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Present status and future concerns of expanded newborn screening in malaysia: sustainability, challenges and
Yin Hui Leong1, Chee Yuen Gan1, Mohd Adi Firdaus Tan1
1Centre for Advanced Analytical Toxicology Services, Universiti Sains Malaysia, 11800 USM, Penang, Malaysia.
Insights
Newborn screening (NBS) programs are vital for early diagnosis and treatment of lifelong impairments. Implementing expanded NBS in developing nations faces significant challenges, hindering its national adoption and public health benefits.
Area of Science:
- Public Health
- Pediatrics
- Genetics
Background:
- Newborn screening (NBS) is a key World Health Organization strategy for preventing congenital anomalies and improving child health.
- Despite its importance, NBS implementation is slow and challenging in developing countries, particularly in South-East Asia and North Africa.
- Expanded NBS is not mandatory and not integrated into the public healthcare system in many regions.
Purpose of the Study:
- To highlight the challenges in establishing a national newborn screening program.
- To emphasize the need for policy maker involvement in successful NBS implementation.
Main Methods:
- This study is a review of the current status and challenges of newborn screening programs.
- Analysis of factors hindering NBS implementation in developing countries.
Main Results:
- Key challenges include limited funding, manpower shortages, inadequate support services, low public awareness, and uncertain healthcare practitioner commitment.
- Expanded NBS is not yet a mandatory public healthcare component in many countries.
Conclusions:
- Successful national NBS programs require policy maker support and public engagement.
- Addressing identified challenges is crucial for expanding NBS benefits to all populations.
Abstract:
Newborn screening (NBS) program is an important tool for the early diagnosis and preventive treatment of life-long impairments. NBS is one of the strategies recommended by the World Health Organization to promote the primary prevention of congenital anomalies and the health of children with these conditions. However, NBS initiation and implementation in developing countries, especially South-East Asian and North African regions, are slow and challenging. Expanded NBS is not mandatory and has not yet been incorporated into the public healthcare system in our country. Limited funding, manpower shortages, inadequate support services, low public awareness, and uncertain commitment from healthcare practitioners are the main challenges in establishing this program at the national level. Involvement and support from policy makers are very important to the success of the program and the benefit of the entire population.
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