Multi-level barriers & priorities accorded by policy makers for Neonatal Hearing Screening (NHS) in Pakistan: A thematic analysis

Neonatal Hearing Screening

  • Nazia Mumtaz Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Muhammad Naveed Babur Isra Institute of Rehabilitation Sciences Isra University, Islamabad, Pakistan
  • Ghulam Saqulain Capital Hospital, CDA Islamabad http://orcid.org/0000-0002-6452-9339
Keywords: Hearing loss, Neonatal Screening, Policy, Quality of life, Language development

Abstract

Objectives: To explore the Barriers and Priorities accorded to neo-natal hearing screening at government health policy level.

Methods: This exploratory descriptive study design employed qualitative parameters with purposive sampling and was conducted at Capital Administration & Development Division (CADD) and Ministry of National Health Services, Regulations & Coordination (MoNHSR&C) from June 2015 to January 2017 over a period of 18 months. Sample included stakeholders concerned with healthcare planning and policy making in Pakistan. Research included in depth interviews using a self-structured interview guide from three policy makers’ fulfilling the selection criteria. Data recorded was transcribed and thematic analyses drawn manually and verified using two separate coders.

Results: Outcomes from thematic analysis drawn were Planning, Funding, Governance, Awareness, Medical and technical capacity building, Policy development, Evaluation and Sustainability. Lack of financial resources allocation due to policies and legislation top the list of barriers. The lack of research and reliable data as to the number of persons suffering from hearing loss (HL) from birth and its economic cost to the state and individual remains a policy barrier.

Conclusion: The barriers to NHS are lack of financial resource allocation by the federal government, and lack of research and reliable statistics about Hearing Impairment (HI) and its economic cost.

doi: https://doi.org/10.12669/pjms.35.6.703

How to cite this:
Mumtaz N, Babur MN, Saqulain G. Multi-level barriers & priorities accorded by policy makers for Neonatal Hearing Screening (NHS) in Pakistan: A thematic analysis. Pak J Med Sci. 2019;35(6):1674-1679. doi: https://doi.org/10.12669/pjms.35.6.703

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Nazia Mumtaz, Shifa Tameer-e-Millat University, Islamabad, Pakistan

Dr. Nazia Mumtaz PhD (Rehabilitation Sciences)

In Charge Post Graduate Programs,
Allied Health Sciences,
Shifa Tameer-e-Millat University, Islamabad, Pakistan

Muhammad Naveed Babur, Isra Institute of Rehabilitation Sciences Isra University, Islamabad, Pakistan

Dr. Muhammad Naveed Babur. PhD (Rehabilitation Sciences)

Dean,
Isra Institute of Rehabilitation Sciences
Isra University, Islamabad, Pakistan

Ghulam Saqulain, Capital Hospital, CDA Islamabad

Dr. Ghulam Saqulain, D.L.O., F.C.P.S (Otorhinolaryngology)

Head of Department, Department of Otorhinolaryngology

Capital Hospital, Islamabad

Published
2019-10-09
Section
Original Articles