The EUscreen Study – Manual for Implementation of Childhood Vision and Hearing Screening

Manual for implementation or modification of child vision and hearing screening programmes. Author: EUSCREEN Study Editor: Jan Kik. Contributors: Andre Bussé, Jill Carlton, Gwen Carr, Maria Fronius, Eveline Heijnsdijk, Anna Horwood, Allison Mackey, Birkena Qirjazi, Huibert Jan Simonsz, Inger Uhlén   Published online June 28th 2021

  • Everything you need to know about planning, implementing or modifying childhood vision or hearing screening

Designed to be used alongside the EUscreen interactive Model which helps to model cost-effectiveness of different screening scenarios

Link to online Manual 

Link to PDF

Part I: background

  1. Introduction
  2. General background on child hearing and vision screening programmes

Part II: planning and decision making

  1. Conditions for implementing child vision and hearing screening
  2. Governance and local context of healthcare, education, geography, demography, cultural and socioeconomic factors

Part III: practical implementation: hearing screening

  1. Newborn hearing screening
  2. Childhood hearing screening after the neonatal period (preschool/school screening)

Part IV: practical implementation: vision screening

  1. Vision screening before before age four years
  2. Photoscreening
  3. Vision screening by measurement of visual acuity (from age four years)

Part V: communication and monitoring

  1. Public awareness and communication
  2. Monitoring, quality assurance, evaluation and reporting


  1. Childhood vision screening after the neonatal period – procedure
  2. Childhood hearing screening after the neonatal period – procedure
  3. Information leaflets
  4. Database structure example for vision screening