Prevalence and etiological factor of hearing impairment among school going children in rural area of district, Dehradun

Saurabh Saini, S. S. Bist, Lovneesh Kumar


Background: Childhood hearing impairment is a significant public health condition associated with long-term academic and communicative difficulties. Causes can be congenital or acquired. Nearly half of the known causes can be prevented by primary public health methods. Present study was conducted to determine the prevalence and etiological factor related to hearing impairment among school going children in rural area district Dehradun.

Methods: 1003 children, aged 6 to 17 years, from the schools in the Doiwala block district Dehradun were randomly selected and examined. Clinical otologic assessment and Pure tone audiometry screening were conducted on all participants.  

Results: The prevalence of hearing impairment was 19.6%. The hearing impairment in majority of cases was of a mild degree i.e., 26 to 40 dB (93.9%) of which majority of children (99.0%) had conductive loss. Wax was the commonest cause of hearing loss (79.2%). CSOM was found in 19.0% children.

Conclusions: The prevalence of hearing impairment in school going children in rural area district Dehradun was high. Majority of the etiological factor of hearing impairment identified were preventable. Proper assessment and diagnosis of hearing loss in children at early age is important for better development and psychosocial development.


Prevalence, Etiology, Hearing impairment, School going children

Full Text:



Varshney S. Deafness in India. Indian J Otol. 2016;22(2):73.

Rao R, Subramanyam M, Nair N, Rajashekhar B. Hearing impairment and ear diseases among children of school entry age in rural South India. Int J Pediatr Otorhinolaryngol. 2002;64(2):105-10.

Norman P, Chandran M, Dhandapani T. Prevalence of hearing impairment in school children (aged 8-14 years) in the villages of Vadamavanthal, Tamil Nadu, India. Int J Community Med Public Health. 2016;3(12):3369-73.

Ahmed A. Hearing Impairment in a Semi-urban Community in North-Western Nigeria. European J Prevent Med. 2016;4(5):113.

Parvez A, Khan Z, Hashmi S, Khan M. A cross sectional study of chronic suppurative otitis media and its associated factors among primary school children in rural and urban areas of Aligarh, India. Int J Community Med Public Health. 2016;3(8):2150-4.

Feder K, Michaud D, McNamee J, Fitzpatrick E, Ramage-Morin P, Beauregard Y. Prevalence of Hearing Loss Among a Representative Sample of Canadian Children and Adolescents, 3 to 19 Years of Age. Ear Hearing. 2017;38(1):7-20.

Mishra A, Verma V, Shukla, SubhashG K, Mishra C, Dwivedi R. Prevalence of Hearing Impairement in the District of Lucknow, India. Indian J Public Health. 2011;55(2):132-5.

Sapra G, Srivastava SP, Modwal A, Saboo R, Saxena G, Gyanu Y. Hearing Assessment of School Going Children of Various Schools in Jaipur, Rajasthan. Scholars J Applied Med Sci. 2015;3(2):638-45.

Kalpana R, Chamyal PC. Study of prevalence and etiology of the hearing loss amongst school going children. Indian J Otolaryngol Head Neck Surg. 1997;49:142‑4.

Nduka I, Aitafo EJ, Nduka EC. Prevalence of hearing impairment amongst primary school children in Port-Harcourt, Rivers State: Implication for strengthening of school health programme in Nigeria. J Med Investigations Pract. 2014;9(3):1-4.

Chishty SL, Hamid S, Esbah-i-lateef M,Chishty L, Wani A. A prospective study of hearing impairment in school going children of Ghaziabad a tertiary care hospital. Int J Res Med Sci. 2014;2(3):1127-33.