Hearing Screening In Early Chi





History Logs

Project Description

Region: South America

Country: Colombia

Location: Armenia

Total Budget: $48,435

Area of Focus: Disease prevention and treatment

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Conduct auditory screening in the pediatric population aged between 2 and 5 years in the municipality of Armenia, Quindío, Colombia, over a one-year period. The objective is to identify potential hearings problems, thereby promoting comprehensive development, socio-educational inclusion, and well-being during childhood. This initiative ensures audiological support for parents and educators, contributes to the implementation of the surveillance protocol for congenital defects particularly related to auditory impartments. Additionally, it aligns with the Comprehensive Healthcare Routes for Early Childhood (RIAS) mandated by the government, aiming to facilitate educational development and prevent dropouts due to unidentified learning disabilities.



In the Development Plan of the Municipality of Armenia, hearing impartment has not been reported, and there are no records since 2017, indicating a zero indicator. The lack of comprehensive knowledge among the community's medical professionals, educational staff, and parents regarding the importance of early detection of auditory impairments in children necessitates the development of an education and assessment protocol, including auditory screening. This aims to integrate it into the activities of the educational community, in coordination with the Municipal Health and Education Secretariat, the Medical Corps of the health system (contributory and subsidized), the team from the Colombian Family Welfare Institute - ICBF-1, the Rotary Support Group, and the beneficiary children along with their families.

Hearing is the cornerstone of communicative and language development. Early detection of auditory impairments will facilitate timely diagnosis and intervention, enabling the child to achieve language and communicative development aligned with their cognitive age.

The CRITICAL AGE for this developmental maturation is from birthday to 3 years of age; therefore, the assessment of children should be early to achieve efficient and timely guidance, direction, and interventions.

Hearing loss can be mild, moderate, severe or profound and may affect one or both ears. The main causes of this disorder can be congenital or acquired in early childhood; chronic middle ear infections; age-related, noise-induced hearing loss, or due to ototoxic drugs that damage the inner ear.

The consequences of hearing loss are broad and can be profound. They include the loss of the ability to communicate with others, delayed language development in children, leading to social isolation, feelings of loneliness, and frustration. Many of those consequences can be mitigated trough early detection and intervention. This includes special education programs, assistive technologies: hearing aids, cochlear implants, Closed Caption (CC), and other resources through speech therapy, auditory/verbal rehabilitation, which can be helpful for individuals with hearing loss of any age.

Hearing loss and deafness can also result from complications of other diseases such as measles, meningitis, rubella and mumps. Activities aimed at preventing these diseases through vaccination and hygiene programs can have beneficial effects in reducing their occurrence; additionally, immunizing women and adolescents of childbearing age against rubella before pregnancy, as well as preventing cytomegalovirus infections in pregnant women, can reduce the risk of children being born with congenital hearing loss or deafness.


Hearing screenings will be conducted on approximately 2,460 children aged 2 and 5-year-old, residing in the city of Armenia as part of the Municipal Development Plan. This initiative targets children enrolled in the Institutional Units for Early Childhood -UIPI, aiming to ensure early education, care and nutrition within the framework of comprehensive and differential attention. Additionally, efforts will be made to promote their rights to health, protection, and participation, fostering their physical, emotional and communicative development. Moreover, their families, consisting of (7,500 individuals), the teaching staff of the UIPI (140 teachers), and the medical personnel within the healthcare system will also benefit from this initiative.


o Information and promotion within Institutional Units for Early Childhood - UIPI, about the importance of preventing learning difficulties and cognitive development issues in preschool-aged children.

o Hearing screenings will be conducted on preschool children between 2 and 5 years, using the Education and Auditory Assessment Protocol, integrating it with the Comprehensive Routes of Early Childhood Health Care (RIAS)-2. This aims to track their overall development in collaboration with Municipal Health Secretariat.

o Based on the registered population in the UIPI of the city of Armenia, an evaluation system is established for a one-year period, an auditory screening protocol will be implemented, acquiring and utilizing audiometric equipment with pure tones at 25 dB HL in frequencies of 500 - 1000 - 2000 - 4000 Hz; results will be categorized as PASS or FAIL and appropriate routes will be applied according to the established protocol:

PASS: Recommendation for auditory care and a one-year follow-up are provided.

FAIL: A referral is given to the health care provider EPS, for clinical assessment, (behavioral audiometry / impedance testing) followed by a 3-month control and intervention, (treatment - amplification - therapies) are administered before the 6 month mark.



- HUMAN RESOURCES: Audiologist / Speech therapist / Administrator

- PAPERWORK: Screening / Administrative reports

- PROJECT IMPLEMENTATION: mobility of human resources, specialized equipment, and snacks for assessed children.


- EDUCATIONAL TALKS: (Parents / Health and school staff): Video beam / PC


With the endorsement from the Municipal Health Secretariat of Armenia and the Colombian Institute of Family Welfare - ICBF-1, aiming to integrate programs for improving the health and well-being of minors into their public policy for early childhood, they will develop an agreement to implement the UIPI of the municipality of Armenia, in coordination with Rotary Club Armenia Palma de Cera.

The Municipal Health Secretariat, in fulfilling its role of educating and promoting early childhood care programs, supports the "Early Detection Program for Potential Hearing impairments in preschool children in the city of Armenia", they provide backing and maintenance throughout the project's execution until its completion committing to ensuring continuity, follow up, and intervention for the identified children even after the project concludes.

The economic sustainability for the project's development is achieved through financial support provided by our club and other entities endorsing this initiative. This project does not demand subsequent financial resources as it will be integrated into the program with the RIAS-2 through the General System of Social Security in Health (SGSSS)-3. The latter becomes the subsequent manager of the program upon receiving our auditory screening protocol, along with the guidelines ensuring the its continuity through the trained medical team.

1- INSTITUTO COLOMBIANO DE BIENESTAR FAMILIAR (ICBF): The Colombian government entity working for the comprehensive prevention and protection of early childhood, and adolescence, as well as strengthening of youth and families in Colombia. Its mission is to provide special attention to those facing threats, neglect, or violation of their rights.

2- RUTAS INTEGRALES DE SALUD DE PRIMERA INFANCIA (RIAS): Actions for diagnosis, treatment, rehabilitation, palliative care, and health education. It allows guiding and organizing the management of comprehensive health care by actors within the SGSSS continuously and consistently with the situation and characteristics of each territory. Additional it involves intersectoral management to address the social determinants of health.

3- SISTEMA GENERAL DE SEGURIDAD SOCIAL: Its objective is to regulate essential public health service and create access conditions for the entire resident population of the country at all levels of care.

4. BUDGETS: Approximate exchange rate USD 1 = $ 4.000


2 Otoscopes $ 5'000.000 COP = USD 1.250

Audiometer GSI 18 // AMTAX FLEX $ 10'000.000 COP = USD 2.500

Video Beam $ 4'000.000 COP = USD 1.000

- HUMAN RESOURCE: USD 32.820 Human Resource / year

2 days/week = 8 days/month = 8 months/year: Assessment only, the rest of the time for Promotion, Educational Workshops, Reports, Statistics, Monitoring.

Audiologist $ 60.000 COP= USD 15 h/W $ 46,080,000 COP/year = USD 11,520

Speech therapist $ 50.000 COP= USD 12,5 h/W $ 38,400,000 COP/year = USD 9,600

Administrator $ 50.000 COP= USD 12,5 h/W $ 38,400,000 COP/year = USD 9,600

Accountant $ 8.400 COP= USD 2,1 h/W $ 8,400,000 COP/year = USD 2,100


Screening / Administrative Reports $ 1.000.000 COP = USD 250


Mobility of Human Resources and Equipment $ 1.280.000 COP/year = USD 320


Information brochures 6000 brochures $ 2.400.000 COP = USD 600


For children valued 2460 children* $ 16.000.000 COP/child = USD 4.000

* with training included


(Parents / Health / School Personnel): $ 6.800.000 COP / year = USD 1700

- BANKING EXPENSES: $ 800.000 COP/ year = USD 200

- UNFORESEEN: (8.5% of the budget) USD 3.795

USD 4.750 Technological Equipment

USD 32.820 Human Resource / year

USD 250 Stationery and Office Equipment / year

USD 320 Project Implementation

USD 600 Literature / Educational Brochures / year

USD 4.000 Preschool Snacks / year

USD 1.700 Educational Talks / Opening and Closing

USD 200 Banking Expenses

USD 3.795 Unforeseen (8,5%)

USD 48.435 $ 193'740.000 COP Value of the Project


Value of the Project USD 48.435 $193'740.000 COP

Local Club USD 500

District 4281 USD 1.500

CR Monterrey -Mx USD 500

International Club/s USD 10.540

International District/s USD 19.000

Rotary Foundation USD 16.400


We express our gratitude for your support, willingness and accompaniment in the development process of this project:


Dr HILDA MONTRULL, PhD Clinical Pharmacology

National University of Cordoba

PGD 2012-2013

Rotary Cadre Technical Advisor 2015-2023

The Rotary Foundation 2013-2016

Honorary member R.C. Innova Rio Tercero


TRF Cadre of Technical Advisers (2013-2014, 2014-2024)

The Rotary Club Asunción Norte - Presidente 2024


Dra. ADRIANA ECHEVERRI, Directora Instituto Colombiano de Bienestar Familiar - Seccional Quindío.

Dra. LUZ MARY MONTOYA, Psicóloga Instituto Colombiano de Bienestar Familiar - Seccional Quindío


Dra. LILIANA QUINTERO, Médico Epidemióloga,

Secretaria de Salud Municipal. - Armenia, Quindío.


C.R. ARMENIA PALMA DE CERA Audiologist, Mónica López de Mesa Nicholls.


cel.: +57 3227908461 Md, Jorge Raúl Ossa Botero


cel.: +57 310 3734188

Primary Host Partner

District: 4281

Rotary Club of: Armenia Palma de Cera

Primary Contact: Monica Lopez De Mesa Nicholls

Email: monicalopezdemesa@hotmail.com

Primary International Partner

District: 5300

Rotary Club of: Las Vegas WON

Primary Contact: Chehab Elawar

Email: shabdg201415@gmail.com

Project Status

Need $39,455
This project needs to receive some pledges to go to the next level. Please check the "Financing" tab to see the list of current pledges. Once the amount pledged is equal to the project budget, the status of the project will be automatically changed to "Fully Pledged".
Click here to pledge support for this project.

Project listed for the 2023-24 Rotary Year.

Proposed Financing

Existing Contributions Towards This Project





Armenia Palma de Cera (4281)





Las Vegas WON (5300)





Kingston (7040)





Miramar-Pines (6990)





Remaining Amount to Raise

Additional Club Contribution (Needed) - Add a contribution




Amount Requested from The Rotary Foundation






Note: as of July 1, 2015 there is a 5% additional support fee for cash contributions. This fee does not appear in the financials above because it does not apply if the funds are sent directly to the project account (without going through TRF, and therefore without Paul Harris credit). Clubs sending their cash contribution to TRF must be aware they will have to send an additional 5%.

Project Supporting Documents

Project Photos

History Log Entries


System Entry

System Entry: Creation of project page.


by Chehab Elawar

System Entry: Pledge of $100 with $100 DDF by Chehab elawar of the Rotary Club of Las Vegas WON, District 5300.


System Entry

System Entry: Pledge of $500 by Carol Cartier of the Rotary Club of Kingston, District 7040.


System Entry

System Entry: Pledge of $5,000 by Ellen Haggerty of the Rotary Club of Miramar-Pines, District 6990.


System Entry

System Entry: Pledge of $5,000 by Ellen Haggerty of the Rotary Club of Miramar-Pines, District 6990.

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