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  • Title: Cost-effectiveness of audiometric screening of first-year preparatory pupils in Dhofar Region, Oman.
    Author: Aasham T, Khandekar R, Khabori M, Helmi SA.
    Journal: East Mediterr Health J; 2004 May; 10(3):303-8. PubMed ID: 16212205.
    Abstract:
    Audiometric screening was conducted in Dhofar region to study the magnitude of ear problems and cost-effectiveness of screening first-year preparatory-school children in Oman. None of the 1894 pupils had otitis media with effusion or sensory neuronal hearing loss. Six children (0.32%) had impacted wax, 4 (0.21%) chronic suppurative otitis media and 2 (0.11%) dry perforation of eardrum. In all, 14 children (0.74%) with suspected hearing impairment were referred to a specialist but only 2 attended. Physicians and nurses spent 8-10 minutes for ear examination per child for a yield of less than 1%. The screening expenditure was US$ 5 per pupil. As the prevalence of serious ear conditions was low, we conclude that expanding the audiometric screening of schoolchildren to first-year preparatory pupils is not cost-effective.
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