⭐ RA 9288 Flashcards
Newborn Screening Act of 2004
RA 9288
RA 9288
Newborn Screening Act of 2004
a simple procedure to find out if a baby has a congenital disorder that may lead to mental retardation or even death if left untreated
Newborn Screening (NBS)
T/F:
Most babies with metabolic disorders look “normal” at birth. By doing NBS, metabolic disorders may be detected even before clinical signs and symptoms are present. As a result of this, treatment can be given early to prevent consequences of untreated conditions.
true
program integrated as part of the country’s public health delivery system with the enactment of the Republic Act no. 9288 otherwise known as Newborn Screening Act of 2004
The Comprehensive Newborn Screening (NBS) Program
acts as the lead agency in the implementation of the law and collaborates with other National Government Agencies (NGA) and key stakeholders to ensure early detection and management of several congenital metabolic disorders
Department of Health (DOH)
6 disorders currently included in the newborn screening program in the Philippines
- congenital hypothyroidism (CH)
- congenital adrenal hyperplasia (CAH)
- phenylketonuria (PKU)
- glucose-6-phosphate dehydrogenase (G6PD) deficiency
- galactosemia (GAL)
- maple syrup urine disease (MSUD)
AO No:
National Policy and Strategic Framework on Expanded Newborn Screening for 2017-2030
Administrative Order No. 2018-0025
AO No:
Guidelines on the Implementation of the Expanded Newborn Screening Program
Administrative Order No. 2014-0045
expanded screening will include ____ (how many?) more disorders
22
other disorders included in the expanded screening
- hemoglobinopathies
- additional metabolic disorders:
-organic acid disorders
-fatty acid oxidation disorders
-amino acid disorders
The RA 9288 defines the establishment and accreditation of?
Newborn Screening Centers (NSC)
6 operational NSCs in the country
- NSC - NIH at the University of the Philippines Manila
- NSC - Visayas located at West Visayas State University Medical Center, Iloilo City
- NSC - Mindanao located at the Southern Philippines Medical Center, Davao City
- NSC - Central Luzon in Angeles City, Pampanga
- NSC - Southern Luzon in Tanauan City, Batangas
- NSC - Northern Luzon in Batac City, Ilocos Norte
When is NBS done?
ideally done immediately after 24 hours from birth
How is NBS done?
- a few drops of blood are taken from the baby’s heel
- blotted on a special absorbent filter card
- sent to Newborn Screening Center (NSC)
Who will collect the sample from the newborn?
- physician
- nurse
- medical technologist
- trained midwife
When is the National Newborn Screening Week celebrated?
1st Week of October of Each Year
Proclamation No. and date:
“Declaring the 1st Week of October of Each Year as “National Newborn Screening Week”
Proclamation No. 540 dated January 20, 2004
President who approved RA 9288
President Gloria Macapagal-Arroyo
RA 9288:
How many sections?
19 sections
RA 9288:
Date of approval
April 7, 2004
T/F:
One of the objectives of RA 9288 is to ensure that every newborn has access to newborn screening for certain heritable conditions that can result in mental retardation, serious health complications or death if left undetected and untreated.
true
T/F:
One of the objectives of RA 9288 is to establish and integrate a sustainable newborn screening system within the public health delivery system.
true
T/F:
One of the objectives of RA 9288 is to ensure that all health practitioners are aware of the advantages of newborn screening and of their respective responsibilities in offering newborns the opportunity to undergo newborn screening.
true
T/F:
One of the objectives of RA 9288 is to ensure that parents recognize their responsibility in promoting their child’s right to health and full development, within the context of responsible parenthood, by protecting their child from preventable causes of disability and death through newborn screening.
true
T/F:
Any health practitioner who delivers, or assists in the delivery, of a newborn in the Philippines shall, prior to delivery, inform the parents or legal guardian of the newborn of the availability, nature and benefits of newborn screening.
true
Section 6:
NBS shall be performed after _______ of life but not later than ________ from complete delivery of the newborn.
after 24 hours
not later than 3 days
Newborn that must be placed in intensive care in order to ensure survival may be exempted from the 3-day requirement but must be tested by ________ of age
7 days
T/F:
A parent or legal guardian may refuse testing on the grounds of religious beliefs, but shall acknowledge in writing their understanding that refusal for testing places their newborn at risk for undiagnosed heritable conditions.
true
T/F:
The DOH, with the assistance of the WHO and other government agencies, professional societies and non- government organizations, shall conduct continuing information, education, re-education and training programs for health personnel on the rationale, benefits, procedures of newborn screening.
false;
DOH and NIH (not WHO)
T/F:
The DOH, with the assistance of the NIH and other government agencies, professional societies and non- government organizations, shall: disseminate information materials on newborn screening at least twice a year to all health personnel involved in material and pediatric care
false;
at least annually
The DOH and the ____________ shall require health institutions to provide newborn screening services as a condition for licensure or accreditation.
Philippine Health Insurance Corporation
the lead agency in implementing this Act
DOH
T/F:
The NIH is responsible for establishing the Advisory Committee on Newborn Screening
false;
DOH
The DOH shall develop the implementing rules and regulations for the immediate implementation of a nationwide newborn screening program within _______ (duration) from the enactment of this Act
180 days
T/F:
The DOH must coordinate with the Department of the Interior and Local Government (DILG) for the accreditation of Newborn Screening Centers and preparation of defined testing protocols and quality assurance programs
false;
Department of the Interior and Local Government (DILG): implementation
NIH Newborn Screening Reference Center: accreditation of NSCs
T/F:
The DOH must coordinate with the NIH Newborn Screening Reference Center for the implementation of the newborn screening program
false;
NIH Newborn Screening Reference Center: accreditation of NSCs
Department of the Interior and Local Government (DILG): implementation
To ensure sustained inter-agency collaboration, the ________ Committee on Newborn Screening is hereby created and made an integral part of the Office of the Secretary of the DOH.
Advisory
committee that reviews annually and recommends conditions to be included in the newborn screening panel of disorders
advisory committee
committee that reviews and recommends the newborn screening fee to be charged by Newborn Screening Centers
advisory committee
committee that reviews the report of the Newborn Screening Reference Center on the quality assurance of the NSCs
advisory committee
committee that recommends corrective measures as deemed necessary
advisory committee
The Advisory Committee on Newborn Screening is composed of how many members?
8 members
8 members of the Advisory Committee
- Secretary of Health (Chairman)
- Executive Director of the NIH (Vice Chairperson)
- Undersecretary of the DILG
- Executive Director of the Council for the Welfare of Children
- Director of the Newborn Screening Reference Center
6-8. three (3) representatives appointed by the Secretary of Health
Chairman of the Advisory Committee
Secretary of Health
Vice Chairperson of the Advisory Committee
Executive Director of the NIH
Members of the Advisory Committee:
three (3) representatives appointed by the Secretary of Health who shall be a?
- pediatrician
- obstetrician
- endocrinologist
- family physician
- nurse or midwife
(from either the public or private sector)
Advisory Committee on Newborn
Screening:
The three (3) representatives shall be appointed for a term of ______ (duration), subject to their being reappointed for additional ______ (duration) period for each extension.
3 years
additional 3 years
The Advisory Committee shall meet at least ______ (frequency) a year.
twice
What agency shall serve as the Secretariat of the Advisory Committee?
NIH
T/F:
The DOH shall ensure that Newborn Screening Centers are strategically located in order to be accessible to the relevant public and provide services that comply with the standards approved by the Committee upon the recommendation of the NIH.
true
T/F:
Newborn Screening Center shall have a certified laboratory performing at least 3 tests included in the newborn screening program.
false;
all tests
T/F:
Newborn Screening Center shall have a recall/follow up programs for all infants found positive or negative for any and all of the heritable conditions.
false;
for those who tested positive only
T/F:
Newborn Screening Center shall be supervised and staffed by trained personnel who have been duly qualified by the NIH.
true
T/F:
Newborn Screening Center shall submit to periodic announced or unannounced inspections by the Reference Center in order to evaluate and ensure quality Newborn Screening Center performance.
true
The NIH shall establish a ______________, which shall be responsible for the national testing database and case registries, training, technical assistance and continuing education for laboratory staff in all Newborn Screening Centers.
Newborn Screening Reference Center
responsible for drafting and ensuring good laboratory practice standards for
newborn screening centers
NIH Newborn Screening Reference Center
responsible for establishing an external laboratory proficiency testing and certification program
NIH Newborn Screening Reference Center
act as the principal repository of technical information relating to newborn screening standards and practices
NIH Newborn Screening Reference Center
provide technical assistance to newborn screening centers
NIH Newborn Screening Reference Center
NIH Newborn Screening Reference Center shall maintain a __________ _________ of patients tested and a registry for each condition
national database
T/F:
Reports must be submitted annually to the Committee and to the DOH on the status of and relevant health information derived from the database
true
T/F:
There should be a plan for short-term outcome evaluation of newborn screening
false;
long-term
Newborn Screening Fees:
at least __% to the _______________ or its future equivalent to be spent solely for follow-up services, education and other activities directly related to the provision of newborn screening services
4%
DOH’s Centers for Health Development
Newborn Screening Fees:
at least ____% to the ________________ for human resource development and equipment maintenance and upgrading
4%
Newborn Screening Centers
Newborn Screening Fees:
at least ____% to the ________________ for overall supervision, training and continuing education, maintenance of national database, quality assurance program and monitoring of the national program
4%
NIH Newborn Screening Reference Center
