{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:02:02Z","timestamp":1791892922321,"version":"4.3.4"},"reference-count":65,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T00:00:00Z","timestamp":1641340800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>There is substantial evidence that newborn hearing screening (NHS) reduces the negative sequelae of permanent childhood hearing loss (PCHL) if performed in programs that aim to screen all newborns in a region or nation (often referred to as Universal Newborn Hearing Screening or UNHS). The World Health Organization (WHO) has called in two resolutions for the implementation of such programs and for the collection of large-scale data. To assess the global status of NHS programs we surveyed individuals potentially involved with newborn and infant hearing screening (NIHS) in 196 countries\/territories (in the following text referred to as countries). Replies were returned from 158 countries. The results indicated that 38% of the world\u2019s newborns and infants had no or minimal hearing screening and 33% screened at least 85% of the babies (hereafter referred to as UNHS). Hearing screening programs varied considerably in quality, data acquisition, and accessibility of services for children with PCHL. In this article, we summarize the main results of the survey in the context of several recent WHO publications, particularly the World Report on Hearing, which defined advances in the implementation of NHS programs in the Member States as one of three key indicators of worldwide progress in ear and hearing care (EHC).<\/jats:p>","DOI":"10.3390\/jcm11010271","type":"journal-article","created":{"date-parts":[[2022,1,7]],"date-time":"2022-01-07T01:14:02Z","timestamp":1641518042000},"page":"271","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":80,"title":["Newborn Hearing Screening Benefits Children, but Global Disparities Persist"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3975-0736","authenticated-orcid":false,"given":"Katrin","family":"Neumann","sequence":"first","affiliation":[{"name":"Department of Phoniatrics and Pedaudiology, University Hospital M\u00fcnster, 48149 M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3743-2184","authenticated-orcid":false,"given":"Philipp","family":"Mathmann","sequence":"additional","affiliation":[{"name":"Department of Phoniatrics and Pedaudiology, University Hospital M\u00fcnster, 48149 M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelly","family":"Chadha","sequence":"additional","affiliation":[{"name":"Blindness Deafness Prevention, Disability and Rehabilitation Unit, Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention, World Health Organization, 1211 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald A.","family":"Euler","sequence":"additional","affiliation":[{"name":"Department of Phoniatrics and Pedaudiology, University Hospital M\u00fcnster, 48149 M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl R.","family":"White","sequence":"additional","affiliation":[{"name":"National Center for Hearing Assessment and Management, Utah State University, Logan, UT 84322, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,5]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2021). Hearing Screening: Considerations for Implementation, World Health Organization. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789240032767."},{"key":"ref_2","unstructured":"World Health Organization (2021). World Report on Hearing, World Health Organization. Available online: https:\/\/www.who.int\/publications\/i\/item\/world-report-on-hearing."},{"key":"ref_3","unstructured":"World Health Organization (2021, November 27). Childhood Hearing Loss: Strategies for Prevention and Care. Available online: http:\/\/apps.who.int\/iris\/bitstream\/10665\/204632\/1\/9789241510325_eng.pdf?ua=1&ua=1."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"S76","DOI":"10.1097\/AUD.0000000000000219","article-title":"Language outcomes in young children with mild to severe hearing loss","volume":"36","author":"Tomblin","year":"2015","journal-title":"Ear Hear."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1256","DOI":"10.1097\/MAO.0000000000001976","article-title":"Language outcomes improved through early hearing detection and earlier cochlear implantation","volume":"39","author":"Sedey","year":"2018","journal-title":"Otol. Neurotol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1038\/jp.2010.110","article-title":"Expressive vocabulary of children with hearing loss in the first 2 years of life: Impact of early intervention","volume":"31","author":"Vohr","year":"2011","journal-title":"J. Perinatol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"S105","DOI":"10.1080\/14992027.2017.1385865","article-title":"Learning from the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study: Summary of 5-year findings and implications","volume":"57","author":"Ching","year":"2018","journal-title":"Int. J. Audiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1159\/000095004","article-title":"Effectiveness and efficiency of a universal newborn hearing screening in Germany","volume":"58","author":"Neumann","year":"2006","journal-title":"Folia Phoniatr. Logop."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1542\/peds.102.5.1161","article-title":"Language of early- and later-identified children with hearing loss","volume":"102","author":"Sedey","year":"1998","journal-title":"Pediatrics"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e20162964","DOI":"10.1542\/peds.2016-2964","article-title":"Early hearing detection and vocabulary of children with hearing loss","volume":"140","author":"Sedey","year":"2017","journal-title":"Pediatrics"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1001\/jama.2010.1501","article-title":"Newborn hearing screening vs later hearing screening and developmental outcomes in children with permanent childhood hearing impairment","volume":"304","author":"Korver","year":"2010","journal-title":"JAMA"},{"key":"ref_12","first-page":"53","article-title":"Further support for the benefits of early identification and intervention for children with hearing loss","volume":"100","author":"Calderon","year":"1999","journal-title":"Volta Rev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1044\/2015_AJA-15-0007","article-title":"Is early intervention effective in improving spoken language outcomes of children with congenital hearing loss?","volume":"24","author":"Ching","year":"2015","journal-title":"Am. J. Audiol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.ijporl.2010.11.011","article-title":"Early onset of family centred intervention predicts language outcomes in children with hearing loss","volume":"75","author":"Holzinger","year":"2011","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1353\/aad.2011.0010","article-title":"Impact of early intervention on expressive and receptive language development among young children with permanent hearing loss","volume":"155","author":"Wiley","year":"2011","journal-title":"Am. Ann. Deaf."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.1097\/AUD.0000000000000210","article-title":"An introduction to the outcomes of children with hearing loss study","volume":"36","author":"Moeller","year":"2015","journal-title":"Ear Hear."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1002\/mrdd.10088","article-title":"Early intervention after universal neonatal hearing screening: Impact on outcomes","volume":"9","year":"2003","journal-title":"Ment. Retard. Dev. Disabil. Res. Rev."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1093\/deafed\/enp016","article-title":"The design and validation of a parent-report questionnaire for assessing the characteristics and quality of early intervention over time","volume":"14","author":"Young","year":"2009","journal-title":"J. Deaf Stud. Deaf Educ."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, and Joint Committee on Infant Hearing (2007). Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics, 120, 898\u2013921.","DOI":"10.1542\/peds.2007-2333"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"124","DOI":"10.3109\/17549500903577022","article-title":"Language development and everyday functioning of children with hearing loss assessed at 3 years of age","volume":"12","author":"Ching","year":"2010","journal-title":"Int. J. Speech Lang Pathol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1136\/archdischild-2014-307516","article-title":"The impact of universal newborn hearing screening on long-term literacy outcomes: A prospective cohort study","volume":"101","author":"Pimperton","year":"2016","journal-title":"Arch. Dis. Child."},{"key":"ref_22","first-page":"608","article-title":"The parents\u2019 opinions on screening program regarding newborn hearing","volume":"24","author":"Zhao","year":"2003","journal-title":"Zhonghua Liu Xing Bing Xue Za Zhi"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1080\/14992020600977770","article-title":"Parents\u2019 perspectives on the impact of the early diagnosis of childhood hearing loss","volume":"46","author":"Fitzpatrick","year":"2007","journal-title":"Int. J. Audiol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1136\/adc.2007.129320","article-title":"Examination of long-lasting parental concern after false-positive results of neonatal hearing screening","volume":"93","author":"Lanting","year":"2008","journal-title":"Arch. Dis. Child."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1093\/deafed\/enl033","article-title":"Universal newborn hearing screening and early identification of deafness: Parents\u2019 responses to knowing early and their expectations of child communication development","volume":"12","author":"Young","year":"2007","journal-title":"J. Deaf Stud. Deaf Educ."},{"key":"ref_26","first-page":"87","article-title":"Maternal anxiety associated with newborn hearing screening","volume":"1","author":"Tueller","year":"2016","journal-title":"J. Early Hear. Detect. Interv."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1080\/14992027.2016.1219777","article-title":"Economic evaluation of long-term impacts of universal newborn hearing screening","volume":"56","author":"Chiou","year":"2017","journal-title":"Int. J. Audiol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s40258-018-00456-1","article-title":"Economic evaluations of childhood hearing loss screening programmes: A systematic review and critique","volume":"17","author":"Sharma","year":"2019","journal-title":"Appl. Health Econ. Health Policy"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2503","DOI":"10.1016\/S0140-6736(17)31073-5","article-title":"Global hearing health care: New findings and perspectives","volume":"390","author":"Wilson","year":"2017","journal-title":"Lancet"},{"key":"ref_30","unstructured":"World Health Organization (2021, November 27). Prevention of Blindness and Deafness. Available online: http:\/\/www.who.int\/pbd\/publications\/wha_eb\/wha48_9\/en\/."},{"key":"ref_31","unstructured":"World Health Organization (2021, November 27). Multi-Country Assessment of National Capacity to Provide Hearing Care. Available online: https:\/\/www.who.int\/pbd\/publications\/WHOReportHearingCare_Englishweb.pdf."},{"key":"ref_32","unstructured":"World Health Organization (2021, November 27). Seventieth World Health Assembly; Provisional Agenda Item 15.8. A70\/34; Prevention of Deafness and Hearing Loss. Available online: http:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/WHA70\/A70_R13-en.pdf."},{"key":"ref_33","first-page":"63","article-title":"A survey on the global status of newborn and infant hearing screening","volume":"5","author":"Neumann","year":"2020","journal-title":"J. Early Hear Detect. Interv."},{"key":"ref_34","unstructured":"World Health Organization (2021, November 27). Neonatal and Infant Hearing Screening-Current Issues and Guiding Principles for Action. Available online: http:\/\/www.who.int\/blindness\/publications\/Newborn_and_Infant_Hearing_Screening_Report.pdf."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.neuroscience.2013.05.021","article-title":"Auditory critical periods: A review from system\u2019s perspective","volume":"247","author":"Kral","year":"2013","journal-title":"Neuroscience"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1038\/nn.2882","article-title":"A critical period for auditory thalamocortical connectivity","volume":"14","author":"Barkat","year":"2011","journal-title":"Nat. Neurosci."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"The Lancet (2017). Hearing loss: Time for sound action. Lancet, 390, 2414.","DOI":"10.1016\/S0140-6736(17)33097-0"},{"key":"ref_38","unstructured":"World Health Organization (2021, November 27). Deafness and Hearing Loss\u2014Key Facts. Available online: http:\/\/www.who.int\/mediacentre\/factsheets\/fs300\/en\/."},{"key":"ref_39","unstructured":"World Health Organization, Team of Noncommunicable Diseases (2021, November 27). World Report on Disability. Available online: http:\/\/www.who.int\/disabilities\/world_report\/2011\/en\/."},{"key":"ref_40","first-page":"S70","article-title":"Newborn hearing screening programs: Overview","volume":"34","author":"Hyde","year":"2005","journal-title":"J. Otolaryngol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e20151722","DOI":"10.1542\/peds.2015-1722","article-title":"Population outcomes of three approaches to detection of congenital hearing loss","volume":"137","author":"Wake","year":"2016","journal-title":"Pediatrics"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta11320","article-title":"Current practice, accuracy, effectiveness and cost-effectiveness of the school entry hearing screen","volume":"11","author":"Bamford","year":"2007","journal-title":"Health Technol. Assess."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Joint Committee on Infant Hearing, American Academy of Audiology, American Academy of Pediatrics, American Speech-Language-Hearing Association, and Directors of Speech and Hearing Programs in State Health and Welfare Agencies (2000). Year 2000 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics, 106, 798\u2013817.","DOI":"10.1542\/peds.106.4.798"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Joint Committee on Infant Hearing, and Evelyn, C. (2000). Year 2000 position statement: Principles and guidelines for early hearing detection and intervention programs. Am. J. Audiol., 9, 9\u201329.","DOI":"10.1044\/1059-0889(2000\/005)"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1097\/00003446-200004000-00005","article-title":"The New York State universal newborn hearing screening demonstration project: Outpatient outcome measures","volume":"21","author":"Prieve","year":"2000","journal-title":"Ear Hear."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1080\/14992027.2020.1716087","article-title":"Prevalence of permanent neonatal hearing impairment: Systematic review and Bayesian meta-analysis","volume":"59","author":"Hoeve","year":"2020","journal-title":"Int. J. Audiol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.ijporl.2016.08.016","article-title":"Follow-up in newborn hearing screening\u2014A systematic review","volume":"90","author":"Ravi","year":"2016","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1016\/j.ijporl.2012.01.015","article-title":"Efficacy of a community-based infant hearing screening program utilizing existing clinic personnel in Western Cape, South Africa","volume":"76","author":"Friderichs","year":"2012","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1136\/archdischild-2012-301786","article-title":"Neonatal hearing screening and intervention in resource-limited settings: An overview","volume":"97","author":"Olusanya","year":"2012","journal-title":"Arch. Dis. Child."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Laugen, N.J., Erixon, E., Huttunen, K., M\u00e4ki-Torkko, E., and L\u00f6fkvist, U. (2021). Newborn Hearing screening and intervention in children with unilateral hearing impairment: Clinical practices in three Nordic countries. J. Clin. Med., 10.","DOI":"10.3390\/jcm10215152"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/S0140-6736(05)71047-3","article-title":"Sensorineural hearing loss in children","volume":"365","author":"Smith","year":"2005","journal-title":"Lancet"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Butcher, E., Dezateux, C., Cortina-Borja, M., and Knowles, R.L. (2019). Prevalence of permanent childhood hearing loss detected at the universal newborn hearing screen: Systematic review and meta-analysis. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0219600"},{"key":"ref_53","unstructured":"World Health Organization (2015). Ear and Hearing Care\u2013Situation Analyses Tool, World Health Organization. Available online: https:\/\/www.who.int\/publications\/i\/item\/ear-and-hearing-care-situation-analysis-tool."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Neumann, K., Chadha, S., Tavartkiladze, G., Bu, X., and White, K.R. (2019). Newborn and infant hearing screening facing globally growing numbers of people suffering from disabling hearing loss. Int. J. Neonatal Screen., 5.","DOI":"10.3390\/ijns5010007"},{"key":"ref_55","unstructured":"World Health Organization (2015). Ear and Hearing Care-Planning and Monitoring of National Strategies: A Manual, World Health Organization. Available online: https:\/\/www.who.int\/pbd\/publications\/Ear_and_hearing_care_Planning_and_Monitoring_of_National_Strategies.pdf."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"2205","DOI":"10.1016\/j.apmr.2019.06.002","article-title":"Toward strengthening rehabilitation in health systems: Methods used to develop a WHO package of rehabilitation interventions","volume":"100","author":"Rauch","year":"2019","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"478","DOI":"10.23736\/S1973-9087.21.07075-1","article-title":"Cochrane collaborates with the World Health Organization to establish a package of rehabilitation interventions based on the best available evidence","volume":"57","author":"Negrini","year":"2021","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Yoshinaga-Itano, C. (2022). Genetic and CMV testing. Fast Facts Early Hearing Detection and Intervention, Karger.","DOI":"10.1159\/isbn.978-3-318-07215-0"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Nagel, A., Dimitrakopoulou, E., Teig, N., Kern, P., L\u00fccke, T., Michna, D., Korn, K., Steininger, P., Shahada, K., and Neumann, K. (2020). Characterization of a universal screening approach for congenital CMV infection based on a highly-sensitive, quantitative, multiplex real-time PCR assay. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0227143"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"e20","DOI":"10.5808\/GI.2018.16.4.e20","article-title":"Genetic hearing loss and gene therapy","volume":"16","author":"Carpena","year":"2018","journal-title":"Genom. Inform."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1034\/j.1399-0004.2001.600201.x","article-title":"Consanguinity and its relevance to clinical genetics","volume":"60","author":"Bittles","year":"2001","journal-title":"Clin. Genet."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"561","DOI":"10.2307\/2137601","article-title":"The role and significance of consanguinity as a demographic variable","volume":"20","author":"Bittles","year":"1994","journal-title":"Popul. Dev. Rev."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s12687-011-0072-y","article-title":"Consanguineous marriages: Preconception consultation in primary health care settings","volume":"3","author":"Hamamy","year":"2012","journal-title":"J. Community Genet."},{"key":"ref_64","first-page":"423","article-title":"Familial Peters Plus syndrome with absent anal canal, sacral agenesis and sensorineural hearing loss: Expanding the clinical spectrum","volume":"14","author":"Shawky","year":"2013","journal-title":"EJMHG"},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Yoshinaga-Itano, C. (2022). Medical evaluation and management of permanent childhood hearing loss. Fast Facts Early Hearing Detection and Intervention, Karger.","DOI":"10.1159\/isbn.978-3-318-07215-0"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/1\/271\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T14:12:48Z","timestamp":1760364768000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/1\/271"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,5]]},"references-count":65,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,1]]}},"alternative-id":["jcm11010271"],"URL":"https:\/\/doi.org\/10.3390\/jcm11010271","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,5]]}}}