Due to the type of hearing loss (conductive) and the physical abnormalities of the ear canals mentioned in the medical report, my recommendation would be that this little boy is fitted with a bone conduction hearing aid. This device does not require earmoulds, but will still require programming and fitting by a hearing care professional.
I recommend the Phonak Baseo Q15 UP/Bone Conduction conversion.
Having looked at the medical report, my recommendation for this little girl would be binaural fitting of ultra-power hearing aids and I would therefor recommend the Phonak Sky B50 UP models, designed specifically for the paediatric population. These hearing aids will require earmoulds as well as programming and fitting by a hearing care professional.
Rwanda Military Hospital has a complete earmould laboratory, as well as three hearing care professionals in their audiology department, which is why I suggested that we send the hearing aids directly to them for the programming, fitting and earmould manufacturing in the case of Maqueline. I have contacted the audiology department at RMH and they have agreed to provide this service.