Newborn Screening and Earlier Intervention with Deaf Children

Issues for the Developing World

Greg Leigh*, Anthony T. Newall, John P. Newall

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Citations (Scopus)


The universal screening of newborn children for permanent hearing loss has become a standard health and educational service in many, if not most, developed countries. Developed nations, however, represent the minority of the world's population. Universal newborn hearing screening (UNHS) is far less frequently available in developing countries where hearing loss is often disproportionately prevalent. This chapter considers the issues associated with the development of newborn screening programs in developing countries, where the vast majority of the world's deaf children live. These issues include whether to screen all newborns or to employ a targeted approach of seeking only those children with known risk factors for hearing loss, the articulation of UNHS programs with appropriate support services for children and families, and the availability and quality of subsequent intervention in developing-country contexts. The question of economic affordability and the sustainability of expensive programs of screening in very poor countries is also considered, as are the ethical issues associated with providing (or not providing) access to such programs. It is concluded that successfully implemented UNHS programs stand to provide enormous benefits to deaf and hard-of-hearing (DHH) children and their families in developing countries. It is argued that such benefits will only accrue, however, if programs are well implemented and combined with adequate and effective follow-up.

Original languageEnglish
Title of host publicationThe Oxford Handbook of Deaf Studies, Language, and Education
EditorsMarc Marschark, Patricia Elizabeth Spencer
Place of PublicationNew York
PublisherOxford University Press
Number of pages15
ISBN (Electronic)9780199940288
ISBN (Print)9780195390032
Publication statusPublished - 18 Sep 2010


Cite this

Leigh, G., Newall, A. T., & Newall, J. P. (2010). Newborn Screening and Earlier Intervention with Deaf Children: Issues for the Developing World. In M. Marschark, & P. E. Spencer (Eds.), The Oxford Handbook of Deaf Studies, Language, and Education (Vol. 2, pp. 345-359). New York: Oxford University Press.