Assessing the Practice of Birth Defect Registration at Addis Ababa Health Facilities

Mekonen Eshete1,2, Fikre Abate2, Berhane Abera2

  • 1Surgical Department, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Insights

Accurate birth defect registration is crucial for managing and preventing these conditions. However, a study in Addis Ababa found that only 3 of 37 facilities used a dedicated registry, highlighting a significant gap in congenital anomaly tracking.

Area of Science:

  • Public Health
  • Pediatrics
  • Medical Informatics

Background:

  • Birth defects are structural changes present at birth, necessitating accurate tracking for management and prevention.
  • Effective registration and analysis of birth defect data are vital for public health initiatives.
  • This study evaluates current birth defect registration practices in Addis Ababa's health facilities.

Purpose of the Study:

  • To assess the current practices of birth defect registration in health facilities in Addis Ababa.
  • To identify gaps and challenges in the existing birth defect data collection systems.
  • To provide recommendations for improving birth defect surveillance.

Main Methods:

  • Retrospective review of birth defect registry books and delivery room registration records.
  • Assessment of data completeness for birth defect registration.
  • Analysis of the number of registered birth defects between 2010 and 2015.
  • Evaluation of 37 health facilities (20 public, 17 private) in Addis Ababa.

Main Results:

  • Only 3 out of 37 assessed health facilities utilized a separate, dedicated birth defect registry book.
  • 20 facilities registered birth defects using regular registration books, while 14 facilities (10 private, 4 public) did not register any congenital anomalies.
  • A significant disparity exists in registration practices between public and private health institutions.

Conclusions:

  • The current system for birth defect registration in Addis Ababa is inadequate, with a low adoption rate of dedicated registry books.
  • There is an urgent need for health facilities to implement dedicated birth defect registries, ideally transitioning to electronic systems.
  • Improved registration is essential for clinical governance, epidemiological studies, and enhancing the quality of care and life for affected individuals.
Abstract

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