A Cluster-Randomised Controlled Trial Of Community Education To Prevent The Development Of Chronic Suppurative Otitis Media In Children In Nigeria

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A CLUSTER-RANDOMISED CONTROLLED TRIAL OF COMMUNITY EDUCATION TO PREVENT THE DEVELOPMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA IN CHILDREN IN NIGERIA

Abstract

To estimate the prevalence of World Health Organization-defined chronic suppurative otitis media (CSOM) and mild hearing impairment in a population representative sample of school-entry age children in rural Malawi. A secondary objective was to explore factors associated with CSOM in this population

We performed a community-based cross-sectional study of children aged 4–6 years in Chikhwawa District, Southern Malawi, utilising a village-level cluster design. Participants underwent a structured clinical assessment, including video-otoscopy and screening audiometry. Diagnoses were made remotely by two otolaryngologists who independently reviewed clinical data and images collected in the field. Hearing impairment was classified as failure to hear a pure tone of 25dB or greater at 1, 2 or 4kHz.

TABLE OF CONTENT

Chapter One            Introduction

1.1         Background of the study

1.2         Statement of the problem

1.3         Purpose of the study

1.4         Significance of study

1.5         Research questions

1.6         Scope of study

1.7         Limitation of study

1.8         Definition of terms

Chapter Two

2.0         Literature Review

Chapter Three

3.0         Methodology

Chapter Four

4.0              Data Analysis

Chapter Five 

5.0         Summary, Conclusion and Recommendations

References Questionnaires

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