FUNDACIÓNTOTAÍ
PROCLAIMING the Gospel of Jesus Christ PROVIDING services at a low cost PROMOTING integral training of workers
"This is to my Father's glory, that you bear much fruit, showing yourselves to be my disciples." John 15:8

The Programme for Prevention of Hearing Impairment
¡OYE BOLIVIA! is a public health programme. Its main activities
are based in the Beni State. These are fourfold:
Raising awareness:
The first step of a prevention programme is to raise awareness at all
levels and to train people who can make a difference in their area of
influence and expertise (community, schools, health centres, mass
communication media, etc).
Primary Prevention:
The most effective way of prevention is active field intervention to avoid
the development of known causes of deafness, hearing impairment and
ear disease (hearing conservation, immunisations etc).
Secondary Prevention:
Once the cause is no longer preventable, the best form of secondary prevention is EARLY IDENTIFICATION, so that
definitive diagnosis can take place and treatment or other interventions can be provided as soon as possible to prevent
development of complications or advancement of the condition/disease. To best achieve early identification, universal
screening is the gold standard (neonates, infants, pre-school and school age).
Tertiary Prevention:
If the Disabling Hearing Loss is already a reality, tertiary prevention consists of REHABILITATION and SOCIAL
INTEGRATION. Hearing Aids are a method to help people living with Hearing Loss to find a job or have a healthy social,
personal life. Surgery can stop some types of ear disease and also restore or improve hearing loss.
MICROSURGERY OF THE MIDDLE EAR
Microscopic surgery of the middle ear commenced at the ¡OYE BOLIVIA! programme in October 2007. This type of
surgery had never been performed in the Beni State before.
Thanks to CBM (Christian Blind Mission), ¡Oye Bolivia! now has its own operating theatres and all the necessary
equipment and instruments to operate on patients who suffer with Chronic Otitis Media (perforated ear drum, discharging
ears and also a potentially life threatening and/or disabling condition called cholesteatoma) and Conductive Hearing Loss
(middle ear bones' disease and Serous Otitis Media, also known as Glue Ear).
TRAINING OF HEALTH & COMMUNITY WORKERS
Seven types of training are provided by 'Oye Bolivia':
1. Primary Ear and Hearing Care (PEHC) training.
2. Basic audiometric training (diagnostic and screening).
3. Ear mould making technician.
4. Outpatients ear nurse training.
5. Ear surgery first assistant (scrub nurse) training.
6. Community Based Rehabilitation in PEHC training.
7. Health and Special Education professional groups.

Dr. Cleny Montaño, with patient
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