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Submitted: 13 February 2019 Modified: 13 February 2019
HERDIN Record #: 108948-19021216213018

Facilitating Factors and Barriers to Newborn Screening Uptake in the Cordillera Administrative Region and Region V.

Mary Ann J. Ladia,
Cynthia P. Cordero,
Carmencita D. Padilla,
Frederick David  E. Beltran,
Catherine  . Silvestre,
Myrah Joan  H. Lelis,
Maria Elenita  L. Tetangco,
Joselito  H. Tetangco,
Ermie  B. Torralba

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BACKGROUND: Republic Act 9288 or the Newborn Screening Act of 2004 was enacted. A multi-sector effort towards systematic screening of newborn disorders and built-in systems for subsequent confirmatory tests for positively screened as well as treatment for confirmed cases was likewise implemented. Despite multi-sector efforts and continuous quality improvement mechanisms, national newborn screening coverage remained low for several years.


OBJECTIVE: The study determined factors that influence Newborn Screening (NBS) uptake from various perspectives: mothers, health providers, and program administrators.


METHODS: Framework analysis of NBS program documents, 25 focus group discussions and 37 key informant interviews of mothers, health providers and program administrators were done in purposively selected communities in the Cordillera Administrative Region and Region V.


RESULTS AND CONCLUSIONS: Findings showed the need to disseminate correct NBS procedures, especially upon obtaining positive results. Financing issues were addressed innovatively, but system administrators and health providers required a common understanding of program implementation. Monitoring geographically hard-to-reach areas remained a challenge. Barriers outside the system adversely affected filter cards availability, specimen transport, and release of results. Improved online and paper-based educational campaign, greater local government unit support, streamlined PhilHealth processes, a workload-based manpower complement for monitoring, and continuity clinics to handle positive findings can increase NBS uptake.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Health Research and Development
Frequency
Quarterly
Publication Date
July-September 2018
Volume
22
Issue
3
Page(s)
56-66
LocationLocation CodeAvailable FormatAvailability
PJHRD Office Fulltext pdf (Download)
1. De Jesus, VCR , Mei, JV , Bell, CJ , Hannon, WH . "Improving and assuring newborn screeninglaboratory quality worldwide: 30-year experience atthe Centers for Disease Control and Prevention" Seminars in Perinatology 34(2): 125-133,