Addressing Hearing Loss of Palestinians Living in Refugee Camps

Lori A. Pakulski
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Abstract

Although commonly perceived as an acceptable and normal part of aging, unaddressed or inadequately managed hearing loss (UIMHL) is an economically and socially recognized cause of human disability and morbidity. It creates a global burden that negatively affects individuals and nations, disproportionately affecting low- and middle-income countries and vulnerable populations. Immediate- and long-term health, social, and economic consequences include psychosocial problems, deterioration of cognitive function, loss of productivity, and poor well-being. Despite a growing body of evidence that interventions can ameliorate these concerns, fewer than 80% receive them. Access to services, perceived costs, and stigma are commonly blamed to avoid intervention. The purpose of this article is to raise awareness and highlight solutions to reduce the impact of UIMHL on a particularly vulnerable population: the Palestinian people living in refugee camps. This article discusses the approach of a humanitarian organization that aims to improve service uptake, reduce detrimental impacts, and address the ethical implications of improving outcomes for those with UIMHL. Hearing and auditory wellness are key factors in improving the quality of life and health of vulnerable populations. When international humanitarian organizations aim to improve the outcomes of those with UIMHL, their services must be culturally sensitive and fully consider the vulnerabilities and needs of the population. Furthermore, they must promote outreach and education in partnership with local practitioners for their work to continue beyond a one-time visit. The use of social accompaniment to empower local stakeholders and expand service delivery is also discussed.
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解决难民营中巴勒斯坦人的听力损失问题
虽然人们普遍认为听力损失(UIMHL)是衰老过程中可以接受的正常现象,但从经济和社会角度来看,听力损失(UIMHL)是造成人类残疾和发病的公认原因。它造成了全球性的负担,对个人和国家都产生了负面影响,对中低收入国家和弱势群体的影响尤为严重。其直接和长期的健康、社会和经济后果包括社会心理问题、认知功能退化、生产力丧失和幸福感低下。尽管越来越多的证据表明,干预措施可以改善这些问题,但只有不到 80% 的人接受了干预措施。获得服务的途径、认为的成本和耻辱感通常被归咎为避免干预的原因。本文旨在提高人们的认识,并强调减少 UIMHL 对特别弱势人群--生活在难民营中的巴勒斯坦人民--影响的解决方案。 本文讨论了一个人道主义组织的方法,该方法旨在提高服务吸收率,减少有害影响,并解决改善 UIMHL 患者的结果所涉及的伦理问题。 听力和听觉健康是提高弱势群体生活质量和健康水平的关键因素。当国际人道主义组织致力于改善 UIMHL 患者的治疗效果时,其服务必须具有文化敏感性,并充分考虑到人群的脆弱性和需求。此外,他们还必须与当地从业人员合作,促进外联和教育工作,使他们的工作能够在一次性访问之后继续下去。此外,还讨论了利用社会陪伴来增强当地利益相关者的能力和扩大服务范围的问题。
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