R.A 9288 Flashcards
Date of approval of R.A 9288
April 7, 2004
Term of R.A 9288
Gloria Macapagal Arroyo
How many articles in R.A 9288
5
How many sections in R.A 9288
19
Newborn Screening Act of 2004
[section]
Section 1: Title
Declaration of Policies
[sec]
Section 2
Objectives
[sec]
Section 3
Definition of terms
[article]
Article 2
Definitions
[sec]
Section 4
Monitoring of a newborn with a heritable condition for the purpose of ensuring that the newborn patient complies fully with the medicine of dietary prescriptions.
[definition]
Follow up
Hospitals, health infirmaries, health centers, lying-in centers or puericulture centers with obstetrical and pediatric services, whether public or private.
[definition]
Health institutions
Physicians, nurses, midwives, nursing aides and traditional birth attendants.
[definition]
Health practitioner
Any condition that can result in mental retardation, physical deformity or death if left undetected and untreated and which is usually inherited from the genes of either or both biological parents of the newborn.
[definition]
Heritable condition
NIH
National Institute of Health
Child from the time of complete delivery to 30 days old.
[definition]
Newborn
The process of collecting a few drops of blood from the newborn onto an appropriate collection card and performing biochemical testing for determining if the newborn has a heritable condition.
[definition]
Newborn screening
A facility equipped with a newborn screening laboratory that complies with the standards established by the NIH and provides all required laboratory tests and recall/follow-up programs for newborns with heritabl conditions.
[definition]
New screening center
Continuing education, re-education and training health personnel.
[sec]
Section 8
Licensing and accreditation.
[sec]
Section 9
The DOH and the Philippine Health Insurance Corporation (PHIC) shall require health institutions to provide newborn screening services as a condition for licensure or accreditation.
[section]
Section 9: Licensing and accreditation
Legal agency
[sec]
Section 10
Advisory committee on newborn screening.
[sec]
Section 11
Various means of providing parents or legal guardians information about newborn screening.
[definition]
Parent education
A procedure for locating a newborn with a possible heritable condition for purposes of providing the newborn with appropriate laboratory to confirm the diagnosis and, as appropriate, provide treatment.
[definition]
Recall
The provision of prompt, appropriate and adequate medicine, medical, and surgical management or dietary prescription to a newborn for purposes of treating or mitigating the adverse health consequences of the heritable condition.
[definiton]
Treatment
Obligation to inform
[sec]
Section 5
Performance of newborn screening.
[sec]
Section 6
Refusal to be tested
[sec]
Section 7
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. Appropriate notification and education regarding this obligation shall be the responsibility of the Department of Health (DOH).
[section]
Section 5: Obligation to inform
Newborn screening shall be performed after twenty-four (24) hours of life but not later than three (3) days from complete delivery of the newborn.
[section]
Section 6: Performance of newborn screening
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.
[section]
Section 7: Refusal to be tested
Establishment and accreditation of newborn screening centers.
[sec]
Section 12
Establishment of newborn screening reference center.
[sec]
Section 13
The NIH shall establish a Newborn Screening Reference Center, 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.
[section]
Section 13: Establishment of a newborn screening reference center
Quality assurance
[sec]
Section 14
Database
[sec]
Secton 15
The NIH Newborn Screening Reference Center shall be responsible for drafting and ensuring good laboratory practice standards for newborn screening centers, including establishing an external laboratory proficiency testing and certification program.
[section]
Section 14: Quality assurance
All Newborn Screening Centers shall coordinate with the NIH Newborn Screening Reference Center for consolidation of patient databases.
[section]
Section 15: Database
Newborn screening fees
[sec]
Section 16
The PHIC shall include cost of newborn screening in its benefits package. The newborn screening fee shall be applied to, among others, testing costs, education, sample transport, follow-up and reasonable overhead expenses.
[section]
Section 16: Newborn screening fees
It is the most common newborn disorder in the philippines.
G-6-PD Deficiency
Inclusion of maple syrup urine disease (MSUD) in the newborn screening panes of disorders.
DOH Memorandum no. 2012 - 0154
[6] Newborn screening program in the philippines currently includes screening of the six orders:
[CCP, GGM]
- Congenital Hypothyroidism
- Congenital adrenal hyperplasia
- Phenylketonuria
- G-6-PD Deficiency
- Galactosemia
- Maple syrup urine disease (MSUD)
[2 Option] Expanded Newborn Screening
Option 1: Screening for 6 disorders: P550
Option 2: Expanded NBS: P1,500
Screening for 6 disorders: P550
[option’ expanded newborn screening]
Option 1
Expanded NBS: P1,500
[option’ expanded newborn screening]
Option 2
Reference center for newborn screening.
UP - National Institute of Health
[5] Clinical conditions screened
[HEA, FC]
- Hemoglobinopathies
- Endocrinopathies
- Amino acid disorders
- Fatty acid oxidation
- Cystic fibrosis
[8] Hemoglobinopathies
[PS, HHHHH, T]
- Porphyrias
- Sickle cell disease
- Hemoglobin C disease
- Hemoglobin SC
- Hemoglobin D
- Hemoglobin E
- Hemoglobin constant spring: AA added to the alpha chain
- Thalassemia
[2] Endocrinopathies
[CC]
- Congenital hypothyroidism
- Classic/Congenital adrenal hyperplasia
Maximum allowable fee/cost for nbs specimen collection kit:
550
Maximum allowable service fee for collection of nbs samples:
50
General provisions
[article]
Article I
Definition of terms
[article]
Article II
Newborn screening
[article]
Article III
Implementation
[article]
Article IV
Final provisions
[article]
Article V
To ensure sustained inter-agency collaboration, the Advisory Committee on Newborn Screening is hereby created and made an integral part of the Office of the Secretary of the DOH.
[section]
Section 11: Advisory Committee on Newborn Screening
[4] Collection of Blood for Newborn Screening
- Registered Medical Technologists
- Registered Nurses
- Licensed Physician
- Registered Midwife
