )

Referred otalgia 0 1 0 1 1 ( 6 % )

Impacted wax 0 1 1 0 1 ( 6 % )

Congenital deafness 1 0 1 0 1 ( 6 % )

Level of hearing Decibels Total

Normal hearing < 25 dB 9 ( 60 % )

Mild hearing loss 26 – 49 dB 4 ( 26 % )

Moderate hearing loss 41 – 60 dB 1 ( 6 % )

Severe hearing loss 61 – 90 dB 0

Profound hearing loss > 90 dB 1 ( 6 % )


Chronic suppurative otitis media 2 0 2 0 2 ( 10 % )

Otitis media with effusion 2 2 4 0 4 ( 20 % )

Presbycusis 1 1 0 2 2 ( 10 % )


ETD 0 1 1 0 1 ( 5 % )

Impacted wax 1 0 0 1 1 ( 5 % )





SUMMARY OF THE RESULTS FOR PAKATI PRIMARY SCHOOL

HEARING MEASUREMENT

DISCUSSION

Initially, thirty (30) patients were supposed to have come to be examined (7 males and 23 females) but only twenty (20)

turned up. The same reasons mentioned earlier could be the same as to why they did not all turn up. Twenty (20) patients

turned up (11 males and 9 females), of whom seventeen (17) were children and three (3) were adults. One patient was re-

ferred for grommets insertion, and six (6) patients require hearing aids assessment. Nineteen (19) had pure tone audiometry

done.

SUMMARY OF RESULTS FOR ST PAUL’S MUSAMI HIGH SCHOOL

TMJ dysfunction 0 1 1 0 1 ( 5 % )

Acute otitis media 3 0 3 0 3 ( 15 % )

SNHL 1 2 3 0 3 ( 15 % )

Totals 11 9 17 3 20 ( 100 % )

Level of hearing Decibels Total

Normal hearing < 25 dB 6 ( 30 % )

Mild hearing loss 26 – 40 dB 5 ( 25 % )

Moderate hearing loss 41 – 60 dB 4 ( 20 % )

Severe hearing loss 61 – 90 dB 1 ( 5 % )

Profound hearing loss > 90 dB 3 ( 15 % )


Chronic suppurative otitis media 1 3 2 2 4 ( 36 % )

Otitis media with effusion 0 1 1 0 1 ( 9 % )

Sensorineural hearing loss 0 1 0 1 1 ( 9 % )


Presbycusis 1 0 0 1 1 ( 9 % )

Otitis externa 1 0 0 1 1 ( 9 % )

Referred otalgia 0 1 0 1 1 ( 9 % )

Totals 3 8 5 6 11 ( 100 % )





HEARING MEASUREMENT

DISCUSSION

For the first time St. Paul’s Musami high school has sent students for ear examination. Initially, during the preparations for

this ear camp, no students indicated that they had ear challenges but only to surface on the day for the ear camp. This may

suggest that these high school students

are afraid of stigmatization. On the whole eleven (11) of them presented themselves (3 males and 8 females). Three (3) of

them were referred for tympanoplasty and two will require hearing aids assessment. Six had pure tone audiometry done.

LEONARD CHESHIRE DISABILITY CENTRE – ENT CLINIC

An ear clinic was conducted at Leonard Cheshire Disability Centre on 19 / 10 / 12. The age range of those examined is 4 –

15 years. A total of thirty one (31) patients were examined (18 boys and 13 girls)

The table below summarizes the results.

Level of hearing Total

Normal hearing < 25 dB 1

Mild hearing loss 26 – 40 dB 1

Moderate hearing loss 41 – 60 dB 2

Severe hearing loss 61 – 90 dB 1

Profound hearing loss > 90 dB 1

EAR DISEASES FREQUENCY

Congenital SNHL 17

CSOM 4

Impacted wax 11

Otitis media 1

OME 4

Foreign body 1

Cholesteatoma 1

Normal hearing 1

NASAL CONDITIONS

Rhinositis 2

THROAT CONDITIONS

Tonsillerhypertrophy 2

Total 31





AUDIOMETRY RESULTS

RECOMMENDATIONS

CONCLUSION

From the results obtained from a small sample and also from a very small section of the country it is clear that hearing

impairment is a very serious condition among the population especially the young generation. This also shows that there

is need for a national program to

rehabilitate the affected individuals.

Results Frequency

Normal 2 ( 6,4 % )

Mild 4 ( 12,9 % )

Mild – Moderate 2 ( 6,4 % )

Moderate 1 ( 3,2 % )

Moderate – Severe 2 ( 6,4 % )

Severe 1 ( 3,2 % )

Severe – Profound 3 ( 9,6 % )

Profound 5 ( 16,1 % )

No Response 12 ( 38,7 % )

Objective testing / further audiology evaluation 12

Monitoring 6

Hearing and assessment 7

Special education 17

SURGERY FOR THE FOLLOWING

Tympanoplasty 4

Grommet insertion 4

Tonsillectomy 2






Health & Medicine

Ear camp reports