Assessment of knowledge, attitudes and practices towards newborn screening for congenital hypothyroidism before and after a health education intervention in pregnant women in a hospital setting in Pakistan

Abstract Background Most congenital hypothyroidism (CH) is not avertable; however, the adverse effects of CH are preventable with early detection and treatment. It is a common congenital endocrine disorder that affects 1 in 2000–4000 newborns globally. The true incidence in Pakistan is unknown. Data...

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Bibliographic Details
Published in:International health 2018-03, Vol.10 (2), p.100-107
Main Authors: Tariq, Batha, Ahmed, Ayesha, Habib, Atif, Turab, Ali, Ali, Noshad, Soofi, Sajid Bashir, Nooruddin, Shanila, Kumar, Rekha J, Tariq, Amin, Shaheen, Fariha, Ariff, Shabina
Format: Article
Language:English
Subjects:
Adult
Congenital Hypothyroidism - diagnosis
Cross-Sectional Studies
Female
Health Education
Health Knowledge, Attitudes, Practice
Hospitals
Humans
Infant, Newborn
Mothers - psychology
Mothers - statistics & numerical data
Neonatal Screening - statistics & numerical data
Pakistan
Pregnancy
Prospective Studies
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Summary:Abstract Background Most congenital hypothyroidism (CH) is not avertable; however, the adverse effects of CH are preventable with early detection and treatment. It is a common congenital endocrine disorder that affects 1 in 2000–4000 newborns globally. The true incidence in Pakistan is unknown. Data from hospital studies quote an incidence of 1 in 1600–2000. The aim of this study was to uncover existing knowledge of CH and screening for the condition and to assess the impact of health education on mothers’ knowledge and attitudes towards having their newborns screened. Methods The study was conducted from January 2012 to August 2013 at a local hospital in Karachi, Pakistan. This was a prospective, interventional cohort study implemented through a pre- and post-cross-sectional knowledge, attitudes and practices (KAP) survey. Interviews were conducted using structured questionnaires on CH. Results At baseline (pre-intervention survey), 400 participants consented and 355 (88.9%) completed the study. There was a significant increase in awareness among participating women following the intervention (20% to approximately 98%). Similarly, 78.9% agreed to opt for a screening test for their newborns following delivery as compared with 57.7% in the pre-intervention KAP survey (relative risk 1.38, p-value
ISSN:1876-3413
1876-3405
DOI:10.1093/inthealth/ihx069