Cochlear implants (CIs) are
remarkable solutions for severe to profound sensorineural hearing loss globally.
Access to cochlear
implants in developing countries is not without challenges. This study examined the
challenges of CI users in Jos, Nigeria. The study is a cross-sectional survey
that used a convenient sampling technique to sample 41 respondents. CICQ
questionnaire was used to elicit data from the respondents. A simple percentage
was used to analyze the data. The results revealed that 62.5% of the CI users
lived below 100,000 Naira (USD244) as their yearly income. The majority (93.75%) have severe to profound
hearing loss bilaterally but used CI unilaterally. Cost and access to CI
accessories and management have affected the economic, social and psychological
life of the CI users and that of their relations. ENT personnel said that the
demand for CI in their facility is very high and managing CI users is very
challenging due to inadequate manpower, finance and equipment. Easy access to
CIs, their accessories and services at affordable cost, effective training for
ENT personnel, and adequately equipped health facilities were recommended.
References
[1]
Zeng, F.G., Rebscher, S.J., Fu, Q., Chen, H., Sun, X., Yin, L., Ping, L., Feng, H., Yang, S., Gong, S., Yang, B., Kan, H., Gao, N. and Chi, F. (2015) Development and Evaluation of the Neutron 26-Electrode Cochlear Implant System. Hearing Research, 322, 188-199. https://doi.org/10.1016/j.heares.2014.09.013
[2]
American Speech-Language-Hearing Association (2022) Cochlear Implant: ASHA Resource on Interprofessional Education/Interprofessional Practice.
[3]
Raine, C., Atkinson, H., Strachan, D.R. and Martin, J.M. (2016) Access to Cochlear Implants: Time to Reflect, Cochlear Implants International, 17, 42-46. https://doi.org/10.1080/14670100.2016.1155808
[4]
Adoga, A.S., Nwaorgu, O.G.B., Anthis, J. and Green, J.A. (2014) Our Experience with Cochlear Implant Surgery on Nigerians. Indian Journal of Otology, 20, 134-139. https://doi.org/10.4103/0971-7749.136871
[5]
Zeng, F.G. (2017) Challenges in improving Cochlear Implant Performance and Accessibility. IEEE Transactions on Biomedical Engineering, 64, 1662-1664. https://doi.org/10.1109/TBME.2017.2718939
[6]
Suleiman, A.O. Suleiman, B.M., Abdulmajid, R.M., Mustapha, A.Y., Afolabi, O.A. Leko, H., Nathal, C., Mohammed, G.M. and Lasisi, A.O. (2014) Pediatric Cochlear Implantation in North-Western Nigeria Case Report and Review of Challenges. International Journal of Pediatric Otorhinolaryngology, 78, 363-365. https://doi.org/10.1016/j.ijporl.2013.10.061
[7]
Li, N.J. Chen, S., Zhai, L. Han, D.Y. Eshraghi, A.A., Feng, Y., Yang, S.M. and Liu, X.Z. (2017) The Advances in Hearing Rehabilitation and Cochlear Implant in China. Ear and Hearing, 38, 647-652. https://doi.org/10.1097/AUD.0000000000000441
[8]
Bierbaum, M., Mcmahon, C.M., Hughes, S., Boisvert, I., Lau, A.Y.S., Braithwaite, J. and Rapport, F. (2019) Barriers and Facilitators to Cochlear Implant Uptake in Australia and the United Kingdom. Ear and Hearing, 41, 374-385. https://doi.org/10.1097/AUD.0000000000000762
[9]
Le Roux, T. and Laurent, C. (2021) Open Access Guide to Audiology and Hearing Aids for Otolaryngologists: Cochlear Implant In Developing Countries. http://www.open.umich.edu/sites/default/downloads/audiologyforinfants.pdf
[10]
Le Roux, T., Vinck, B., Butler, I., Cass, N., Nauta, L., Louw, L., Schlesinger, D., Soer, M., Tshifularo, M. and Swanepoel, D. (2016) Predictors of Pediatric Cochlear Implantation Outcome in South Africa. International journal of pediatric otorhinolaryngology, 84, 61-70. https://doi.org/10.1016/j.ijporl.2016.02.025
[11]
Faulkner, K.F. and Pisoni, D.B. (2013) Some Observation About Cochlear Implant: Challenges and Future Directions. Neuroscience Discovery Herbert Open Access Journals, 1, 1-10. https://doi.org/10.7243/2052-6946-1-9
[12]
Michael, R., Attias, J. and Raveh, E. (2019) Cochlear Implant and Social-Emotional Functioning of Children with Hearing Loss. Journal of Deaf Studies and Deaf Education, 24, 25-31. https://doi.org/10.1093/deafed/eny034
[13]
Johansson, B. and Olsson, L. (2022) Open Access Guide to Audiology and Hearing Aids for Otolaryngologists: Audiology for Special Populations: Infants http://www.open.umich.edu/site/default/download/audiologyforinfants.pdf