The Republic of Ireland has a total population of 3.5 million people,
mainly rural or in small towns, a rapidly declining birthrate during 1
984 to 1991, and a geographically stable children's population. A unif
ied Audiology Service is provided by the National Rehabilitation Board
for the fitting of heaing aids to all children deemed to require them
. The current study outlines a database analysis of all children fitte
d with hearing aids for the first time in 1984 or 1991. Follow-up info
rmation on the status (in 1991-1992) of those fitted in 1984 was obtai
ned, with regard to hearing loss, schooling and changes in aiding. Dat
a on severe/profound losses in particular, and the trends in service p
rovision are examined. Similar numbers of children were fitted with he
aring aids in the two years sampled, even though the overall degree of
hearing loss amongst this population had fallen.