Early Hearing Detection and Intervention (EHDI)

Program to Enhance the Health & Development of Infants and Children (PEHD​IC)​

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Hearing loss is the most common congenital condition in the United States (US). Each year, an estimated three in 1,000 infants are born in the US with moderate, severe, or profound hearing loss resulting in delayed development in language, learning, and speech. 

Children who are deaf or hard of hearing face a potential developmental emergency and should be identified as quickly as possible so that appropriate intervention services can be started.

American Academy of Pediatrics (AAP) Early Hearing Detection and Intervention (EHDI) Goals

  • Ensure every child with hearing loss is diagnosed and receives appropriate, timely intervention.
  • Enhance pediatricians’, other physicians’, and non-physician clinicians’ knowledge about the EHDI 1-3-6 guidelines—screening by 1 month of age, diagnosis of hearing loss by 3 months of age, and entry into early intervention (EI) services by 6 months of age.
  • Ensure newborn hearing screening results are communicated to all parents and reported in a timely fashion according to state laws, regulations, and guidelines.
  • Incorporate EHDI into an integrated, medical home approach to child health.

EHDI Background

AAP EHDI Regional Network Liaison and Chapter Champions

    AAP EHDI Chapter Champions Program Evaluation
    During the 2018-2019 grant year, AAP EHDI program staff, in collaboration with an evaluation consultant, conducted a comprehensive evaluation of the AAP EHDI chapter champions program to gain insight into stakeholder perspectives on the effectiveness of the EHDI chapter champions program in supporting the goals of the AAP EHDI program and making program improvements.  

    To learn more about the results of the evaluation, view the Executive Summary and complete Final Report.

    For questions, contact Müge Chavdar at mchavdar@aap.org.

    Innovative and Promising Practices
    Innovative and Promising Practices for Early Hearing Detection and Intervention (EHDI) 
    Do you work with clinical practices, children and families, state stakeholders, and/or other organizations or providers who support children and families who are deaf or hard of hearing (D/HH)? The American Academy of Pediatrics (AAP) EHDI program has developed summaries of innovative and promising practices that will help guide opportunities for change in EHDI.

    Innovative and promising practices and strategies from the following programs can be found here.

    The summaries included in the series of innovative and promising practices were prepared by EHDI leaders and stakeholders and reviewed by a panel of experts in the field. Contact medical_home@aap.org if you have questions or would like more information.

    Progress towards 1-3-6 benchmarks
    • ​Only 86.0% of infants received hearing re-screening before 1 month of age.
    • Only 69.1% of infants who do not pass a hearing screening test are diagnosed with hearing loss before 3 months of age.
    • Of those diagnosed, only 67.1% receive intervention before 6 months of age.
    • Almost 36 percent of infants who do not pass a newborn hearing screening are considered Lost to Follow-up/Documentation.
    According to the Centers for Disease Control and Prevention (CDC):
    • ​Between the years of 2005-2012 over 34,000 infants were identified with hearing loss.
    • 1 to 3 of every 1,000 newborns have confirmed hearing loss.
    • There has been an increase in the percentage of infants who receive newborn hearing screening. In 1999, 46.5% of infants were screened and in 2011, over 97% of infants received newborn hearing screening.

Partners and Organizations with Hearing Loss Information/Resources

Information, Resources, and Tools for Primary Care Clinicians​