Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

Principles of Hearing Screening, Evaluation, and Early Intervention (Medical Interventions, Hearing Aid Fitting, and Cochlear Implantation) in Infants with Hearing Loss

Document Type : Policy Brief

Author
S Jafarzadeh
Department of Audiology, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/jpsr.2026.94807.2777
Abstract
The Early Hearing Detection and Intervention (EHDI) program aims to ensure early identification and intervention for all infants with hearing loss. All infants should be screened using objective tests, such as Otoacoustic Emissions (OAE) or Automated Auditory Brainstem Response (AABR), before being discharged from the hospital or no later than one month of age. Infants, who do not pass the initial screenings as well as follow-up screenings, must undergo a comprehensive audiological diagnostic evaluation by two months of age. It is essential to refer all infants with hearing loss to an early intervention program immediately, with services beginning no later than three months of age. The EHDI program must be family-centered, respecting the rights of both the child and the family while ensuring informed decision-making and family participation. Additionally, all infants, regardless of screening results, should be continuously monitored for their communication development.
Keywords
Hearing screening
Hearing evaluation
early intervention
Cochlear implant
Hearing aid
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Journal of Paramedical Sciences & Rehabilitation
Volume 14, Issue 4
Winter 2026
Pages 126-130