Hearing Health and Listening Habits of High School Students and Parent Perspectives in East Tennessee Nicole Richart, B.S., Marcy K Hite, Au.D., Ph.D., and Shannon Bramlette, Au.D., Department of Audiology and Speech-Language Pathology, College of Clinical and Rehabilitative and Health Sciences, East Tennessee State University, Johnson City, TN. Childhood noise induced hearing loss (NIHL) is a serious health concern with increasing prevalence. Previous studies have recommended including hearing conservation programs in schools, yet it is often missing from curriculum. Several studies have been conducted with high school students to determine listening habits and preconceived ideas of NIHL and hearing conservation, focusing on personal listening devices. Overall, those results suggest that most high school students are unaware of the dangers of noise exposure to auditory health, both in the short- and long term. The purpose of this study was to adapt previously developed surveys for use with East Tennessee high school students and their parents to identify sources of childhood noise exposure in addition to personal listening devices and to assess the level of hearing conservation education, if any, students have previously received. The results would also be used to determine if further hearing conservation education would be beneficial for this population. This study is unique in that both the student’s and the student’s parent’s perspectives were assessed. Students were asked to answer questions regarding types of noise exposure, duration of exposure, signs of early hearing loss, and use of hearing protection when in high noise exposure environments. The parent survey asked the parent of the child to assess these same areas as they believe their child experiences and/or behaves. Data would have been compared between the student and their parent’s responses to evaluate differences between student’s self-assessment and their parent’s assessment of their child’s listening habits and knowledge of hearing conservation. Data analysis would have been completed both within and between groups, looking for overall attitudes held within the student and parent populations as well as evaluating the differences between student and parent attitudes. It was expected that students would under-report their noise exposure per week, parents would over-report their child’s noise exposure, and both groups would report having little knowledge relating to hearing conservation. Overall, we would expect the results to show there is an increased need for hearing conservation education in schools. One East Tennessee high school agreed to participate, however after multiple reminders there were no surveys completed by students or parents, most likely due to COVID-19. Efforts to recruit other area schools to participate were unsuccessful. The necessity for this study still remains, and so continuation of recruitment and data collection would be ideal. Future efforts to improve recruitment outcomes could include scheduling an in-person or virtual meeting with high school administration to discuss the study to better facilitate participation. Additionally, the parent consent and survey distribution process could be streamlined to encourage a higher rate of participation in the study.

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No. of bitstreams: 1 Dissertação - Gladson Rosas Hauradou.pdf: 6907901 bytes, checksum: c270aae596591cc4a0f88c709413190e (MD5) Previous issue date: 2016-08-30 / FAPEAM - Fundação de Amparo à Pesquisa do Estado do Amazonas / The Brazilian health policy is elevated to the status of public policy, duty of State and right of citizenship, to be enshrined in the Brazilian Constitution, together with the Welfare and Social Assistance. Since then, we have witnessed a continuous movement of advances and returns on the expanding access to various goods and services in the area of individual and collective health. Among those advances, we highlight the growing expansion of goods and services for people with disabilities. This expansion is the result of various social movements and intellectuals linked to the national and international causes. In 2002, there was the creation of the "Política Nacional de Atenção à Saúde da Pessoa Portadora de Deficiência", and in 2004, the establishment of the "Política Nacional das Pessoas Portadoras de Deficiência Auditiva", which was repealed with the emergency of the "Rede de Cuidado da Pessoa com Deficiência", in 2012, as part of the "Plano Viver sem Limite". In this context, there are the Specialized Centers of Rehabilitation which presuppose the promotion of comprehensive care according to the principles and provisions of the Brazilian health policy. Thus, we aim to analyze the hearing health care services dispensed by the Specialized Centers for Rehabilitation of Hearing Health, Physical and Visual (CER III) in Manaus. The methodology was developed considering three different times, but articulated. The methodological procedures used in the study refer to the use of qualitative approach, applying an interview script with open and closed questions to the technical team of the Auditory Module, besides of its coordinator. It is noteworthy that of all potential research subjects (10 people) was reached only 90% of what is proposed to investigate. The results show challenges which are by the shortage of human resources, equipment and materials which are related in part to insufficient allocation of financial resources that give account of the demands for health as well as in relation to the constraints linked to the current reform process of CER III. However, the team sees as positive the daily realization of access to hearing health in goods and services, even if they verify the limitations on the orders mentioned before. Also, we point out that with the completion of the reform of the CER III, and the return of the activities regularly with human, material and equipment in accordance with the care network insight the materialization of comprehensive care to the plaintiffs by hearing health in CER III in Manaus. / A política de saúde brasileira é elevada ao status de política pública, dever do Estado e direito de cidadania, ao ser consagrada na Carta Magna de 1988 juntamente com a Previdência e a Assistência Social. A partir de então se tem presenciado um movimento contínuo de avanços e regressos na ampliação do acesso aos vários bens e serviços na área da saúde individual e coletiva. Dentre os avanços destaca-se a crescente ampliação de bens e serviços destinados às pessoas com deficiência. Tal ampliação é resultado de vários movimentos sociais e de intelectuais ligados à causa tanto nacional quanto internacionalmente. Assim, data de 2002 a criação da Política Nacional de Saúde da Pessoa “Portadora” de Deficiência e em 2004 a instituição da Política Nacional de Atenção à Saúde da Pessoa “Portadora” de Deficiência Auditiva que fora revogada com a emergência da Rede de Cuidado à Pessoa com Deficiência no ano de 2012 como parte do Plano Viver Sem Limite. Nesse contexto, situam-se os Centros Especializados em Reabilitação os quais pressupõem a promoção do atendimento integral conforme os princípios e determinações da política de saúde brasileira. Desse modo, buscou-se com o presente estudo analisar os serviços de atenção à saúde auditiva dispensados pelo Centro Especializado em Reabilitação em Saúde Auditiva, Física e Visual (CER III) em Manaus. A metodologia adotada desenvolveu-se considerando três momentos distintos, porém, articulados entre si. Os procedimentos metodológicos utilizados na pesquisa referem-se ao uso da abordagem qualitativa, com aplicação de um roteiro de entrevista com questões abertas e fechadas à equipe técnica do Módulo Auditivo do CER III e junto à coordenadora do referido centro. Destaca-se que os sujeitos potenciais da pesquisa foram 10 (Dez) em sua totalidade, mas a pesquisa atingiu 90% do que se propôs investigar. Os resultados expressam desafios que se configuram na escassez de recursos humanos, equipamentos e materiais que guardam relação, em parte, com a insuficiente destinação de recursos financeiros que deem conta das demandas por saúde, bem como em relação às limitações ligadas ao processo vigente de reforma do CER III. Contudo, a equipe vê como positiva a concretização cotidiana do acesso aos bens e serviços em saúde auditiva ainda que se constatem as limitações nas ordens antes mencionadas. Além disso, destacam que com a finalização da reforma do CER III, e o retorno das atividades regularmente com recursos humanos, materiais e equipamentos em conformidade com as determinações da Rede de Cuidado à Pessoa com Deficiência vislumbra-se a materialização do atendimento integral aos demandantes por saúde auditiva no CER III em Manaus.

According to research and authorities both young people and musicians are in need of hearing health knowledge in order to protect their own hearing. The purpose of this study was to investigate music teacher trainees’ experiences and thoughts concerning hearing health education at their music teacher programmes and internships. A sociocultural framework was used in this study. Semi-structured interviews were utilised to collect viewpoints and experiences from participants. The study involved 4 music teacher trainees, from three different music teacher training programmes. Two students were from the same music teacher programme. The data was analysed using thematic analysis. A sociocultural perspective was also used when analysing the data. The results indicate that music teacher students are not examined in hearing conservation. They do not seem to receive formative assessment in hearing conservation or hearing loss prevention. The staff is not necessarily knowledgeable in hearing conservation, even though they educate future music teachers. The staff does not seem to teach hearing conservation. Some supervisors at the internships were knowledgeable in hearing conservation and appeared to help their younger students understand risks. Other supervisors were not as knowledgeable and could be perceived as relatively passive when their students found themselves in risky sound environments without hearing protection. Social interactions which focused on hearing conservation or hearing loss prevention seemed to be quite absent at higher education and internships in Sweden. In conclusion, according to research and authorities, both youth and musicians are at risk and lack understanding of the risks in their sound environments. Music teachers are expected to teach hearing care according to the curriculum in Sweden, but many music teacher students do not feel well equipped to teach hearing care. It is important to have knowledgeable music teachers who can teach hearing care, as today's youth need this knowledge. The results and conclusions of this study suggest that society needs to equip music teachers at various levels of education with knowledge of hearing care. Several music education students in this study also expressed a desire for more hours of hearing care education at their music teacher programmes. These groups, music teachers and future music teachers, need knowledge of hearing care and hearing loss prevention to create cultures that emphasize hearing care and hearing health.

Made available in DSpace on 2016-04-27T18:12:26Z (GMT). No. of bitstreams: 1 Rodrigo Brayner de Farias.pdf: 318061 bytes, checksum: e4da610ef9ef7b6e2684d20aec13106b (MD5) Previous issue date: 2007-10-09 / Objectives: This study aimed at characterizing the hearing aid satisfaction of adult and aged individuals derived from public hearing health care services, investigating its relationship with some variables, such as sex, age, degree of hearing loss, hearing aid type and hearing aid electro acoustic profile and comparing its result with the normative data reported by the questionnaire s authors. Method: 39 individuals were evaluated, 21 males and 18 females, aged from 19 to 90 years. All of them had conductive, sensorineural or mixed, symmetric or asymmetric, mild, moderate or severe hearing loss and used their hearing aids from not less than four weeks and not more than 12 weeks. It was used the Satisfaction with Amplification in Daily Life - SADL questionnaire Results: There was statistically significant association in the relationship between hearing aid satisfaction and hearing aid type, where in the ear hearing aid users were more satisfied than behind the ear hearing aid users. SADL global and subscale scores were higher than those described by the questionnaire s authors. Conclusions: The conclusions point out to the importance of hearing aid satisfaction evaluation to validate the effectiveness of its adaptation, contributing to get better results / Objetivos: Este estudo teve como objetivo caracterizar o grau de satisfação de indivíduos adultos e idosos usuários de aparelhos de amplificação sonora (AAS) atendidos em serviços de saúde auditiva vinculados à Política Nacional de Atenção à Saúde Auditiva, investigando sua relação com as variáveis: sexo, idade, grau da perda auditiva, tipo de AAS e perfil eletroacústico do AAS e comparando os resultados apurados com os dados normativos estabelecidos pelas autoras do questionário. Método: Foram avaliados 39 indivíduos, sendo 21 do sexo masculino e 18 do sexo feminino, na faixa etária entre 18 e 90 anos. Todos eram portadores de perda auditiva pós-lingual adquirida dos tipos condutiva, sensorioneural ou mista, unilateral ou bilateral, simétrica ou assimétrica, de grau leve a severo e faziam uso de seus AAS pelo período mínimo de quatro e máximo de 12 semanas. O questionário utilizado foi o Satisfaction with Amplification in Daily Life SADL. Resultados: Observou-se associação estatisticamente significante quanto ao grau de satisfação relacionado com o tipo de AAS utilizado, sendo maior relativo aos que usavam aparelhos intra-aurais. Os índices apurados foram superiores aos da normatização estabelecida pelas autoras do questionário. Conclusões: As conclusões apontam para a importância da avaliação do grau de satisfação dos usuários de AAS para a validação da efetividade da sua adaptação, contribuindo para a obtenção de melhores resultados

Made available in DSpace on 2016-04-27T18:12:39Z (GMT). No. of bitstreams: 1 Thais Alves de Sousa.pdf: 3139846 bytes, checksum: 9b933750b8d645c37d6103a8d136a9fd (MD5) Previous issue date: 2009-02-17 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Many studies have shown that children, whose threshold of hearing sensitivity is between 15 and 50 dB, can be diagnosed only when they are experiencing difficulties in the development of speech, language, skills of reading and writing. The ASHA (2002) suggests that the prevalence of hearing loss in children is on average of 131 to 1000 at school age, taking into account all possible hearing problems that could be found. As a criterion of "failure" in the screening, the ASHA recommends that sent the child to not respond to tone of 20 dB HL at any frequency in one or both ears. Northern and Downs (1984) suggest that sent the child to submit to the average frequencies of 500, 1000, 2000 and 4000 Hz greater than or equal to 15 dB NA. Objective: To investigate the occurrence of hearing disorders in children from 1st and 2nd grade of elementary school, two schools, one from the public school system and another network of private schools, both schools of SP. Method: This was a cross sectional research, qualitative and descriptive. The sample comprised 73 children, aged between 7 and 9 years old, regularly enrolled in primary education (Group I-school) and Group II-private school). All children were subjected to the following protocol: Inventory development; otoscopy, audiometric screening to obtain the pure tone thresholds for the frequencies of 500 Hz, 1000, 2000, 3000 and 4000 kHz in audiometric booth, and tympanometric screening. The results will be analyzed as: criteria for failure ASHA X Northern and Downs; x public school private school. Results: Statistical analysis showed that there was no statistically significant difference between age and gender of the groups studied. The prevalence of children who failed otoscopy was 15.1% (n = 11), the impedance was 10.0% (n = 6) and audiometry (Northern and Downs criterion) was 12.3% (n = 9). The criterion ASHA (1991), the prevalence of failure was 15.1% (n = 11). The higher prevalence of failure to otoscopy occurred in public schools (n = 9 / 33.3%), it was also higher prevalence of failure to the hearing in public school. There was no statistically significant difference in the prevalence of failure of the impedance between the two groups. The analysis of the protocol showed that there was a higher prevalence of failure in public schools and that this difference is statistically significant (p = 0004) only when the criterion of failure is to Northern and Downs. Conclusion: The results show that there was a higher incidence of failures in public school children, especially in otoscopy and pure tone audiometry. There were no children with hearing losses of more than mild degree. The combination of procedures for identifying children with hearing disorders is the protocol to be recommended because often the only child in a failure of procedures / Muitos estudos têm mostrado que crianças, cujo limiar de sensibilidade auditiva está entre 15 e 50 dB, podem ser diagnosticadas somente quando estão apresentando dificuldades no desenvolvimento da fala, da linguagem, das habilidades de leitura e escrita. A ASHA (2002) sugere que a prevalência de perdas auditivas em crianças é, em média, de 131 para cada 1000 na idade escolar, levando-se em consideração todos os possíveis problemas auditivos que se pode encontrar. Como critério de falha na triagem, a ASHA recomenda que seja encaminhada a criança que não responder para tom de 20 dB NA em qualquer freqüência em uma ou ambas as orelhas. Northern e Downs (1984) sugerem que seja encaminhada a criança que apresentar média para as freqüências de 500, 1000, 2000 e 4000 Hz igual ou maior que 15 dB NA. Objetivo: Investigar a ocorrência de transtornos auditivos em crianças de 1ª e 2ª series do ensino fundamental, em duas escolas, uma da rede pública de ensino e a outra da rede particular de ensino, ambas as escolas de SP. Método: Esta foi uma pesquisa transversal, qualitativa e descritiva. A amostra foi composta por 73 crianças, idades entre 7 e 9 anos, regularmente matriculadas no ensino fundamental (Grupo I escola pública) e Grupo II escola privada). Todas as crianças foram submetidas ao seguinte protocolo: Inventário de desenvolvimento; otoscopia; Triagem audiométrica para obtenção dos limiares tonais para as freqüências de 500 Hz, 1000, 2000, 3000 e 4000 kHz em cabina audiométrica, e Triagem timpanométrica. Os resultados serão analisados segundo: critério de falha ASHA X Northern e Downs; escola pública x escola privada. Resultados: A análise estatística revelou que não houve diferença estatisticamente significante entre a idade e o gênero dos grupos estudados. A prevalência de crianças que falharam na otoscopia foi de 15,1% (n = 11), na imitanciometria foi de 10,0% (n=6) e na audiometria (critério Northern e Downs) foi de 12,3% (n=9). Pelo critério ASHA (1991), a prevalência de falha foi de 15,1%, (n=11). A maior prevalência de falhas à otoscopia ocorreu na escola pública (n=9 / 33,3%), constatou-se também maior prevalência de falhas à audiometria, na escola pública. Não houve diferença estatisticamente significante nas prevalências de falha da imitanciometria entre os dois grupos estudados. A análise do protocolo mostrou que houve maior prevalência de falhas na escola pública e que esta diferença é estatisticamente significante (p = 0,004) apenas quando o critério de falha é o de Northern e Downs. Conclusão: Os resultados mostram que houve maior ocorrência de falhas nas crianças da escola pública, especialmente na otoscopia e na audiometria tonal. Não foram encontradas crianças com perdas auditivas de grau superior a leve. A combinação de procedimentos para a identificação de crianças com transtornos auditivos é o protocolo a ser recomendado pois muitas vezes a criança falha somente em um dos procedimentos

Made available in DSpace on 2016-04-27T18:12:44Z (GMT). No. of bitstreams: 1 Edlene Jovita Silva Ralo.pdf: 1108969 bytes, checksum: 3d6fc84258dd6edcdcbc5ced87d52c51 (MD5) Previous issue date: 2010-02-24 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Introduction: Management of health services has been thoroughly discussed in the literature related to quality standards and client satisfaction. However, very few publications discuss the issue in the Field of Speech Language Pathology and Audiology. Recent publication of Hearing Health Policy in Brazil have raised the need for measurements of quality of the services, aiming at planning, organization and coordination of activities resulting in better services. Goal: The goal of the present study is to describe and discuss processes related to quality services, in particular, time spent in the waiting room, duration of services, an process of scheduling appointments in a Hearing Health Service of High Complexity, specialized in children from birth to three years of age. Method: Three typical periods of diagnostic and hearing aid selection and adaptation of the Centro de Audição na Criança/Derdic were selected. Data collection lasted for nine months, and was obtained through: Schedules for each Day, Patient-flow chart, Children s files and floor plan of the Center. Results: Medical consultation and Visual Response Audiometry - VRA were the most frequently performed procedures, 871 of the 2617 procedures performed. 37% of the families arrive at the service at least two hours ahead of scheduled. The mean length of consult was 2 hours and 13 minutes. There was an increase of one hour when ABR was performed. Professionals were not reliable in adding information related to time of departure (only 47% of the total). Conclusion: The results allowed for a thorough understanding of the processes involved in the daily routine of exams for diagnostic process and hearing aid selection and adaptation in a High complexity service of Hearing Health. The complexity of a service with multiple procedures is difficult to register, but the information provided can bring significant improvement in the quality of the processes. The need for greater involvement of speech pathologists and audiologists in quality management is emphasized, regarding its implications for the implementation of the Hearing Health System / Introduction: Management of health services has been thoroughly discussed in the literature related to quality standards and client satisfaction. However, very few publications discuss the issue in the Field of Speech Language Pathology and Audiology. Recent publication of Hearing Health Policy in Brazil have raised the need for measurements of quality of the services, aiming at planning, organization and coordination of activities resulting in better services. Goal: The goal of the present study is to describe and discuss processes related to quality services, in particular, time spent in the waiting room, duration of services, an process of scheduling appointments in a Hearing Health Service of High Complexity, specialized in children from birth to three years of age. Method: Three typical periods of diagnostic and hearing aid selection and adaptation of the Centro de Audição na Criança/Derdic were selected. Data collection lasted for nine months, and was obtained through: Schedules for each Day, Patient-flow chart, Children s files and floor plan of the Center. Results: Medical consultation and Visual Response Audiometry - VRA were the most frequently performed procedures, 871 of the 2617 procedures performed. 37% of the families arrive at the service at least two hours ahead of scheduled. The mean length of consult was 2 hours and 13 minutes. There was an increase of one hour when ABR was performed. Professionals were not reliable in adding information related to time of departure (only 47% of the total). Conclusion: The results allowed for a thorough understanding of the processes involved in the daily routine of exams for diagnostic process and hearing aid selection and adaptation in a High complexity service of Hearing Health. The complexity of a service with multiple procedures is difficult to register, but the information provided can bring significant improvement in the quality of the processes. The need for greater involvement of speech pathologists and audiologists in quality management is emphasized, regarding its implications for the implementation of the Hearing Health System / Introdução: Muito se tem dito e escrito, em todas as áreas, sobre gestão de serviços, indicadores de qualidade e satisfação dos clientes. Poucos estudos têm discutido essa temática na Fonoaudiologia. Assim, medir qualidade em serviços de saúde é imprescindível para o planejamento, organização e coordenação das atividades desenvolvidas, sendo o escopo dessa medição a busca por melhorias. Objetivo: Descrever e analisar processos envolvidos na qualidade do serviço - agendamento, espera e permanência - prestado em um centro de saúde auditiva de alta complexidade cuja demanda são bebês e crianças até os três anos de idade com risco para perda auditiva ou que já possuem esse diagnóstico. Método: Foram selecionados três períodos semanais com rotinas semelhantes dos serviços de Diagnóstico e Seleção e Adaptação de AASI do Centro de Audição na Criança. A coleta de dados foi realizada durante nove meses. Os dados foram coletados por meio de quatro instrumentos: Agenda do CeAC, Quadro fluxo de procedimentos por pacientes no dia, Prontuários dos pacientes e Formulário de Seleção e Adaptação de Aparelhos de Amplificação Sonora Individual (SUS) e Mapa dos espaços. Resultados: Na distribuição de procedimentos dos serviços de Diagnóstico e Seleção e Adaptação de AASI a consulta otorrinolaringológica e o exame VRA são os procedimentos mais realizados, totalizando em 871 exames. Verificou-se que 37% do público alvo chega ao local do atendimento com mais de duas horas de antecedência. O tempo médio de permanência dos pacientes durante o atendimento é de 02h:13m. Houve um aumento de uma hora em média quando PEATE era realizado. Os fonoaudiólogos não aderiram ao preenchimento das colunas sobre o horário de saída dos pacientes em 47% dos registros. Conclusão: Os resultados permitiram compreender melhor sobre a rotina de um serviço de saúde auditiva, o funcionamento de um cenário com complexidade na multiplicidade de atendimentos e as dificuldades em registrar. Ressaltamos, então, a necessidade dos profissionais da saúde, principalmente os fonoaudiólogos se inteirar cada vez mais sobre os aspectos de gestão de serviços e contribuir com a Rede de Saúde Auditiva / Introdução: Muito se tem dito e escrito, em todas as áreas, sobre gestão de serviços, indicadores de qualidade e satisfação dos clientes. Poucos estudos têm discutido essa temática na Fonoaudiologia. Assim, medir qualidade em serviços de saúde é imprescindível para o planejamento, organização e coordenação das atividades desenvolvidas, sendo o escopo dessa medição a busca por melhorias. Objetivo: Descrever e analisar processos envolvidos na qualidade do serviço - agendamento, espera e permanência - prestado em um centro de saúde auditiva de alta complexidade cuja demanda são bebês e crianças até os três anos de idade com risco para perda auditiva ou que já possuem esse diagnóstico. Método: Foram selecionados três períodos semanais com rotinas semelhantes dos serviços de Diagnóstico e Seleção e Adaptação de AASI do Centro de Audição na Criança. A coleta de dados foi realizada durante nove meses. Os dados foram coletados por meio de quatro instrumentos: Agenda do CeAC, Quadro fluxo de procedimentos por pacientes no dia, Prontuários dos pacientes e Formulário de Seleção e Adaptação de Aparelhos de Amplificação Sonora Individual (SUS) e Mapa dos espaços. Resultados: Na distribuição de procedimentos dos serviços de Diagnóstico e Seleção e Adaptação de AASI a consulta otorrinolaringológica e o exame VRA são os procedimentos mais realizados, totalizando em 871 exames. Verificou-se que 37% do público alvo chega ao local do atendimento com mais de duas horas de antecedência. O tempo médio de permanência dos pacientes durante o atendimento é de 02h:13m. Houve um aumento de uma hora em média quando PEATE era realizado. Os fonoaudiólogos não aderiram ao preenchimento das colunas sobre o horário de saída dos pacientes em 47% dos registros. Conclusão: Os resultados permitiram compreender melhor sobre a rotina de um serviço de saúde auditiva, o funcionamento de um cenário com complexidade na multiplicidade de atendimentos e as dificuldades em registrar. Ressaltamos, então, a necessidade dos profissionais da saúde, principalmente os fonoaudiólogos se inteirar cada vez mais sobre os aspectos de gestão de serviços e contribuir com a Rede de Saúde Auditiva

Made available in DSpace on 2011-05-04T12:36:17Z (GMT). No. of bitstreams: 0 Previous issue date: 2009 / iculdades do processo de implementação da Política Nacional de Atenção à Saúde Auditiva (PNASA), no município do Rio de Janeiro. Parte-se do pressuposto que tal política ainda não está efetivamente implementada, e grande parte das realizações está restrita ao fornecimento de aparelho auditivo, com reduzido número de acompanhamentos e procedimentos essenciais para se obter um melhor resultado com o uso da prótese. Em 2004, o Ministério da Saúde elaborou a PNASA, buscando uma atuação mais efetiva para a melhoria da qualidade de vida das pessoas com problemas auditivos. No estado do Rio de Janeiro, atualmente, existem 13 unidades de Serviços de Saúde Auditiva. Dentre estas, quatro localizam-se no município do Rio de Janeiro, porém, no momento da pesquisa apenas duas encontravam-se habilitadas. Em 2005, o município apresentava cerca de 190 mil pessoas com deficiência auditiva. Verificou-se a necessidade de realizar um estudo que tratasse dos aspectos relacionados ao processo de implementação dessa Política, devido ao reduzido número de estudos sobre o assunto. A pesquisa envolveu duas etapas: a primeira incluiu entrevistas semi-estruturadas com atores-chave para uma descrição das unidades de saúde em estudo. Os atores selecionados fazem parte de dois grupos: profissionais de saúde envolvidos no atendimento de pacientes com problemas auditivos e usuários da Política. A segunda etapa refere-se à coleta de dados desde o início da habilitação de cada unidade até a época da realização da pesquisa; buscando caracterizar a demanda existente. Não se pode dizer que, hoje, no município, o atendimento ao paciente com perda auditiva seja realizado de forma integral. Apesar dos avanços conseguidos no processo de implementação da PNASA, que possibilitaram a ampliação do atendimento às pessoas com alteração auditiva, ainda existe uma necessidade de melhora no diagnóstico precoce, na agilidade da aquisição das próteses auditivas, da reabilitação e da garantia do acesso ao acompanhamento do usuário. / This research remains in a proposal to identify and discuss the main achievements and difficulties of the implementation process of National Policy for Hearing Health Care (NPHHC), in Rio de Janeiro council. It has been assumed that this policy is not effectively implemented, and most of the output is restricted to the provision of hearing, with a reduced number of accompaniments and procedures essential to get a better result with the use of the prosthesis. In 2004, the Ministry of Health produced the NPHHC, seeking a more effective action for improving quality of life for people with hearing problems. In the state of Rio de Janeiro, currently, there are 13 units of Hearing Department of Health. Among these, four are located in Rio de Janeiro, however, during this research there were only two qualified. In 2005, the council had about 190 thousand people with hearing loss. There is a need to conduct a study that treats aspects of the process of implementing this policy, due to the reduced number of studies on this subject. The research involved two stages: the first included semi-structured interviews with key players for a description of the health units under study. The actors are selected from two groups: health care professionals involved in caring for patients with hearing problems and users of policy. The second stage refers to data collection since the early clearance of each unit until the time of the completion of research seeking to characterize the existing demand. Nowadays, in the council, the care to patients with hearing loss is not made in full time. Despite the progress made in implementation of NPHHC, which enabled the expansion of care for people with hearing impairment, there is still need for improvement in early diagnosis, agility in the acquisition of hearing aids, rehabilitation and guarantees of access to monitoring user.