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Halving the rate of hearing loss in First Nations children by 2029

Published: 6/25/2023 12:26:52 PM

Hearing Australia has launched the Hearing Australia Action Plan for Improving Ear Health and Hearing Outcomes for Aboriginal and Torres Strait Islander Children. The Action Plan outlines how Hearing Australia will work with its partners to halve the rate of hearing loss in Aboriginal and Torres Strait Islander children by 2029.
Across Australia, chronic otitis media1 (inflammation and infection of the middle ear) is far more frequent and serious in Aboriginal and Torres Strait Islander children compared to non-Indigenous children. In fact, one in three Aboriginal and Torres Strait Islander children experience this disease, making it difficult for them to hear, learn and yarn. Studies show Aboriginal and Torres Strait Islander children experience up to 32 months of conductive hearing loss, compared to just three months among non-Indigenous children.2
The Action Plan commits Hearing Australia to building on its current collaboration with organisations, government and communities to improve the systems, services and policies that contribute to better ear health and hearing outcomes. It’s aligned to the objectives of the National Agreement on Closing the Gap and demonstrates Hearing Australia’s commitment to ensuring Aboriginal and Torres Strait Islander communities are empowered to share decision-making about how services are delivered.
“Implementing this Action Plan is crucial to help reduce the rate of hearing loss in First Nations children,” says Kim Terrell, Hearing Australia’s Managing Director. “It was co-designed with Aboriginal and Torres Strait Islander health care experts and sets out the actions that Hearing Australia will take, in collaboration with its partners, to improve the ear health of First Nations children.
“This will be achieved by supporting national leadership, accelerating access to care, and building workforce capabilities in primary health care services across Australia. We stand together with our partners in a steadfast commitment to dramatically improve the hearing health of First Nations children.”
Earlier hearing aid fittings
The work of Hearing Australia’s First Nations Services Unit, established in 2021, is showing positive results in improving ear health and hearing outcome results, but there is more work to be done. According to research from the Unit, there has been a reduction in the age Aboriginal and Torres Strait Islander children are receiving hearing aids. Today, one in five First Nations children who need hearing aids receive them before the age of three – a significant improvement from the one in 20 children in 2008.
Wiradjuri woman and Hearing Australia Acting National Manager Stakeholder Relations, First Nations Services Unit, Sherilee McManus, says the specialist Unit is helping to address the hearing gap. “Many of the children and adults we see have very complex needs, which means they require specialised services. Because of the relationships we’ve forged with a range of partners, including peak bodies, health and education services and ear health stakeholders, we’re able to provide these specific services, to pick up hearing problems sooner and to fast-track treatment and rehabilitation,” she says.
Hearing loss in a child’s early developmental years can delay speech and language development, contributing to greater inequality in education, employment, and overall health outcomes. The most recent National Aboriginal and Torres Strait Islander Health Survey found some 30 per cent of Aboriginal and Torres Strait Islander school-aged children had a measured hearing loss in one or both ears.3
“Early identification of otitis media and referral to specialist treatment and support services is crucial for preventing long term speech, language, social and emotional impacts of hearing loss,” says Hearing Australia First Nations Services Clinical Leader, Clare Manhood.
Samantha Smith, mother of six-year-old Maisie, says that the help provided to her daughter through Hearing Australia has made a significant difference to her development.
“Maisie’s preschool and I noticed that she had a speech delay and that she wasn’t really listening. I had to raise my voice when speaking to her and she looked more for facial cues and would constantly want the TV volume up too loud. We got her hearing checked through Hearing Australia which confirmed she had a hearing loss. A subsequent hearing check confirmed that it was continuing to decline and she was fitted with a hearing device.
“The hearing device has been a godsend for Maisie. She wears it every day and it has made a noticeable difference to her hearing in all situations, and it has really helped with her development. The entire process with Hearing Australia has been very positive. Maisie and I have been made to feel so comfortable right from the beginning and the staff are so friendly and efficient.”
In the 2021-22 financial year, Hearing Australia supported some 23,000 Aboriginal and Torres Strait Islander peoples with their hearing needs. Around half were young children assessed under the government-funded Hearing Assessment Program – Early Ears (HAPEE), with around 1 in 4 requiring referral to specialist services.
The Action Plan also builds on the success of a suite of existing programs for eligible Aboriginal and Torres Strait Islander peoples, which are fully subsidised by the Australian Government. They include:

  • hearing services and devices, provided through the Community Service Obligations component of the Hearing Services Program
  • free* hearing checks for young children aged 0-6 not yet attending full time school as well as upskilling and supporting local services to identify ear and hearing problems and refer to specialist services, provided through the HAPEE (Hearing Assessment – Early Ears) and Listen to Learn programs.

Hearing Australia, celebrating its 75th anniversary this year, has a long and proud history of working with Aboriginal and Torres Strait Islander peoples. “From our first visiting audiology service in the Northern Territory in 1954, we now regularly visit over 220 communities and partner with more than 100 Aboriginal community-controlled health organisations to deliver hearing services,” adds Kim.

To view Hearing Australia’s Action Plan to improve the ear health and hearing outcomes for Aboriginal and Torres Strait Islander children visit the Hearing Australia website.


*The Hearing Assessment Program is funded by the Commonwealth Department of Health. Aboriginal and Torres Strait Islander children aged 0-6 years not yet attending full time school are eligible to be seen. All services provided under this program are free of charge. A hearing check includes a number of age appropriate tests of hearing and middle ear function.


1. HHSC (2019). Roadmap for Hearing Health. Hearing Health Sector Committee. Online at [viewed October 2021]
2. Coates et al 2020; and Kong & Coates 2009
3. ABS 2019; AIHW 2020

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