Hearing healthcare in remote or resource-constrained environments

J Laryngol Otol. 2019 Jan;133(1):11-17. doi: 10.1017/S0022215118001159. Epub 2018 Jul 19.


Background: Hearing loss is a leading contributor to the global burden of disease, with more than 80 per cent of affected persons residing in low- and middle-income countries, typically where hearing health services are unavailable.

Objectives: This article discusses the challenges to hearing care in remote and resource-limited settings, and describes recommended service delivery models, taking personnel and equipment requirements into consideration. The paper also considers the novel roles of telemedicine approaches in these contexts for improving access to preventative care. Finally, two case studies illustrate the challenges and strategies for service provision in remote and underserved settings.

Keywords: Audiology; Audiometry; Hearing Loss; Telehealth.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Audiology / methods*
  • Child
  • Child, Preschool
  • Delivery of Health Care / methods*
  • Developing Countries*
  • Female
  • Health Resources / supply & distribution*
  • Hearing Loss / epidemiology*
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Telemedicine / methods
  • Young Adult