Objective By analyzing early hearing intervention status of the Cochlear Implant Rescue Project applicants in Shandong Province from 2014 to 2019

we aim to provide references for further development of the rescue project. Methods A questionnaire survey was conducted to investigate the age

newborn hearing screening

hearing-aid wearing conditions

parents’ education levels as well as urban-rural distribution of 600 applicants for the Cochlear Implant Rescue Project in Shandong Province from 2014 to 2019. Results The applicants’ average age was 43.4±43.4 months

and the largest group were less than or equal to 3 years old. The applicants’ age was getting yonger year by year

and their average month in 2019 was the youngest（30.9±37.8 months）. 99.5% of the applicants had undergone primary hearing screening and the failure rate was up to 85.1%

of whom 62.2% had received rescreening and 94% failed. Among 69.9% of the applicants equipped with hearing aids

the average age of first wearing was 17.8 months

and 65.3% of them wore hearing aids for less than 4 hours a day. Applicants whose parents’ education level was below high school were significantly older than those whose parents’ education level was above junior college when they applied for the project. Rural applicants were significantly older than urban applicants when they applied. Conclusion Cochlear Implant Rescue Project in Shandong Province has achieved remarkable progress. The next step is to strengthen the propaganda and education of early hearing intervention for families with hearing impairment in rural areas. It is suggested to establish a data sharing and tracking system for hearing-impaired children and to intensify case tracking. And we are striving for timely intervention of hearing-aids rescue project once a newborn is diagnosed with hearing impairment

so as to achieve the early intervention of hearing-aids and to constitute a closed loop of hearing screening

early diagnosis and early intervention.