Community

(community health workers)

• Awareness generation

• Simple screening for hearing loss

Primary health centres

(nurses, clinical officers)

• Immunisation for diseases that cause hearing loss

• Screening of newborns
• Diagnosis of non-complex hearing loss for adults
• Simple examination of the ear

• Fitting of hearing aids for non-complex cases
• Provision of aftercare
• Treatment of common ear conditions

Secondary health centres and hospitals

(medical officer, E.N.T. clinical officer, hearing instrument specialist, speech therapist, audiologist)

• Antenatal care to minimise hearing loss related to maternal and neonatal causes

• Diagnosis of hearing loss for children under the age of 5 and complex cases
• Large-scale E.H.C. outreach programs

• Fitting of hearing aids for paediatrics and complex cases
• Refitting if automated fitting unsuccessful
• Earmould production
• Basic E.N.T. services (including basic surgery)
• Speech and language rehabilitation

Tertiary hospitals

(E.N.T. surgeon, specialised audiologist, speech therapist)

• Diagnosis of hearing loss for children under the age of 5 and extremely complex cases

• Complex E.N.T. services and cochlear implants
• Complex audiology services and speech and language rehabilitation