{"id":18686,"date":"2025-03-21T10:00:47","date_gmt":"2025-03-21T08:00:47","guid":{"rendered":"https:\/\/getitmagazine.co.za\/bloemfontein\/?p=18686"},"modified":"2025-03-19T12:11:57","modified_gmt":"2025-03-19T10:11:57","slug":"is-your-child-really-a-troublemaker-or-can-they-just-not-hear","status":"publish","type":"post","link":"https:\/\/getitmagazine.co.za\/bloemfontein\/blog\/2025\/03\/21\/is-your-child-really-a-troublemaker-or-can-they-just-not-hear\/","title":{"rendered":"Is your child really a troublemaker or can they just not hear?"},"content":{"rendered":"<h3>Fifteen percent of school-aged children have impaired hearing which often gets misdiagnosed or interpreted as naughtiness. Here\u2019s what parents need to know about picking up hearing impairment in their children.<\/h3>\n<p>In 2012, speech language therapist and audiologist, Venisha Naran, did a routine hearing screening for a Grade 1 learner at a private school in Johannesburg. The referral came with a brief. \u201cThey said they didn\u2019t think there was anything wrong with her ears, but she had recently arrived from China and didn\u2019t understand much English,\u201d says Naran.<\/p>\n<p>Naran screened the child. Then she screened her again to check her findings. She sent the little girl home with a note requesting a meeting with her parents: It wasn\u2019t the English that she was struggling with \u2013 she had hearing impairment in both ears.<\/p>\n<p>Over the course of the learner\u2019s school career, Naran fitted her with three sets of hearing aids. Last year she passed matric in a mainstream school and is currently studying engineering. \u201cI think if it had not been picked up, they would have just always thought her learning issues were because of the second language when, in fact, she couldn&#8217;t hear,\u201d says Naran.<\/p>\n<p><strong>Screenings give children a future<\/strong><\/p>\n<p>Out of every thousand babies born, up to three will be born with hearing impairment, says Naran. Other children may develop ear infections that can lead to temporary or permanent hearing loss if not picked up and treated. The problem is young children often don\u2019t even realise they have impaired hearing because they don\u2019t know anything different.<\/p>\n<p>\u201cMost of the time, they just compensate for it,\u201d says Naran. She shares an example a little boy who couldn\u2019t hear in one ear. He would turn his head to listen and use the phone on one side only. But he didn\u2019t know why he was doing that, and his mom didn\u2019t notice until his hearing impairment came to light during a screening.<\/p>\n<p>\u201cThese kids often can\u2019t tell you that they can\u2019t hear,\u201d says Naran, \u201cand so they\u2019re often seen as the child not listening or not following instructions or being oppositional. But it\u2019s actually that they\u2019re the child who can\u2019t hear.\u201d<\/p>\n<p><strong>Signs your child is struggling to hear<\/strong><\/p>\n<p>Poor hearing manifests in many ways, some of them unexpected:<\/p>\n<ul>\n<li>Delayed speech and language development<\/li>\n<li>Can\u2019t follow instructions<\/li>\n<li>Poor reading ability<\/li>\n<li>Bad marks at school<\/li>\n<li>Being tired all the time<\/li>\n<li>Avoiding social situations<\/li>\n<li>Behavioural issues<\/li>\n<li>Turning their head to listen<\/li>\n<li>Frequent misunderstandings<\/li>\n<li>Asking you to repeat things<\/li>\n<li>Turning the volume up on the TV or tablet<\/li>\n<li>Failure to respond when they\u2019re not facing you<\/li>\n<li>Ear pain \u2013 in the case of an infection<\/li>\n<\/ul>\n<p>These signs on their own can\u2019t diagnose hearing impairment, which is why screening is so important. Naran believes hearing screening should be standard in schools, with an option for parents to opt out, rather than having to opt in.<\/p>\n<p>\u201cMany parents don\u2019t opt in to hearing screenings due to barriers such as cost and a lack of awareness,\u201d says Dr Liza Street, a paediatrician and cofounder of Ajuda, a digital storage vault for medical information.<\/p>\n<p>\u201cFinancial constraints can make screenings inaccessible as parents often prioritise essential expenses such as food, housing and childcare, placing screenings lower on their list of immediate needs. Additionally, many parents may not be aware of the potential impact of undetected hearing issues on their child\u2019s speech, learning and social development.\u201d<\/p>\n<p>Ajuda is working to address these issues through a school screening programme, which would involve not only the screening itself, but also secure digital storage of the results in a free Ajuda vault that the child can keep for their lifetime.<\/p>\n<p><strong>Importance of record keeping <\/strong><\/p>\n<p>\u201cI think we need a better record system because currently I send the original results to the parents and all I have is a spreadsheet with the child\u2019s summary \u2013 we don\u2019t have those results if the parents lose them,\u201d says Naran.<\/p>\n<p>This becomes especially problematic when children have an abnormal screening result. It might not be significant enough that the child needs treatment right away, but that initial test becomes a baseline, which could provide valuable information to healthcare providers many years into the future.<\/p>\n<p>\u201cTracking changes over time, monitoring variations in results, seeing the impact of interventions as the child grows and understanding the development of your child are all essential to support efficient care long term,\u201d says Taryn Uhlmann, cofounder of Ajuda and a vocal advocate of screenings for preventive healthcare.<\/p>\n<p>Naran has seen this scenario play out more than once. \u201cWith speech therapy, people have contacted me ten years later to ask for an assessment report because they can\u2019t find it,\u201d says Naran.<\/p>\n<p>Through the two-pronged approach of promoting screenings in schools and providing secure storage for the results through the Ajuda vault, Uhlmann and Dr Street aim to empower the next generation with a lifetime of valuable personal health information.<\/p>\n<p>\u201cAccess to\u00a0results that are securely stored and easily available means, immaterial of where your child finds themselves through their life, they always have crucial health information on hand and the care they receive will be comprehensive and holistic,\u201d says Uhlmann.<\/p>\n<p>To find out more about Ajuda or to create your own free Ajuda health vault, visit <a href=\"http:\/\/www.ajuda.co.za\">www.ajuda.co.za<\/a>.<\/p>\n<p><strong><em>Compiled by: Justine Fortuin<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fifteen percent of school-aged children have impaired hearing which often gets misdiagnosed or interpreted as naughtiness. Here\u2019s what parents need to know about picking up hearing impairment in their children. In 2012, speech language therapist and audiologist, Venisha Naran, did a routine hearing screening for a Grade 1 learner at a private school in Johannesburg. [&hellip;]<\/p>\n","protected":false},"author":103,"featured_media":18687,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[7547,7545,7546],"class_list":{"0":"post-18686","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-kids","8":"tag-dr-liza-street","9":"tag-is-your-child-really-a-troublemaker-or-can-they-just-not-hear","10":"tag-venisha-naran"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Is your child really a troublemaker or can they just not hear? - Get it Bloemfontein<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/getitmagazine.co.za\/bloemfontein\/blog\/2025\/03\/21\/is-your-child-really-a-troublemaker-or-can-they-just-not-hear\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Is your child really a troublemaker or can they just not hear? - Get it Bloemfontein\" \/>\n<meta property=\"og:description\" content=\"Fifteen percent of school-aged children have impaired hearing which often gets misdiagnosed or interpreted as naughtiness. 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