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Identifying the current status and future needs of clinical, educational, and laboratory genetics services in
Myla Ashfaq1, Syed A Ahmed2, Rabia Aziz-Rizvi3
1Department of Pediatrics, Division of Medical Genetics, University of Texas Health Science Center at Houston (UTHealth Houston) and Children's Memorial Hermann Hospital, Houston, TX, USA. myla.ashfaq@uth.tmc.edu.
Insights
Healthcare providers and the public in Pakistan see a critical need for more medical genetics services. The study highlights strong support for expanding genetic counseling education and testing availability.
Area of Science:
- Medical Genetics
- Public Health
- Healthcare Services Research
Background:
- Genetic disorders are prevalent in Pakistan, a low-socioeconomic country.
- Medical genetic services are limited and inaccessible to most of the population.
Purpose of the Study:
- To identify gaps in medical genetics services from the perspective of healthcare providers and the public.
- To explore current availability and needed improvements in clinical genetics delivery models.
- To gauge interest in enhanced medical genetics provisions.
Main Methods:
- A needs assessment webinar was organized by the Pakistani Society of Medical Genetics and Genomics (PSMG).
- Expert panel discussions covered training, clinics, genetic testing, and patient advocacy.
- A web-based survey of attendees provided quantitative data on perceived needs.
Main Results:
- Overwhelming support (91.6%) for establishing formal genetic counseling educational programs.
- Unanimous support (100%) for increasing the availability of genetic testing.
- Identified key areas for improving medical genetics services delivery.
Conclusions:
- There is a significant demand for improved medical genetics services in Pakistan.
- Formalizing genetic counseling education and expanding genetic testing are crucial next steps.
- Addressing these needs will enhance the management of genetic disorders in the country.
Abstract:
While the prevalence of genetic disorders has been well documented in the Muslim-majority, low-socioeconomic country of Pakistan, the provision of medical genetic services remains limited and cost-prohibitive to the masses in the country. With the objective of identifying gaps in the provision of medical genetics services as perceived by the healthcare providers and the general public, the Pakistani Society of Medical Genetics and Genomics (PSMG) organized a needs assessment webinar on December 6, 2020, titled, "A Vibrant Discussion on the Current Status and Future Needs of Medical Genetic Services in Pakistan." The objectives of the webinar were (1) to explore the current availability of medical genetics services, (2) to identify areas in clinical genetics delivery models needed to improve the state of medical genetics in the country, and (3) to garner the interest in such provisions from the expert and lay audience. The webinar consisted of a moderator-led, structured interview of an expert panel including the following topics: (1) postgraduate clinical genetics and genetic counseling training programs, (2) medical genetics clinics and formal genetic counseling services), (3) clinical genetic testing and (4) patient support and advocacy groups. The webinar was followed by a short, web-based survey completed by 35 of the 60 attendees. The results of this survey indicated overwhelming support for establishing formal genetic counseling educational opportunities (91.6%) and increasing the availability of genetic testing (100%). This report further summarizes the opinions and recommendations of the panelists and the audience survey results.
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