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Implementation of cost-optimized childhood vision and hearing screening programmes in middle-income countries in Europe

Objective

Screening for vision and hearing disorders in children has shown to be highly effective. EU-directive 16620/11 invites EU-member states to give priority to such screening programmes. Early detection and treatment of a lazy eye (prevalence 3%) prevents lifelong visual impairment. Early detection and treatment of hearing impairment (prevalence 0.15%) prevents delayed speech and language development.
Across Europe inequity exists in the provision of childhood vision and hearing screening programmes (VAHSPs). High-Income Countries (HICs) have VAHSPs, but they vary with regard to age and frequency of testing, tests used, uptake, screening professionals, referral pathway and funding. This makes it difficult for healthcare providers and policy makers to decide what VAHSP to implement in Low- to Middle-Income Countries (LMICs) and how.
In this study, cost-optimised, evidence-based VAHSPs will be implemented in two LMICs, based on collated evidence from existing VAHSPs in Europe. Data on VAHSPs, demography, administration, general screening, screening professions, uptake and treatment availability will be gathered in an established network of professionals in 41 European countries and used in a disease/health system modelling framework to predict benefits and cost in the most optimal health system, taking regional diversity and organisational and resource requirements into account.
Model-developed VAHSPs will be tested in the county of Cluj in Romania for vision, and in three counties in Albania for hearing screening. A generic strategy for implementation will be developed by detailed tracking, and from identified requirements, facilitators and barriers. The decision-analytic modelling framework and the strategy for implementation will be packed into a transferable TOOLKIT that will assist healthcare providers and policy makers worldwide in their decisions to introduce or modify VAHSPs, and increase effectiveness, efficiency and equity of child healthcare.

Field of science

  • /social sciences/sociology/demography
  • /humanities/languages and literature/linguistics/phonetics
  • /humanities/languages and literature/languages - general

Call for proposal

H2020-SC1-2016-RTD
See other projects for this call

Funding Scheme

RIA - Research and Innovation action

Coordinator

ERASMUS UNIVERSITAIR MEDISCH CENTRUM ROTTERDAM
Address
Dr Molewaterplein 40
3015 GD Rotterdam
Netherlands
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 1 489 960

Participants (8)

THE UNIVERSITY OF SHEFFIELD
United Kingdom
EU contribution
€ 501 315
Address
Firth Court Western Bank
S10 2TN Sheffield
Activity type
Higher or Secondary Education Establishments
THE UNIVERSITY OF READING
United Kingdom
EU contribution
€ 103 640
Address
Whiteknights Campus Whiteknights House
RG6 6AH Reading
Activity type
Higher or Secondary Education Establishments
KAROLINSKA INSTITUTET
Sweden
EU contribution
€ 400 098
Address
Nobels Vag 5
17177 Stockholm
Activity type
Higher or Secondary Education Establishments
JOHANN WOLFGANG GOETHE-UNIVERSITATFRANKFURT AM MAIN
Germany
EU contribution
€ 75 500
Address
Theodor W Adorno Platz 1
60323 Frankfurt Am Main
Activity type
Higher or Secondary Education Establishments
UNIVERSITATEA DE MEDICINA SI FARMACIE IULIU HATIEGANU CLUJ-NAPOCA
Romania
EU contribution
€ 424 931,25
Address
Victor Babes Street 8
400012 Cluj-napoca
Activity type
Higher or Secondary Education Establishments
UNIVERSITETI I MJEKESISE TIRANE
Albania
EU contribution
€ 817 050
Address
Rruga E Dibres 371
1005 Tirana
Activity type
Higher or Secondary Education Establishments
DIRECTIA DE ASISTENTA SOCIALA SI MEDICALA
Romania
EU contribution
€ 125 068,75
Address
Piata Unirii Nr 1
400133 Cluj-napoca
Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
STICHTING COUNTRY-COMMITTEES JOINT-PARTNERSHIP OF EUSCREEN STUDY CONSORTIUM
Netherlands
EU contribution
€ 246 000
Address
Prins Mauritssingel 111
3043 PE Rotterdam
Activity type
Other