What is it about?
Many people in Tanzania have limited access to ear and hearing care, especially in areas where specialist services are scarce. This study explored a new way to help primary healthcare workers learn basic ear and hearing care skills using smartphones and in-person training. Healthcare workers completed short learning modules on their phones and attended hands-on workshops to practice important skills, such as examining the ear, recognizing common ear problems, preventing infections, and knowing when to refer patients for specialist care. After the training, participants reported better knowledge and greater confidence in many areas of ear and hearing care. Some skills, such as understanding hearing test results, still needed more practical training. These findings suggest that smartphone-based learning could be a practical and affordable way to improve access to ear and hearing care in places with limited resources, helping more people receive timely care closer to home.
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Why is it important?
Hearing and ear problems are common, but many people in low-resource settings cannot easily access specialist care. This study is important because it explores a practical, scalable way to train frontline healthcare workers using smartphones and hands-on learning. As smartphone use continues to grow across Africa, this approach offers a timely and affordable way to strengthen local healthcare systems and improve access to basic ear and hearing care. By helping primary healthcare workers identify and manage common ear conditions earlier, this model could reduce delays in treatment and bring care closer to communities that need it most.
Perspectives
Working on this publication has been especially meaningful to me because it reflects the power of collaboration across institutions, disciplines, and countries. I am deeply grateful for the opportunity to work alongside talented audiologists and healthcare professionals from Bugando Medical Centre and the Catholic University of Health and Allied Sciences in Tanzania, as well as otolaryngologists from the University of California, San Francisco. Their expertise, dedication, and commitment to improving access to ear and hearing care were invaluable throughout this project. This experience reinforced my belief that sustainable healthcare solutions are strongest when they are developed through partnership, shared learning, and a deep understanding of local needs and priorities.
Dr. Christopher P. Kruglik
Emory University
Read the Original
This page is a summary of: Smartphone accessible audiology modules: improving access to basic ear and hearing health education for primary care providers in Tanzania, International Journal of Audiology, September 2025, Taylor & Francis,
DOI: 10.1080/14992027.2025.2549462.
You can read the full text:
Resources
Oral Presentation at the 3rd Annual Rush Otolaryngology Global Health Symposium
Oral presentation titled "Smartphone Accessible Audiology Modules: Improving Access to Basic Ear and Hearing Health Education for Primary Care Providers at Bugando Medical Centre, Mwanza, Tanzania" by Christopher P. Kruglik at Rush University's 3rd Annual Rush Otolaryngology Global Health Symposium in Chicago, IL, on May 30, 2025.
Top 3 Outstanding Oral Presentations at the 2025 Rush Global Health Symposium
The study team's oral presentation titled: "Smartphone Accessible Audiology Modules: Improving Access to Basic Ear and Hearing Health Education for Primary Care Providers at Bugando Medical Centre, Mwanza, Tanzania" was selected as one of the Top 3 Outstanding Oral Presentations at the 2025 Rush Global Health Symposium at Rush University in Chicago, IL. Oral presentation was given on May 30, 2025; award was received via email by the Rush Global Health Symposium Committee on July 12, 2025.
Oral presentation by Keynote Speaker, Dr. James D. Komanya at the 5th International Hybrid Conference on ENT, Audiology & Speech-Language Pathology
Oral presentation by Keynote Speaker, Dr. James D. Komanya at the 5th International Hybrid Conference on ENT, Audiology & Speech-Language Pathology in London, UK on July 18, 2025. Title of oral presentation: "Smartphone Accessible Audiology Modules: Improving Access to Basic Ear and Hearing Health Education for Primary Care Providers in Tanzania".
Dr. Lia Jacobson Earns Global Health Scientist Award
Press release from UCSF for Dr. Lia Jacobson regarding her award and work related to this manuscript.
Twitter (X) post regarding publication
Twitter (X) post from UCSF regarding the training sessions on smartphone-based audiology modules to empower healthcare workers at Bugando Medical Centre in April 2024. The training sessions were included in this study.
Contributors
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