Supporting factors for the implementation of congenital hypothyroid screening Programme in Neonatus at Sonraen Health Centre

Abstract

Background: The global prevalence of hypothyroidism is estimated to be around 1:3,000–4,000 in newborns. Hypothyroidism in Indonesia was 1:12,724 in 2022. The first congenital hypothyroid screening program was implemented in 2000. Congenital hypothyroid screening was rated in 2018 (4.60%) and 2022 (2.3%). Kupang district implemented it in 2023 (6.4%). This study aims to analyze and determine the implementation factors of the congenital hypothyroid screening program at Sonraen Health Centre, Kupang Regency. Methods: quantitative research with a cross-sectional approach. The sample size was 62 respondents, with total sampling and a questionnaire as research instruments. Analysis techniques include bivariate with chi-square, Spearman Rho tests, and multivariate logistic regression. Results: The successful implementation of the congenital hypothyroid screening program in 2023 at the Sonraen Health Centre was 28.7%. Based on bivariate analysis obtained for competence (p = <0.001), training (p = 0.012), health human resources (p = 0.019), budget (p = 0.319), logistics (p = <0.001), SOP (p =<0.001), recording and reporting (p = 1,000). Based on multivariate analysis, competence had a risk of 25.429, and SOP had a risk of 10.801 times the implementation of congenital hypothyroid screening. Conclusion: Program achievement is far from the target. It appears that competence, training, human resources, logistics availability, and SOP are support factors in the implementation of congenital hypothyroid screening. However, the most dominant factor is competence.