• © CBM/Bothe

A life without sound: CBM in the fight against preventable hearing loss

Four hundred thirty million people worldwide, including 34 million children, live with disabling hearing loss. This can have a significant effect on their health and quality of life. Nearly 80 per cent of persons with disabling hearing loss live in low and middle-income countries. The reasons for this can include inadequate health care and poverty. For example, Zambia has only two ENT departments for 14 million people.

Poverty increases the risk of falling ill.

Poverty is linked to poorer health outcomes across all populations. However, the additional healthcare costs related to disabilities can place an even greater financial burden on persons with disabilities. Furthermore, the four categories—poverty, exclusion, health, and disability—are interdependent, creating vicious cycles that reinforce one another. As persons with disabilities are less likely to access education and employment opportunities, they are more prone to living in poverty. This situation leads to inadequate living conditions, increases their exposure to health risks, and ultimately heightens their vulnerability to negative health outcomes.

For instance, recurring middle ear infections can lead to hearing impairment. In children, almost 60 per cent of hearing loss is preventable. Unfortunately, persons with hearing impairments in low and middle-income countries have minimal access to hearing aids, as less than 10 per cent of global demand is currently being met.

Causes of congenital and acquired hearing impairment

Congenital hearing impairment can manifest itself in the womb due to genetic defects, infections or the use of hearing-damaging medication. Factors such as low birth weight, lack of oxygen or jaundice can also cause hearing impairment during or shortly after birth.

Hearing loss can occur at any age. The most common triggering factors include infections such as mumps or meningitis, middle ear infections, injuries to the inner ear and the use of hearing-damaging medications, such as antibiotics or anti-malarial drugs.

Effects of hearing impairment

Persons with hearing impairments face numerous challenges, including social exclusion, economic hardship, and limited educational opportunities. People who are deaf or hard of hearing, particularly children with limited resources, may experience increased rates of non-attendance in educational institutions. This phenomenon ultimately hinders students' capacity to graduate, pursue higher education, and secure meaningful employment opportunities.

 

Our work in 2023

  • 189,67 people reached

  • 2,799 ear surgeries performed

  • 1,074 hearing aids received

Making optimal ear health accessible to all

Eness, a five-year-old girl, smiles after regaining her hearing following a successful operation at the Beit Cure hospital. © CBM/Bothe
Eness, a five-year-old girl, smiles after regaining her hearing following a successful operation at the Beit Cure hospital in Zambia.

 

CBM and our partners’ work in ear and hearing care aims to remove the barriers that prevent people from accessing essential ear and hearing care services. We take a comprehensive approach incorporating healthcare, community outreach and connections with other areas of our work, such as inclusive education, rehabilitation and disability-inclusive disaster risk reduction.

 

Our approach

Our work in ear and hearing care aims to make optimal ear health and assistive hearing technology accessible to all. We do this through:

 

 

  • Community outreach and awareness raising to address stigma, change attitudes at all levels, from communities to national governments, and identify people needing treatment.
  • Evidence generation to support our partners and governments in addressing the specific needs of the local population.
  • Providing surgery and hearing aids through our dedicated partner health centres.
  • Capacity building of primary and secondary healthcare professionals.
  • We work with our partners, other civil society organisations, and governments to support local technological innovation.