Newborn Screening Program | Department of Health website (2023)

  1. TITLE: Newborn Screening Program
  2. DESCRIPTION: Newborn screening (NBS) is an essential public health strategy that enables the early detection and management of several congenital disorders, which if left untreated, may lead to mental retardation and/or death. Early diagnosis and initiation of treatment, along with appropriate long-term care help ensure normal growth and development of the affected individual. It has been an integral part of routine newborn care in most developed countries for five decades, either as a health directive or mandated by law. In the Philippines, it is a service available since 1996.

Newborn Screening Program | Department of Health website (1)

A. Program Objectives: By 2030, all Filipino newborns are screened; Strengthen quality of service and intensify monitoring and evaluation of NBS implementation; Sustainable financial scheme; Strengthen patient management

Target Population: Filipino newborns

B. Area of Coverage: Nationwide

C. Partner Institutions: The following institutions/units and bodies are the primary partners of DOH-Family Health Office at the national level to ensure that appropriate policies, standards, logistics and technical assistance are available to all implementing units.:

  1. National Technical Working Group on Newborn Screening Program (NTWG- NBS)
  2. National Institutes of Health (NIH)
  3. NIH-Newborn Screening Reference Center (NIH-NSRC)
  4. DOH Epidemiology Bureau (EB)
  5. DOH Health Facilities and Services Regulatory Bureau (HFSRB)
  6. DOH Health Facility Development Bureau (HFDB)
  7. DOH National Center for Health Promotion (NCHP)
  8. NIH - Institute of Human Genetics (NIH-IHG)
  9. Department of the Interior and Local Government (DILG)
  10. Council for the Welfare of Children (CWC)
  11. Philippine Health Insurance Corporation (PhilHealth)

D. Policies and Laws: RA 9288 or the Newborn Screening Act of 2004 and DOH AO No. 2014-0045 or the Guidelines on the Implementation of the Expanded Newborn Screening Program

  1. Strategies, Action Points and Highlights
    1. Ensuring Efficient Operations, Systems and Networks Management

This shall be upgraded to reach areas that need access to newborn care. This includes construction and/or renovation of well-planned and equipped infrastructures to ensure quality service among patients and to engage more health facilities to offer NBS services (human resource for health-trained and capacitated)

  1. Expanding Package of Services and Delivery Network

In the next ten years, the program aims to shift fully into expanded newborn screening. Enrollment of new facilities and sustaining the operations of existing facilities is critical in increasing the coverage of service delivery. Strategic actions to increase the uptake of ENBS are critical to ensure nationwide implementation, which involves strong promotion, advocacy and cooperation of the newborn screening facilities.

  1. Enhancing Health Promotion and Advocacy

This requires a developed and well-coordinated comprehensive health promotion and communication plan targeting different audiences to increase awareness and uptake on expanded newborn screening. It shall also focus on information campaign by strengthening communication strategies using different media platforms.

  1. Optimizing Health Information Management Systems for Expanded Newborn Screening

This aims to optimize current investments on health management information systems by adopting interoperable, consensus-based, evidence—driven and standards-based vocabularies and system that maximize the use of electronic health record systems that will automatically process and send information and reports to (a) PhilHealth for verification of claims for NBS, and (b) the NBS registry for program planning and research purposes, among others.

  1. Strengthen Monitoring and Evaluation

Program monitoring and evaluation of procedures and systems, both for laboratory and administrative units shall be undertaken to ensure smooth implementation of the program. Periodic review of and tools should be done including quality assurance assessment.

  1. Establishing Sustainable Financing Scheme

The DOH, as the lead agency of the NBS program shall allocate funds for the set-up of new strategically located newborn screening centers. The National Comprehensive Newborn Screening System (NCNBSS) also ensures funding for researches relevant to the implementation of newborn screening at the national level that maybe utilized for policy recommendations The Philippine Health Insurance Corporation (PHIC) also ensures full coverage of expanded newborn screening, while LGUs and other stakeholders and partners are empowered to provide ways or means to make the NBS accessible and affordable, particularly on the economically depressed areas.

  1. Program Accomplishments/Status

Today, the Department of Health and partnering stakeholders remain aggressive in its efforts to push the numbers of screened babies upward across the nation and to ensure quality standards in the implementation of the National Comprehensive Newborn Screening System (NCNBSS).

Table 1 summarizes the phases and milestones of the Newborn Screening program in the country.

Table 1. Milestones in the History of Newborn Screening in the Philippines

February 22, 1996

First organizational meeting attended by representatives from different PPS and POGS accredited hospitals in Metro Manila

April 02, 1996

Creation of the NBS Study group composed of Pediatric and OB-Gynecology consultants from participating hospitals. Project name: Philippine Newborn Screening Project

June 27, 1996

Commencement of the Philippine Newborn Screening Project in 24 participating hospitals (18 private and 6 government)

June 1996 – September 1997

Coordination with the New South Wales Newborn Screening Program in Australia for test performance and analysis

September 18, 1997

Start of operation of the Newborn Screening Laboratory at the National Institutes of Health, UP Manila

March 1999

Inclusion of the Newborn Screening Program in Child Health 2025, a planning framework on children’s health of the Department of Health with the ultimate goal of achieving good health for all Filipino children by the year 2025

July 30, 1999

Creation of the Inter-agency Task Force on Newborn Screening composed of representatives from DOH as Chair, Institute of Human Genetics-National Institutes of Health, UP Manila, DILG, midwives’ association, and other health groups

January 03, 2000

Issuance of Administrative Order # 1-A s 2000 by the Department of Health stating the Policies for the Nationwide Implementation of Newborn Screening

July 19, 2000

Newborn Screening Study Group declared as Outstanding Health Research Awardee (OHRA) by the Philippine Council for Health Research and Development

February 07, 2001

Issuance of Department Order No. 29-C s 2001 by DOH, Subject: “Creation of the National Technical Working Group on Newborn Screening Program under the National Center for Disease Prevention and Control”. The group was tasked to provide direction and guidance for the nationwide implementation of the NBS program (see Annex B). DO 29-C s 2001 has been amended by DPO 2005-1660 to reconstitute the NTWG membership

February 21, 2003

First National Awarding Ceremonies for the Outstanding Achievers in the Implementation of Newborn Screening sponsored by DOH and NIH

May 01, 2003

Canadian International Development Agency (CIDA) awards a financial grant to the Institute of Human Genetics to intensify promotional and advocacy work on newborn screening in Regions 4, 6, 10, with funds allocated for the writing of a Manual of Operations for newborn screening

December 09, 2003

Issuance of DOH Administrative Order No 121, s 2003, Subject: “Strengthening Implementation of the National Newborn Screening System”

January 20, 2004

Issuance of the Presidential Proclamation No. 540, Subject: “Declaring the First Week of October of each year as “National Newborn Screening Awareness Week”

April 07, 2004

Enactment of Republic Act 9288 known as the Newborn Screening Act of 2004

October 07, 2004

Signing of the Implementing Rules and Regulations of the Newborn Screening Act

December 02, 2005

Opening of the 2nd Newborn Screening Center in Visayas at West Visayas State University Medical Center

January 22, 2006

Inclusion of NBS in the licensing requirement of Philippine hospitals; 90% of NBS fee covered by national health insurance [PhilHealth]

January 02, 2007

Opening of Scholarships for Genetics and Endocrinology for regions without specialists

December 2007

Inclusion of Newborn Screening in the PhilHealth Newborn Care Package (NCP)

June 12, 2008

Issuance of DOH Memo No. 2009 – 0123 imposing the following targets: 30% - 2008, 50% - 2009 and 85% by 2010

June 28, 2008

Creation of the NTWG Panel of Expert Committees

August 08, 2008

Issuance of AO No. 2008 – 0026 and 2008 - 0026A by DOH imposing penalties for non-implementation and/or overpricing of NBS

May 20, 2009

Setting up of additional G6PD Confirmatory Centers

July 7, 2009

Creation of the National Newborn Screening Follow-up Committee (NNSFC)

October 5, 2009

Opening of the 3rd Newborn Screening Center in Mindanao at the Southern Philippines Medical Center (formerly Davao Medical Center)

October 2010

Opening of the 4th Newborn Screening Center at the Angeles University Foundation Medical Center Central Luzon

February 2011

Creation of the Committee on Storage, Use and Disposal of the Residual Dried Blood Spots (DBS)

June 2011

Initial offering of the MS Genetic Counseling Program by the Philippine General Hospital (PGH) – Department of Pediatrics and UP Manila College of Medicine

January 2012

Inclusion of Maple Syrup Urine Disease (MSUD) in the NBS Panel of Disorders

September 2013

(Video) The Public Health Lab: Newborn Screening

Opening of the 5th NSC in Region 4A (CALABARZON) at Daniel O. Mercado Medical Center in Tanauan City, Batangas

May 2014

Setting up of Continuity Clinics in different parts of the Country

December 2014

Expanded Newborn Screening – inclusion of more than 20+ disorders in the NBS Panel of Disorders

May 2017

Opening of the 6th NSC in Northern Luzon at the Mariano Marcos Memorial Hospital and Medical Center

January 2019

Full coverage of expanded newborn screening in the PhilHealth Newborn Care Package

February 2020

Opening of the 7th NSC in Central Visayas at the Eversley Childs Sanitarium and General Hospital (ECSGH) in Jagobiao, Mandaue City, Cebu

  1. Statistics and Reports

NBS program has grew from one to seven (7) operational Newborn Screening Centers (NSCs); from 24 pilot hospitals to more than 7000 Newborn Screening Facilities (NSFs) in 2020; from one to twenty-nine (29) G6PD Confirmatory Centers; and now with 14 continuity clinics for the long term management of patients.

Figure 1. National Newborn Screening Coverage per Year from 1996-2019

Newborn Screening Program | Department of Health website (2)

  1. Program Manager Contact Information

DIRECTORY OF PROGRAM IMPLEMENTERS

Children's Health Development Division
Disease Prevention and Control Bureau

National Newborn Screening Coordinator
Ms. Lita Orbillo
San Lazaro Compound, Sta. Cruz, Manila
Contact Number: (02) 87359956

Newborn Screening Reference Center

Director: Dr. Noel R. Juban
National Institutes of Health
University of the Philippines Manila
Unit 304 New Gold Bond Building
1579 F. T. Benitez St., Malate, Manila
Contact Numbers: (02)82476002/ 06
Email:info@newbornscreening.ph
www.newbornscreening.ph

Newborn Screening Centers

For Regions I and II
Unit Head: Dr. Maria Paz Virginia K.Otayza
Newborn Screening Center – Northern Luzon
Mariano Marcos Memorial Hospital and Medical Center
4F/5F MMMHMC Laboratory Bldg., Brgy 6
San Julian, Batac City, Ilocos Norte
Contact Number: (077) 677 3161
Email:nscnorthernluzon@gmail.com

For Regions III & CAR
Unit Head: Dr. Bernadette C. Halili-Mendoza
Newborn Screening Center – Central Luzon
Angeles City University Foundation Medical Center
MacArthur Highway, Barangay Salapungan, Angeles City
Contact Number: (045) 6246502-03
Email: nscaufmc@gmail.com

For Region IVA
Newborn Screening Center– Southern Luzon
Unit Head: Dr. Alma P. Andal
Daniel O. Mercado Medical Center
3rdFlr. DMMC-HIS Bldg., 143 Narra St., Mountview Subd. Tanauan City
Contact Numbers: (043) 7027715 / 19
Email Address: nsc.southernluzon@gmail.com

For Regions IVB, V, & NCR
Newborn Screening Center– National Institutes of Health
Unit Head: Dr. Anna Lea Elizaga
Building H, UP Ayala Land Technohub Complex
Commonwealth Avenue, Brgy. UP Campus
Diliman, Quezon City
Contact Numbers: (02) 83760962 / 64/ 65 /67
Email Address:nsc-nih@up.edu.ph

For Regions VI & VIII
Newborn Screening Center– Visayas
Unit Head: Dr. J Edgar Winston Posecion
West Visayas State University Medical Center
E. Lopez St., Jaro, Iloilo City
Contact Number: (033) 329-3744
Email: nscvis@gmail.com

For Region VII
Newborn Screening Center– Central Visayas
Unit Head: Dr. Liwayway Reyes
Eversley Childs Sanitarium and General Hospital
(Outpatient Department Basement)
Northroad, Jagobiao, Mandaue City, Cebu 6014
Contact Numbers: (032)-2723036
Email: nsccvcebu@gmail.com

For Mindanao Regions
Newborn Screening Center– Mindanao
Unit Head: Dr. Conchita Abarquez
Southern Philippines Medical Center
J.P. Laurel Avenue, Davao City
Contact Numbers: (082) 226-4595 / 224-0337/ 227-4152
Email: nbsprogram@nscmindanao.ph

DOH-Regional Offices

REGION

CONTACT NUMBER

NBS PROGRAM MANAGER

NURSE COORDINATOR

1 Ilocos

(072) 607 64 31 Loc 103

CYRUS JED G. RAMOS, RN

NICOLE MARIE S. BUGARIN, RN

2 Cagayan Valley

(078) 304-6523

ANABELLE S. PAGUIRIGAN, MD

NOVELYN LACUANAN, RN

3 Central Luzon

(045) 861-3425 to 29/ 861-3701/ 861-1033/ 455-3297 Local 115

JANET T. MICLAT, MD

Madeline Gayle L. Tayag, RN
Jelly Anne G. Cunanan, RN

CAR

074 442 8097

ANACHRIS M. KILAKIL, MD MPM

Bernadette K. Espina, RN

NCR

(02) 8531-0021, 8531-0027, 8531-0034 local 107

Claire Alincastre, RN Janice C. Acosta, RN Jhoanna Katrina A. Luna, RN

4A CALABARZON

(02) 913-3616

JENICA S. QUERIDO, RN

LADY CAMILLE M. DELOS REYES, RN

JOSE ANTONIO I. YAP, RN

4B MIMAROPA

(02) 9120195 loc 449

DR. MATHEW R. MEDRANO

Fe Laarni Camayang, RN

5 Bicol

052 204-0040

DR. MONREAY ISAIAH MANCILLA

TWINKLE JEAN P. LORILLA, RM, RN JOSEPH SARAH MAE B. MAGTAGNOB, RM, RN

6 Western Visayas

(033) 321-3673 / (033) 321-1036

RENILYN P. REYES, MD, MPA, DPPS

GRACE P. EXMUNDO, RN FLORENCE MAY P. OSANO, RN

7 Central Visayas

(032) 253-6355 (032) 418-7633

JOAN ANTONETTE R. ALBITO, MD

RUFF VINCENT I. VALDEVIESO, RN,

JAIKA JEL D. BESIRA, RN

8 Eastern Visayas

(053) 323-5027/ 323-5028

DR. FIDELITA D. DICO, MD, MSc

Wenonah Wae B. Tutaan, RN

9 Zamboanga Peninsula

(Video) Newborn Screening: Beyond the Bloodspot

(062) 9830314; (062) 9830315

NERISSA B. GUTTIEREZ, RN

Apryl Joy Calibot-Gresones, RN

10 Northern Mindanao

(088) 8587123

Pauline Angela F. Balansag, RN

Gil Bernard D. Samante, RN

11 Davao Region

(082) 305-1904

DR. RACHEL JOY PASION

Angelica Nina Angliongto Rhoebelle Ann R. Balio, RN

12 SOCCSSKSARGEN

(064)-4212196

MARY AGNES A. PANTON, RN, MPA

Rohainnah M. Mua, RN

13 Caraga

(085) 3411595; (085) 3425208 loc 115

CHERYL MARY L. PLAZA

Daniel C. Montilla, RN

ARMM

(064) 4217703

Ms. Erlyn Hampac, RN

HALMIRA P. NUL, RN

Continuity Clinics

REGION

HOST FACILITY

CONTACT NUMBER

MEDICAL SPECIALIST

NURSE COORDINATOR

I (Ilocos Region)

Ilocos Training and Regional Medical Center

(072) 700-1766

Ivy Rose Valdez, MD

Vanessa B. Mabalo, RN

II (Cagayan Valley)

Cagayan Valley Medical Center

(078) 302-0000 loc 146

Grandelee D. Taquiqui, MD

Ma. Cristina L. Soriano, RN

Cordillera Autonomous Region

Baguio General Hospital and Medical Center

(074) 442-4216 loc 359

Sharon B. Gawigawen, MD

Florenz Ronielo G. Nastor, RN

III (Central Luzon)

Jose B. Lingad Memorial Regional Hospital

(045) 961-3921/3380

Ma. Victoria L. Macalino, MD

Ma. Francesca P. Retomarta, RN

National Capital Region

Philippine General Hospital

(02) 554-8400

Maria Melanie Liberty B. Alcausin

Gellie Ann E. Golfo, RN

IV-A (CALABARZON)

General Emilio Aguinaldo Memorial Hospital

(046) 419-1714

Laura Ma. Soledad A. Aguinaldo, MD

Jhonalyn D. Bantigue, RN

V (Bicol Region)

Bicol Regional Training and Teaching Hospital

Telefax (052) 483-0015 loc 4314

Marive F. Declaro, MD

Mary Joy C. Manamtam, RN

VI (Western Visayas)

West Visayas State University Medical Center

(033) 320-2431 loc 110

Karen June V. Ventilacion, MD

Diana V. Pondevida, RN

VII (Central Visayas)

Vicente Sotto Memorial Medical Center

(032) 253-9891 to 99 loc 212

Ma. Rita Anna Salve R. Boligao, MD

Lucille Jra. D. Largo, RN

VIII (Eastern Visayas)

Eastern Visayas Regional Medical Center

(053) 321-3129, 832-0308

Nancy G. Honor, MD

(Video) Newborn Screening Lab Transition and other Updates

Eldeliza C. Campomanes, RN

IX (Zamboanga Peninsula)

Zamboanga City Medical Center

(062) 991-2934

Mirasol S. Ellong, MD, DPPS

Iris R. Tomas, RN

X (Northern Mindanao)

Northern Mindanao Medical Center

(08822) 726362 loc. 359

Rona O. Ortencio, MD, DPPS

Udall Armand H. Cabading, RN, PTRP

XI (Davao Region)

Southern Philippines Medical Center

(082) 227 2731 loc 4617

Genelynne J. Beley, MD

Margaret C. Sibug, RN, MN

XII (SOCCSKSARGEN)

Cotabato Regional Medical Center

(064) 421-2340Loc 510

Maria Christina B. Eran

Juledene M. Mendoza, RN

G6PD Confirmatory Centers

G6PD CONFIRMATORY CENTER

ADDRESS

CONTACT NUMBER

CAR

1

Baguio General Hospital and Medical Center

Gov Pack Rd., 2600 Baguio City

(074) 661 7910

REGION I

2

Ilocos Training and Regional Medical Center

Parian, San Fernando City, La Union

(072) 607 6422/ 607 6418 loc 159

3

Mariano Marcos Memorial Hospital and Medical Center

Brgy. 6, San Julian City of Batac, Ilocos Norte

(077) 600 8000 loc 4113 or 1101

4

Region 1 Medical Center

Arellano Street, Poblacion Oeste Dagupan City

(075) 515-8916 local 145

REGION II

5

Cagayan Valley Medical Center

#2 Dalan na Pagayaya Carig Sur, Tuguegarao City

(078) 302-0000

REGION III

6

Angeles University Foundation Medical Center

Mac Arthur Hi-way, Angeles City

(045) 625 2999 loc 2888 / 625 2924

7

Bataan General Hospital and Medical Center

Manahan St., Tenejero, Balanga City

(047) 237 1274 to 75

REGION IV-A

8

Batangas Medical Center

Kumintang Ibaba, Batangas City

(043) ​740 8303/04/07 loc 1099

9

Lipa Medix Medical Center

J.P. Laurel Highway, Balintawak, Lipa City

(043) 756 2372 loc 1023-24

10

University of Perpetual Help Dr. Jose G. Tamayo Medical Center- Binan (Perpetual Help Medical Center-Biñan|)

National Highway, Sto. Niño,Biñan City, Laguna

(02) 779-5310/ (049) 544-5150

REGION IV-B

11

Medical Mission Group Hospitals and Health Services Cooperative– Puerto Princesa Chapter

Corner Burgos & Mabini Sts., Puerto Princesa City, Palawan

(048) 434 3255

NCR

12

Manila Central University- Filemon D. Tanchoco Medical Foundation, Inc.

(Video) Newborn Screening Program Webinar

Samson Road, EDSA, Caloocan City

(02) 363 3084; 367 2031 local 1114

13

Our Lady of Lourdes Hospital

46 P. Sanchez St., Sta Mesa Manila

​(02) ​716 3901 loc 3513, 3390

14

The Medical City

Ortigas Avenue, Pasig City, Metro Manila

(02) 988 1000 loc 6125

15

University of Perpetual Help Dalta Medical Center

Alabang Zapote Rd. Pamplona II, Las Pinas City

(02) 874 8515 loc 153

REGION V

16

BICOL REGIONAL TRAINING AND TEACHING HOSPITAL

Rizal St. Legazpi City Albay

052 (483-1088/483-0806)

REGION VI

17

West Visayas State University Medical Center

E. Lopez St., Jaro, Iloilo City

(033) 320 2431 local 656

18

Dr. Pablo O. Torre Memorial Hospital

B.S. Aquino Drive, Bacolod City 6100, Negros Occidental, Philippines

(034) 433 7331 loc. 3115/3116

REGION VII

19

Cebu Doctors' University Hospital

Osmeña Boulevard Capitol Site, Cebu City 6000

(032)255 5555 loc 122 ​, 179​

20

Gov. Celestino Gallares Memorial Hospital

M. Parras St., Tagbilaran City, Bohol

(038) 411-4868, (038) 411-4869

REGION VIII

21

Eastern Visayas Regional Medical Center c

Brgy. Bacagay, Tacloban City

0967 356 2445

REGION IX

22

Brent Hospital

R.T. Lim Blvd. Zamboanga City

(062) 990 1963

REGION X

23

Cagayan De Oro Polymedic Medical Plaza

Kauswagan Highway, Cagayan De Oro City

(088) 8576911

24

La Vina General Hospital

L. Alkuiro St. Valencia City, Bukidnon

(088) ​828 5132, 828 6150

25

Mayor Hilarion A. Ramiro Sr. Medical Center

Maningcol, Ozamiz City

(088) 521 0440

REGION XI

26

Tagum Doctors Hospital

Highway 5A Rabe Subd., Tagum City

(084) 655 9297​ loc 109

27

Davao Medical School Foundation Hospital

DMSF Drive, Bajada, Davao City

(082) 227 9330 loc 1143

REGION XII

28

General Santos Doctors Hospital

National Highway, General Santos City

(083) 250 2777 / 250-2888

29

Kidapawan Doctors Hospital

Quezon Blvd. KidapawanCity

(064) 577 4480 loc 508

(Video) Newborn Screening - Wyoming Department of Health

date updated: August 11, 2020

FAQs

How many conditions are screened for on the newborn blood spot test? ›

Newborn blood spot screening involves taking a blood sample to find out if your baby has 1 of 9 rare but serious health conditions. Most babies won't have any of these conditions but, for the few who do, the benefits of screening are enormous.

What information is needed on the Nbbs to ensure it will be tested? ›

As well as being used to take blood samples, these cards record personal information, including a baby's name, date of birth, address and NHS number; the mother's name; and contact details of the GP and midwife. These are needed to make sure the results of the screening tests are matched to the right baby.

Is newborn screening mandatory in the Philippines? ›

- 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.

Why is newborn blood spot screening recommended? ›

The NHS recommends NBS screening because it can improve health and prevent severe disability or even death. However, screening is always a choice and parents can decline it for their baby if they wish.

How accurate are newborn screening tests? ›

The PPVs, however, range from 0.5% to 6.0%. Consequently, on average, there are more than 50 false-positive results for every true-positive result identified through newborn screening in the United States.

How long does a newborn screening take? ›

Both tests are quick (5-10 minutes), safe and comfortable with no activity required from your child. In fact, these tests are often performed while a baby is asleep. One or both tests may be used.

Is newborn screening compulsory? ›

Newborn screening tests are free. The tests are not compulsory, and parents may refuse the test on behalf of their baby, but this could unnecessarily risk the baby's health. Read more information about the tests used in Disorders we test for.

What tests are included in newborn screening? ›

There are three parts to newborn screening:
  • Blood test. Most newborn screening is done with a blood test to check for rare but serious health conditions. ...
  • Hearing screening. This test checks for hearing loss. ...
  • Heart screening.

How can you tell if a fetus has Down syndrome? ›

Down syndrome is usually diagnosed during pregnancy. If Down syndrome is not diagnosed during pregnancy, health care providers can usually diagnose Down syndrome based on the infant's appearance. In such cases, the diagnosis should be confirmed using a blood test that examines the child's chromosomes (karyotype).

What Philippine law mandates newborn screening for all Filipino babies? ›

What is the mandate for performing Newborn Screening on every baby? – RA 9288 known as the “Newborn Screening Act of 2004” with its Implementing Rules and Regulations.

Who are benefited from newborn screening test and how are they benefited? ›

Generally, babies with possibly severe health conditions look normal at first. Therefore, parents must have their babies undergo newborn screening to be aware of such conditions as early as possible. Early diagnosis and prompt management may prevent life-threatening problems and help with their normal development.

How much is the newborn screening in the Philippines? ›

ENBS is available in hospitals, lying-ins, rural health units, health centers and some private clinics. How much is ENBS? Expanded newborn screening costs ₱1750 and is included in the Newborn Care Package (NCP) for PhilHealth members.

Are blood spot tests accurate? ›

IMPORTANCE Dried blood spot (DBS) collection provides an easy, practical, and acceptable alternative to venous blood collection, especially for community-based studies, provided that results from DBS are accurate.

When is newborn blood spot screening done? ›

The newborn blood spot screen should be collected between 24 and 48 hours of age. A small sample of blood is collected from the baby's heel and placed on a special filter paper.

Which babies are not eligible for newborn hearing screening? ›

With the 2 new additions, there are now 4 groups of babies who are excluded from the screening programme.
  • Microtia/external ear canal atresia.
  • Neonatal bacterial meningitis or meningococcal septicaemia (confirmed or strongly suspected)
  • Programmable ventriculo-peritoneal shunts in place.
  • Confirmed cCMV.
19 Jul 2019

Can screening test be wrong? ›

False-negative results occur because screening tests are imperfect, with sensitivity less than 100%, meaning they are unable to detect all disease present, especially early disease.

Can autism be detected in newborn screening? ›

Newborn hearing screening might identify infants likely to receive an autism diagnosis, according to research from Harvard University appearing in Autism Research, a publication of the International Society for Autism Research.

What are the possible causes for an invalid newborn screening sample? ›

Possible causes for invalid or unsatisfactory specimens include, but are not limited to: Specimen quantity insufficient for testing. Specimen appears scratched or abraded. Specimen not dry before mailing.

How do you read newborn screening results? ›

Understanding your baby's results is an important part of the newborn screening (NBS) process.
...
Three types of results are possible:
  1. In-range (also called negative, normal, or low risk)
  2. Out-of-range (also called positive, abnormal, or high risk)
  3. Borderline (also called inconclusive or medium risk)
1 Jun 2022

What helps provide accurate test results for a newborn screening card? ›

Timing. Timing of blood spot collection is important for accurately interpreting test results. Tests for some of the disorders on the newborn screening panel have different cutoff values based on the infant's age (in hours) at the time of blood spot collection.

What does an abnormal newborn screening mean? ›

An "abnormal" result means that the test results were not normal. "Abnormal" results may appear on the newborn screening report for some of the disorders on the newborn screening panel.

What happens if a baby doesn't pass the hearing test? ›

If your newborn fails the hearing screening, arrange for follow-up testing as soon as possible. If your baby has hearing loss, having them tested and treated right away will likely produce better outcomes for your baby. Your baby will receive ABR and OAE testing at their follow-up evaluation at CHOP.

Can newborn screen be done after 1month? ›

Newborn screening is done 48-72 hours after your baby's birth. Your doctor or midwife will talk with you about newborn screening and ask for your permission to do the test. If you consent, you'll be asked to sign a form or a newborn screening card.

What are the most common newborn screening disorders? ›

Nearly all babies will have a simple blood test to check for disorders that are not apparent immediately after delivery.
...
Newborn screening tests may include:
  • Phenylketonuria (PKU). ...
  • Congenital hypothyroidism. ...
  • Galactosemia. ...
  • Sickle cell disease. ...
  • Maple syrup urine disease. ...
  • Homocystinuria.

How is newborn genetic screening done? ›

How Is Newborn Screening Done? A small blood sample taken by pricking the baby's heel is tested. This happens before the baby leaves the hospital, usually at 1 or 2 days of age. Talk to your doctor about newborn screening if your baby was not born in a hospital.

Who newborn screening guidelines? ›

Preterm and low birth weight infants should undergo screening at 48-72 h postnatal age. Sick babies should be screened at least by 7 d of age. Venous confirmatory TSH >20 mIU/L before age 2 wk and >10 mIU/L after age 2 wk, with low T4 (<10 μg/dL) or FT4 (<1.17 ng/dL) indicate primary CH and treatment initiation.

Can you refuse PKU testing? ›

While it is highly discouraged, you may say “no” to screening of your newborn if you have religious objections to this testing. You must refuse in writing.

What makes you high risk for Down's syndrome baby? ›

Risk factors include: Advancing maternal age. A woman's chances of giving birth to a child with Down syndrome increase with age because older eggs have a greater risk of improper chromosome division. A woman's risk of conceiving a child with Down syndrome increases after 35 years of age.

Can folic acid prevent Down syndrome? ›

Only iron alone showed a protective effect against Down's syndrome (odds ratio 0.4, 95% confidence interval 0.1 to 0.9). The use of antioxidant vitamins was a rare event in the first month of pregnancy. Conclusion: Pharmacologic doses of folic acid and iron appear to have a preventive effect against Down's syndrome.

What causes Down syndrome when your pregnant? ›

Causes and Risk Factors

Researchers know that Down syndrome is caused by an extra chromosome, but no one knows for sure why Down syndrome occurs or how many different factors play a role. One factor that increases the risk for having a baby with Down syndrome is the mother's age.

Is newborn screening covered by PhilHealth? ›

DEFINITION OF TERMS Newborn Care Package - a PhilHealth benefit package for essential health services of the newborn during the first few days of life. It covers essential newborn care, newborn screening and hearing screening tests.

When did newborn screening start in the Philippines? ›

The Newborn Screening Study Group first introduced newborn screening in the Philippines in 1996.

What public health program at the early identification of infants who are affected by certain genetic metabolic infectious conditions? ›

Newborn screening (NBS) is a public health activity aimed at the early identification of infants who are affected by certain genetic/metabolic/infectious conditions.

Why is newborn screening so important? ›

Newborn screening identifies conditions that can affect a child's long-term health or survival. Early detection, diagnosis, and intervention can prevent death or disability and enable children to reach their full potential.

Why newborn screening is most important? ›

Newborn Screening is a comprehensive screening test done for your baby to detect the presence of over 100+ medical conditions that can be hidden at birth. “Identify the conditions that could be harmful to your baby's growth with Neonatal screening.” Detect 100+ medical conditions which are hidden at birth.

Why is newborn care important? ›

All newborns require essential newborn care to minimize the risk of illness and maximize their growth and development. Warmth, normal breathing, mother's milk, and prevention of infection are the basic needs of normal baby at birth.

Why is newborn screening done after 24 hours? ›

The blood test is generally performed when a baby is 24 to 48 hours old. This timing is important because certain conditions may go undetected if the blood sample is drawn before 24 hours of age. Newborn screening does not confirm a baby has a condition.

What tests are included in newborn screening in Philippines? ›

Newborn screening program in the Philippines currently includes screening of six disorders: Congenital Hypothyroidism (CH), Congenital Adrenal Hyperplasia (CAH), Phenylketonuria (PKU), Galactosemia (GAL), Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency and Maple Syrup Urine Disease (MSUD).

Who introduced newborn screening in the Philippines? ›

Evolution of Newborn Screening in the Philippines. Newborn bloodspot screening (NBS) began in the Philippines in 1996 as a research pilot in 24 hospitals, accredited by both the Philippine Pediatric Society (PPS) and the Philippine Obstetrical and Gynecological Society (POGS), in Metro Manila.

How accurate is newborn screening? ›

The PPVs, however, range from 0.5% to 6.0%. Consequently, on average, there are more than 50 false-positive results for every true-positive result identified through newborn screening in the United States.

Why is blood taken from a baby heel? ›

About 24 hours after your baby is born before you're discharged from the hospital, a nurse will administer a “heel prick” test to look for indications in the blood of rare medical conditions such as phenylketonuria or PKU.

What color is dried blood? ›

Finding and documenting blood residue

Freshly dried bloodstains are a glossy reddish-brown in color. Under the influence of sunlight, the weather or removal attempts, the color eventually disappears and the stain turns grey. The surface on which it is found may also influence the stain's color.

What is tested in newborn screening? ›

Newborn screening checks a baby for serious but rare and mostly treatable health conditions at birth. It includes blood, hearing and heart screening. Your baby can be born with a health condition but may not show any signs of the problem at first.

Why is the newborn blood spot done on Day 5? ›

Babies admitted to hospital before day 5, perhaps because they are premature or unwell, should have a blood spot sample taken on admission. This sample will be used to screen for sickle cell disease in case the baby has a blood transfusion.

What is the average birth weight of a newborn baby? ›

Newborns come in a range of healthy sizes. Most babies born between 37 and 40 weeks weigh somewhere between 5 pounds, 8 ounces (2,500 grams) and 8 pounds, 13 ounces (4,000 grams). Newborns who are lighter or heavier than the average baby are usually fine.

Why would a newborn fail a hearing test? ›

If your baby does not pass the hearing screening at birth, it does not necessarily mean that she is deaf or hard of hearing. Fluid or vernix inside the baby's ear, for example, or too much noise in the room can affect results. In fact, most babies who do not pass the newborn screening have typical hearing.

How do I know if my baby can hear? ›

Good Hearing Checklist*
  1. Becomes quiet when around everyday voices or sounds.
  2. Reacts to loud sounds: baby startles, blinks, stops sucking, cries, or wakes up.
  3. Makes soft sounds when awake: baby gurgles.

What are the 3 main types of hearing loss? ›

Hearing loss affects people of all ages and can be caused by many different factors. The three basic categories of hearing loss are sensorineural hearing loss, conductive hearing loss and mixed hearing loss.

What does the newborn screening test for? ›

Newborn screening tests look for developmental, genetic, and metabolic disorders in the newborn baby. This allows steps to be taken before symptoms develop. Most of these illnesses are very rare, but can be treated if caught early. The types of newborn screening tests that are done vary from state to state.

What diseases are screened for at birth? ›

Nearly all babies will have a simple blood test to check for disorders that are not apparent immediately after delivery.
...
Newborn screening tests may include:
  • Phenylketonuria (PKU). ...
  • Congenital hypothyroidism. ...
  • Galactosemia. ...
  • Sickle cell disease. ...
  • Maple syrup urine disease. ...
  • Homocystinuria.

What are the screened disorders in the expanded newborn screening? ›

The prevalence of five screening conditions—congenital hypothyroidism (CH), congenital adrenal hyperplasia (CAH), galactosemia (GAL), phenylketonuria (PKU), and homocystinuria (HCY), supported the adoption of NBS across the Philippines [5].

What tests are done on newborns after birth? ›

The Apgar test is the first screening most newborns are given; the scores — rated on a scale of 0 to 10, and taken one minute and again five minutes after birth — reflect baby's general condition. They're based on observations made in five assessment categories: appearance, pulse, reflexes, muscle tone and breathing.

How do you read newborn screening results? ›

Understanding your baby's results is an important part of the newborn screening (NBS) process.
...
Three types of results are possible:
  1. In-range (also called negative, normal, or low risk)
  2. Out-of-range (also called positive, abnormal, or high risk)
  3. Borderline (also called inconclusive or medium risk)
1 Jun 2022

Is newborn screening necessary? ›

All babies born in California are required to get screened soon after birth. Newborn screening began in California in 1966 with screening for one disorder, phenylketonuria (PKU). The Program has expanded and now includes 80 different disorders, both genetic (passed down in families) and congenital (present at birth).

Is autism can be detected in newborn screening? ›

A simple, routine test may be able to detect autism in newborn children, researchers say. Tests regularly given to newborns to screen for hearing loss could also offer clues about whether they are on the spectrum, according to a new study.

What are the three newborn screening tests? ›

Newborn screening checks a baby for serious but rare and mostly treatable health conditions at birth. It includes blood, hearing and heart screening.

How many disorders are there in newborn screening? ›

All samples received form the covered areas are now being tested for Expanded Newborn Screening (ENBS). ENBS has the capacity to screen for more than twenty-eight (28) disorders from the original six (6) disorders.

How can you tell if a newborn is abnormal? ›

If a screening test shows something abnormal, a diagnostic test is often recommended. First trimester screenings check for problems with your baby's heart, and for chromosomal disorders such as Down syndrome.
...
How are birth defects diagnosed?
  1. Fetal echocardiogram. ...
  2. Fetal MRI. ...
  3. Chorionic villus sampling. ...
  4. Amniocentesis.
4 Feb 2021

What are the 5 newborn screening Program in Philippines? ›

Newborn screening program in the Philippines currently includes screening of six disorders: Congenital Hypothyroidism (CH), Congenital Adrenal Hyperplasia (CAH), Phenylketonuria (PKU), Galactosemia (GAL), Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency and Maple Syrup Urine Disease (MSUD).

How much is the newborn screening in the Philippines? ›

ENBS is available in hospitals, lying-ins, rural health units, health centers and some private clinics. How much is ENBS? Expanded newborn screening costs ₱1750 and is included in the Newborn Care Package (NCP) for PhilHealth members.

Is newborn screening covered by PhilHealth? ›

DEFINITION OF TERMS Newborn Care Package - a PhilHealth benefit package for essential health services of the newborn during the first few days of life. It covers essential newborn care, newborn screening and hearing screening tests.

How far back can drugs be detected in a newborn? ›

The detection window for most drugs of abuse in meconium and umbilical cord testing is up to approximately 20 weeks (some drugs such as methamphetamine may be less).

When is the best time to get newborn blood results? ›

Blood spots are best collected between 24 and 48 hours of age. Blood spots collected before 24 hours of age cannot be fully interpreted, which means some test results will be marked “unsatisfactory” on the newborn screening report.

Videos

1. Newborn Screening Education: A Survey of State Programs
(Expecting Health)
2. Important Facts about My Baby's Newborn Screening Blood Spot Storage
(CA Public Health)
3. Newborn Screening Blood Specimen Collection
(Texas Department of State Health Services)
4. Newborn Screening at Newman Regional Health
(Newman Regional Health)
5. Newborn Screening Quality Improvement: State Initiatives to Improve Newborn Screening Processes
(ASTHO)
6. Newborn Screening
(Carilion Children's Outreach Education)
Top Articles
Latest Posts
Article information

Author: Mr. See Jast

Last Updated: 03/08/2023

Views: 5735

Rating: 4.4 / 5 (55 voted)

Reviews: 94% of readers found this page helpful

Author information

Name: Mr. See Jast

Birthday: 1999-07-30

Address: 8409 Megan Mountain, New Mathew, MT 44997-8193

Phone: +5023589614038

Job: Chief Executive

Hobby: Leather crafting, Flag Football, Candle making, Flying, Poi, Gunsmithing, Swimming

Introduction: My name is Mr. See Jast, I am a open, jolly, gorgeous, courageous, inexpensive, friendly, homely person who loves writing and wants to share my knowledge and understanding with you.