Newborn screening test in Cavite : An evaluation / by Jayson P. Foliente, Kareen Reynes C. Padua and Nheafe Reden P. Redruco.

Thesis (BS Nursing) Cavite State University

Includes bibliographical references.

College of Nursing (CON)

FOLIENTE, JAYSON P., PADUA, KAREEN REYNES C., and REDRUCO, NHEAFE REDEN P. Newborn Screening Test in Cavite: An Evaluation. Undergraduate Thesis. Bachelor of Science in Nursing. Cavite State University. Indang, Cavite. April 2014. Adviser: Nenita B. Panaligan.

This study was conducted to identify the number of infants from 2010-2012, underwent Newborn Screening versus the number of infants delivered, obtained positive results in Newborn Screening for: Congenital Adrenal Hyperplasia, Congenital Hypothyroidism, Galactosemia, Glucose 6 — Phosphate Dehydrogenase Deficiency, Maple Syrup Urine Disease, Phenylketonuria, and received proper management for the disorders screened in Newborn Screening. It also determined the overall level of awareness of health practitioners on the implementation of Newborn Screening in terms of responsibilities and advantages. This study also found out the sustainability of the existing features for Newborn Screening as perceived by the Newborn Screening Facilitator in terms of policies, manpower and professional development, budget, facilities as perceived by the Newbom Screening facilitators. It determined the accessibility of patients to Newborn Screening Test as perceived by the parents as well as identified the actions being performed by parents in promoting their child’s wellness in terms of subjecting children to Newborn Screening.

Moreover, the study identified the difficulties encountered by the parents and the health care practitioners on the conduct of Newborn Screening. It determined the status of compliance of the different Newborn Screening facilities with the procedure established by the Department of Health in the process of Newbom Screening Test among the private and public facilities. Lastly, it determined if there is a difference on the status of compliance in Newborn Screening procedure as perceived by newborn screening facilitators and parents, among public and private facilities as perceived by the health care workers and the parents, and among primary, secondary, and tertiary Newborn Screening facilities as perceived by Newborn Screening facilitators.

The study utilized two sets of questionnaires, one for the Newborn Screening Facilities, which were represented by Health Care personnel who administers Newborn Screening Test such as the Newborn Screening Coordinator, Physician, Registered Midwife, and Registered Nurse; while the other one is for the parents who subjected their babies to Newborn Screening on the facilities. A data sheet for profiling the census of Newborn Screening was also utilized. Data gathered were tallied, interpreted, and statistically analyzed. Frequency and percentage were used to present the census of Newborn Screening and its diseases and management. Independent Sample T-Test was used to determine if there is a significant difference between the perception of facilitators and parents on the compliance of Newborn Screening in terms of procedure, as well as the difference on the compliance status among public and primary facilities as perceived by the facilitators and parents. Meanwhile, Chi-square was used to present the significant difference on the status of compliance among primary, secondary, and tertiary facilities.

This study reveals that newborns being screened increases every year and that all positive results were given proper management. Health respondents had excellent level of awareness on the implementation of Newborn Screening in terms of responsibilities and advantages. Newborn Screening in Cavite is also highly sustainable based on its existing features according to the perception of newborn screening facilitators in terms of policies, manpower and professional development, budget/cost, and facilities.

Patients are also accessible to Newborn Screening as perceived by the parents. Likewise, parents perform different activities to promote their child’s health by subjecting them to Newborn Screening. Also, different problems are encountered by parents and health practitioners regarding Newborn Screening.

Newborn screening facilitators perceive that there is high compliance in terms of following the standard procedure of Newbom Screening. Parents think alike although
some of the procedures have not been observed by the parents and were not applicable to the situation of parents whose babies had negative results.

The study shows that there is a significant difference on the status of compliance on the performance of Newborn screening procedure as perceived by the Newborn Screening facilitators and parents in terms of five out of six procedures which are motivating parents, collecting samples, handling and sending samples to the laboratory, recalling patients, and managing/referring/monitoring positive cases. Meanwhile, there is no significant difference on the status of compliance among public and private Newborn Screening facilities according to the perception of health respondents and parents. Likewise, there is no significant difference on the status of compliance among primary, secondary, and tertiary Newborn Screening facilities.

Based on the findings and implications, it is recommended that: new facilities be built in far-flung areas so more newborns can avail the newborn screening service; there must be a lower price of NBS fee to make it more accessible in terms of affordability; a strategy to financially assist patients must be available; there must be strict monitoring of parents for their pre-natal check-ups and other consoles in order to easily disseminate information regarding Newborn Screening and other health care services; proper training and more seminars regarding Newborn Screening for the healthcare workers should be held; Newborn Screening facilities must monitor all positive cases to manage the diseases promptly and they should coordinate with government agencies to easily track down
patients with positive results; there should be reinforcement of contract between the
facility and courier services and more courier services must be available to collect the samples; there should be plans and strategies for easy and systematic relaying of results, which must be strictly regulated and implemented.

Submitted copy to the University Library. 04/24/2014 T-5533