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UNHS in Croatia

B. Marn Children’s University Hospital Zagreb Croatian Association for Early Hearing Impairment Diagnostics. UNHS in Croatia. CROATIA. 4.800.000 population 38.000 birth rate. SPECIALITY OF THE CROATIAN MODEL. A - OAE. 1 st. / 2 nd stage. A - ABR. 2 nd. / 3 rd stage. Rijeka. 1315.

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UNHS in Croatia

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  1. B. Marn Children’s University Hospital Zagreb Croatian Association for Early Hearing Impairment Diagnostics UNHS in Croatia

  2. CROATIA 4.800.000 population38.000 birth rate

  3. SPECIALITY OF THE CROATIAN MODEL

  4. A - OAE 1st / 2nd stage

  5. A - ABR 2nd / 3rd stage

  6. Rijeka

  7. 1315 1909 1168 955 1007 913 12289 1244 597 845 589 1772 1/2. stage of UNHS (neonatal units) Čakovec Zabok Number of newborns (1999.)

  8. 1244 1001 2835 234 1296 311 1/2. stage of UNHS (neonatal units) Number of newborns (1999.)

  9. 1168 913 1007 2649 617 597 1244 388 845 344 1666 589 1772 1/2. stage of UNHS (neonatal units) Number of newborns (1999.)

  10. 1688 261 800 511 191 4634 246 376 935 1/2. stage of UNHS (neonatal units) Imotski Makarska Metković Number of newborns (1999.)

  11. 2/3. stage of UNHS (audiology units Rijeka

  12. Booklet for parents in neonatal units

  13. Booklet for parents in neonatal units and pediatric units (normal S&H developm. 0-5 y.)

  14. Poster for all kindergartens in country – normal S&H developm. 0-5 y.

  15. SPECIALITY OF THE CROATIAN MODEL 1. EQUIPMENT FOR ALL NEONATAL (34) & 8 AUDIOLOGY UNITS - NATIONAL HUMANITARIAN ACTION 2. VERY SHORT EDUCATION - FEW DAYS • 12.09.2002. equipment distribution for all hospitals • 13.09.2002.1st national symposium about UNHS & EHDI - every hospital got a home-made educational video-tape on maternal language

  16. SPECIALITY OF THE CROATIAN MODEL 3. PROGRAM WAS IMPLEMENTED IN THE WHOLE COUNTRY VERY FAST

  17. • NOVEMBER 2001. - 1 A-OAE - media supported action • DECEMBER 2001. - “LET THEM HEAR!” – national humanitarian action • 6.02.2002. - UNHS STARTED IN 1 HOSPITAL: 2 STAGED, “BILOCAL” 12.09.2002.- EQUIPMENT FOR ALL NEONAT. & AUDIOL.UN. 13.09.2002.- EDUCATION MAY 2003.- 90% OF HOSPITAL PROVIDE UNHS MAY 2004.- ABOUT 80% OF ALL NEWBORNS IN CROATIA ARE SCREENED

  18. RESULTS 4.02.2002 - 23.04.2004. SCREENED:~ 27.000 newbornsPOSITIVE:1 - 5 %IMPAIRED: 65(2,4 ‰)BILATERAL > 40 dB:38(1,4 ‰)

  19. PERMANENT HEARING IMPAIRED CHILDREN TOTAL:65BILATERAL:46 MILD: 8MEDIUM 22SEVERE 16 1 AN RISK / NO RISK: 25 / 21 AVERAGE AGEOF DIAGNOSIS:3,5 months

  20. INFORMATION EXCHANGE SYSTEM report for each positive baby NEONATAL UNIT AUDIOLOGY UNIT report of impaired baby statistics 1. statistics2. report of impaired baby HURDOS (non-goverment association for early hearing diagnostics)

  21. PLANS IN FUTURE • LEGISLATIVE CHANGES – started on 16.11.2002. • INFORMATION EXCHANGE SYSTEM IMPROVEMENT • INTERVENTION PROGRAM DECENTRALIZATION

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