Sheila Wirz

Sheila Wirz

CIHD University College London

About

49
Publications
9,889
Reads
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1,391
Citations
Citations since 2017
0 Research Items
467 Citations
2017201820192020202120222023020406080
2017201820192020202120222023020406080
2017201820192020202120222023020406080
2017201820192020202120222023020406080
Introduction
Emerita Professor of Disability and International Development , Centre for International Health and Development, UCL, LOndon

Publications

Publications (49)
Article
Background: The majority of children with cerebral palsy have feeding difficulties, which, if not managed, result in stressful mealtimes, chronic malnutrition, respiratory disease, reduced quality of life for caregiver and child, and early death. In well-resourced countries, high- and low-cost medical interventions, ranging from gastrostomy tube f...
Article
ABSTRACT  At a time when the Royal College of Speech and Language Therapists is celebrating its 50th anniversary I would like us to consider people in less developed countries (LDCs) with communication disorders. Professional services for people with communication disorders in the UK have grown from a service which, in the early 1940s, concentrated...
Article
ABSTRACTSIn 1989, Enderby and Davies discussed the type and pattern of speech and language therapy provision which would be required to service the needs of the speech- and language-impaired population of the UK, on the basis of statistical information drawn from a wide range of sources. In this paper, some methodological issues arising from their...
Article
This cross-sectional study set out to determine the prevalence, pattern and risk factors for undernutrition during early infancy in a setting with substantial non-hospital births against the backdrop of limited evidence on nutritional status in the first three months of life based on an exclusively breast-fed reference population. Undernutrition ba...
Article
Unlabelled: In Brazil there are no specific tests for either signed or spoken language for deaf children. A protocol evaluating communicative abilities independent of modality of communication (sign language or spoken language), and comprising assessments of (a) pragmatic profile; (b) modality of communication and linguistic level; (c) complexity...
Article
Adolescence is a time of transition from childhood to adulthood, but the social implications of adolescence vary from culture to culture and between socioeconomic groups. The impact of having a disability on the transition from childhood to adulthood can be significant. There is a dearth of research into the needs of adolescents with disabilities i...
Article
To determine the feasibility and effectiveness of a community-based universal infant hearing screening programme for detecting permanent congenital and early-onset hearing loss (PCEHL) in Lagos, Nigeria. This is a cross-sectional study in which all infants aged 3 months or under attending four bacille Calmette-Guérin (BCG) immunization clinics acco...
Article
In line with global progress towards early detection of permanent congenital and early-onset hearing loss (PCEHL), the costs and performance of hospital-based and community-based infant hearing screening models were evaluated in Lagos, Nigeria. The protocol consisted of two-stage screening with transient-evoked otoacoustic emissions and automated a...
Article
The objective of this study was to determine the role of non-hospital delivery and other risk factors for permanent congenital and early-onset hearing loss (PCEHL) in a developing country. Matched case-control study. Four primary healthcare centres in inner-city Lagos, Nigeria. Fifty-six infants with PCEHL and 280 normal hearing controls matched fo...
Article
To determine the feasibility and effectiveness of hospital-based universal newborn hearing screening programme for the early detection of permanent congenital or early-onset hearing loss (PCEHL) in Lagos, Nigeria. A cross-sectional pilot study based on a two-stage universal newborn hearing screening by non-specialist health workers using transient...
Data
Evaluation reports included in the review, with number of nodes referenced in each. Reference details for each evaluation report reviewed, noting country in which the evaluation took place, and the number of nodes (themes) identified within each report.
Article
Full-text available
This paper presents the methodology and findings from a proof-of-concept study undertaken to explore the viability of conducting a systematic, largely qualitative synthesis of evaluation reports emanating from Community Based Rehabilitation (CBR) projects in developing countries. Computer assisted thematic qualitative analysis was conducted on reco...
Article
We investigated the opinions of parents and therapists of children using adaptive seating systems in order to understand their common areas of interest or disagreement. Parents and therapists participated in answering a questionnaire regarding their child's response to, and comfort in their individual adaptive seating system. The children all had a...
Article
Full-text available
This study sought to establish whether there were measurable differences in the level of knowledge about HIV/AIDS between hearing individuals and individuals who identified themselves as deaf sign language users in Swaziland. A cross-sectional survey of 191 rural and urban hearing and deaf adults was undertaken in Swaziland in December 2003. A stru...
Article
Screening of newborns for permanent congenital or early-onset hearing impairment has emerged as an essential component of neonatal care in developed countries, following favourable outcomes from early intervention in the critical period for optimal speech and language development. Progress towards a similar programme in developing countries, where...
Article
Parental support for infant hearing loss is essential for a successful infant screening programme. However, in developing countries where unfavourable customs and beliefs towards childhood disabilities have been reported, parental support towards infant screening is uncertain and there is presently no published evidence on the subject. To elicit th...
Article
Children in less-developed countries with mild to moderate disabilities often remain unidentified until school age. Delayed identification leads to less successful interventions for most children and risks secondary disabilities. The disability group at the Centre for International Child Health was funded to address this issue by developing a scree...
Article
The study aimed to determine the number of children and young people reported as having a disability by family members, and to classify impairments leading to disability. A Cross-sectional census was conducted of all households in 24 rural geopolitical units of Makwanpur district, Nepal. Heads of household were asked about family members under the...
Article
Full-text available
Newborn hearing screening has been recognized as an essential component of public health care in early childhood in developed countries. However, such screening is yet to be widely embraced in the developing world. The new national health policy in Nigeria seeks, for the first time, to reduce the impact of permanent hearing loss on early childhood...
Article
Full-text available
The decision to participate in infant screening often rests with parents. Medical ethics require that parental decision is elicited from informed choice. Such a decision is influenced by the parental knowledge and attitude towards screening and a careful evaluation of these factors is essential in seeking informed consent for infant hearing screeni...
Article
Although there has been research focused on the disabling consequences of HIV/AIDS, there has been very little documented information about HIV/AIDS for individuals with disability prior to infection. There is evidence to suggest that people with disabilities face inequalities in accessing health information and services. The aim of this study was...
Article
Children with severe types of cerebral palsy use adaptive seating systems to encourage function and assist in delaying the development of deformity. These systems are often assessed for and provided by occupational therapists. However, there has been no unifying policy or theoretical basis on which these systems are provided and research evidence i...
Article
The late detection of permanent congenital and early-onset hearing loss (PCEHL) often has severe effects on linguistic, speech, cognitive and educational development in affected children. Since newborn hearing screening (NHS) allows most PCEHL to be detected early enough for optimal intervention, the prospects of its introduction in the developing...
Article
Full-text available
The aim of the present study was to explore the nature, extent and probable causes of nutritional deficiencies among children with disabilities living in Dharavi, a slum in Mumbai, India. A cross-sectional study was conducted to investigate whether the nutritional status of children with disabilities, aged 2-6 years (n 141), was worse than that of...
Article
To investigate appropriate measurements to predict height in children with physical impairments to facilitate the accurate assessment of nutritional status in field studies. Case-control cross-sectional study. Dharavi, a large slum in Mumbai, India. In total, 141 children with mixed disabilities and 162 nondisabled control children, aged 2-6 y. Hei...
Article
Children with cerebral palsy are often prescribed adaptive seating systems for use in their wheelchairs for the purposes of improving posture and to help prevent the development of long-term deformity. However, clinical experience indicates that parents and the therapists who advocate the use of these systems do not always agree about the wheelchai...
Article
Attitudes arise from specific experiences and emotions driven by cultural beliefs. An understanding of societal constructs regarding disability in a given culture contributes to developing strategies to meet the needs of children with disabilities by providing culturally competent services. In 1999, a series of focus-group discussions were conducte...
Article
Full-text available
This study aimed to find out the quality of life achieved by 20-40 year old males living in Sri Lanka who have either received rehabilitation or have not following spinal cord injury. The study used both quantitative and qualitative methods to answer the research question. Data was collected by using a questionnaire within semi-structured interview...
Article
Community-based rehabilitation (CBR) is a common form of service delivery and can provide services for people with disabilities in otherwise underserved areas. Despite a 20-year history of service delivery in many parts of the world by both government and non-government organization sectors, there are few indicators with which to measure the effect...
Article
This commentary provides both theoretical and practical insights into the concept of community-based rehabilitation (CBR) and its application in developing countries. In doing so it explores current practices in CBR and the debate surrounding them, namely the ethical question and how this may impact on future CBR. The main argument in this account...
Article
This paper argues that higher priority should be given to the development of services which support people with communication disabilities in low income countries and that these services should be different from those in other countries. Present services for this population group have poor coverage levels, tend to be centrally located and are orien...
Article
This paper argues that higher priority should be given to the development of services which support people with communication disabilities in low income countries and that these services should be different from those in other countries. Present services for this population group have poor coverage levels, tend to be centrally located and are orien...
Article
Great Ormond Street Hospital (GOSH) has a long established service development and research programme with Sri Lankan colleagues. The Centre for International Child Health (CICH) is an academic unit with public health interests in the countries of the South. Together a group of collaborators at GOSH, CICH and in Sri Lanka worked together to plan ho...
Article
Four studies have been recently undertaken at the Centre for International Child Health on the collaboration between the stakeholders of disability policies, in Southern and Northern countries. Informed by the literature, the authors have explored the roles disabled people's organizations, non-governmental organizations, government and professional...
Article
Full-text available
User involvement in planning is now well established in the fields of both health and development. This study looks at one particular client group, namely disabled people, and addresses the question: How do selected European-based international non-governmental organizations (INGOs) facilitate the participation of disabled people in their planning...
Article
An important consideration in planning services for disabled children is to establish the need, including the size of the potential beneficiary group. However, surveys are expensive and time consuming (especially surveys of disability, which has a low prevalence within the population), and can raise expectations of service for patients who are ofte...
Article
This paper addresses the issue of how to provide health services for hearing-impaired children in the developed world. Most children live in developing countries, with no access to audiological or therapy services. The paper reviews the prevalence of hearing impairment in developing countries and stresses the need to examine the details not only of...
Article
This project, funded by the Scottish Education Department, was conducted at the School of Speech Therapy, Queen Margaret College, Edinburgh. The project aimed to explore the possibility of developing an observation schedule to be used firstly by therapists supervising speech therapy students and secondly by speech therapy students themselves in wat...
Article
Introduction In this paper we describe an investigation carried out in a school for the deaf in Edinburgh. The main purposes were to investigate the problems of the profoundly deaf child in learning to speak intelligibly and to assess the effectiveness of visual feedback using the Voiscope (Anthony (1978)). Our prime consideration was to study how...
Article
This article is a description of some of the speech and hearing centres visited by the author during a Winston Churchill Travel Fellowship. Speech therapy with the profoundly deaf is described in the oraläral and total communication regimes.
Article
Kinnier Wilson in 1926 wrote that “an aphasic symptom complex may be looked at in three ways. What is the anatomical site of the lesion producing the defect? What are the physiological mechanisms involved? What is the nature of the psychological disorder?”. Much has been written about the anatomical and psychological aspects of aphasia, but the phy...

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