08 Cost effectiveness.pmd
نویسندگان
چکیده
School Health Services, Ministry of Health, Dhofar Region, Oman. 2Eye and Ear Health Care Programme; 4School Health Services, Directorate General of Health Services; 3Ear, Nose and Throat Services, Ministry of Health, Muscat, Oman. Received: 29/07/03; accepted: 01/09/03 ABSTRACT Audiometric screening was conducted in Dhofar region to study the magnitude of ear problems and cost–effectiveness of screening first-year preparatory-school children in Oman. None of the 1894 pupils had otitis media with effusion or sensory neuronal hearing loss. Six children (0.32%) had impacted wax, 4 (0.21%) chronic suppurative otitis media and 2 (0.11%) dry perforation of eardrum. In all, 14 children (0.74%) with suspected hearing impairment were referred to a specialist but only 2 attended. Physicians and nurses spent 8–10 minutes for ear examination per child for a yield of less than 1%. The screening expenditure was US$ 5 per pupil. As the prevalence of serious ear conditions was low, we conclude that expanding the audiometric screening of schoolchildren to first-year preparatory pupils is not cost-effective.
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