Universal Newborn Hearing Screening and Intervention (UNHSI)

What is the purpose of the program?

  • To ensure that all Georgia newborns are screened for hearing loss at birth and that newborns not passing hearing screening receive timely comprehensive follow-up.
  • To educate parents and other infant caregivers with specific information about the importance of newborn hearing screening and recommended follow-up for all Georgia newborns who do not pass newborn hearing screening or who pass newborn hearing screening with risk factors for hearing loss.

What does the program do?

Along with the Newborn Metabolic Screening Program and Children 1st, the UNHSI Program maintains and supports a comprehensive, coordinated, statewide screening and referral system. UNHSI includes screening for hearing loss in the birthing hospital; referral of those who do not pass the hospital screening for rescreening; for newborns who do not pass the rescreening referral for diagnostic audiological evaluation; and, linkage to appropriate intervention for those babies diagnosed with hearing loss. Technical assistance and training about implementing and maintaining a quality newborn hearing screening program is provided to hospitals, primary care physicians, audiologists, early interventionists, and public health staff.

How many people are helped by the program?

Approximately 300 to 400 newborns a year are expected to be identified with permanent hearing loss and linked to intervention services including amplification if appropriate. During FY 2000, less than 50% of newborns were screened for hearing loss. During FY 2010, 96% of newborns were screened for hearing loss prior to hospital discharge, close to 140,000 babies.

Why is the program important?

The most crucial period for language development is the first year of life. Without newborn screening, hearing loss is typically not identified until two years of age. Universal screening for all newborns prior to discharge from the hospital or birthing center is essential for the earliest possible identification of hearing loss and, consequently, for language, communication, educational and reading potential to be maximized.

Who is eligible?

All Georgia newborns.

Where are services located?

As of 2012, 86 of the 87 birthing facilities in Georgia are regularly screening newborns for hearing loss prior to hospital discharge.

Outcome measures:

  • At least 95% of all Georgia newborns will be screened for hearing loss prior to discharge from birthing facilities.
  • Infants not passing the initial hearing screening receive a repeat screening prior to 1 month of age and infants not passing rescreening receive appropriate diagnostic audiological evaluation before three months of age.
  • Infants with confirmed hearing loss are referred to appropriate intervention (i.e., Georgia PINES, Babies Can’t Wait, Children’s Medical Services) by six months of age.

Legislative authority: O.C.G.A. 31-1-3.2

Contact: 404-657-4143 http://health.state.ga.us/programs/unhs/