Structure, Process and Outcome Evaluation of Central Public Health Laboratory Performance About Neonatal Screening Program in Karbala in 2022

Autor: Dunia Fawaz Mohammed, Mahdi Murshd Thuwaini, Alaa Hussein Abed
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: مجلة علوم ذي قار, Vol 10, Iss 1(SI) (2023)
Druh dokumentu: article
ISSN: 1991-8690
2709-0256
DOI: 10.32792/utq/utjsci/v10i1(SI).962
Popis: Background: Neonatal screening is a preventive medical act aims to early detecting neonates affected by specific disorders that endanger their lives or cause long-term health problems and require prompt intervention. This can result in significant reductions in morbidity, death, and related costs and disabilities. The panel of neonatal screened disorders has been gradually expanded. Expansion has been empowered with the introduction of tandem mass spectrometry, which allowed for the screening of up to 40–50 diseases with a single blood spot. Part of the implementation of neonatal screening program must include, just like any other program, monitoring and evaluation task in order to identify difficulties or barriers to improve procedures and methodologies. This study aimed to evaluate the Central Public Health Laboratory/ Karbala Directorate of Health performance in Neonatal Screening program. Method: The evaluation method has been carried out in Holy Karbala Governorate for the period between the first of September 2021 and the end of June 2022 using a check list of standards taken from the National Guideline for Newborn Screening for Care Providers in Primary Health Care Centers in Iraq. This was to evaluateCentral Public Health Laboratory by meeting the manager employee and evaluate theCentral Public Health Laboratory room. Results: The Central Public Health Laboratory showed an acceptable level of implementation. However, from the structure point of view, there were some difficulties in maintaining sustainability of providing some vital material resources like test kits. From the process point of view, there have been difficulties in the transmission of blood samples to the laboratory, which happened only two days a week.Conclusions: Since the program's importance in detecting diseased cases early and can save infant lives, it is critical to organize work in the program and maintain the availability and continuity of laboratory materials required for the continuation of work. Recommendations: The research was conducted during the program's stop due to the lack of laboratory supplies, thus it is recommended to re-evaluate the same organization at a period when work is active.
Databáze: Directory of Open Access Journals