Primary ear and hearing care: training manual

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Primary ear and hearing care: training manual:This manual is a practical guide on the prevention, identification, and management of hearing loss and common ear diseases that lead to hearing loss. It is intended mainly for health workers and doctors who work at primary care level and provide services to people either at health facilities or in communities. It is intended to be administered by a trainer/instructor familiar with ear and hearing problems, their assessment and management, and is accompanied by a trainer’s handbook. The manual comprises a series of stand-alone modules.

This manual is a practical guide on the prevention, identification, and management of hearing loss and common ear diseases that lead to hearing loss. It is intended mainly for health workers and doctors who work at primary care level and provide services to people either at health facilities or in communities. It is intended to be administered by a trainer/instructor familiar with ear and hearing problems, their assessment and management, and is accompanied by a trainer’s handbook. The manual comprises a series of standalone modules which cover the following topics:

Module 1 Mechanism of hearing and anatomy of the ear
Module 2 Assessing ear and hearing problems
Module 3 The outer ear: diagnose, treat, refer
Module 4 Infections of the middle ear: diagnose, treat, refer
Module 5 Other problems of the middle ear: diagnose, treat, refer
Module 6 Hearing loss: grades, causes and prevention
Module 7 Identifying hearing loss in children and adults
Module 8 Rehabilitation of hearing loss
Module 9 Role of health workers and doctors in ear and hearing care
Module 10 What does the World Health Organization do?
Annexes Charts for recording and diagnosing ear and hearing issues

Programme coordinators for hearing care programmes or those responsible for training of primary level staff
should first review the manual and all the modules. Ideally all modules should be included for the training of
health workers. However, for flexibility, each module is available separately online and those that are most
relevant can be selected.A person with hearing loss is unable to hear as well as someone with normal hearing. There are varying degrees of hearing loss which range from mild to profound (see Annex 1 for information on different grades of hearing loss). People with mild, moderate or moderately-severe hearing loss will have difficulty following conversations. People with severe or profound hearing loss in both ears are deaf and without the support of hearing technology, can hear nothing at all.

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