Implementation of the congenital hypothyroidism (CH) screening program in Indonesia as an effort to prevent stunting: A mixed-methods study
Keywords:
Evaluation, Congenital hypothyroidism screening, Stunting preventionAbstract
Congenital hypothyroidism screening (CHS) plays a critical role in the prevention of stunting. CHS enables the early detection of growth and developmental disorders, thereby facilitating timely intervention to prevent stunting. The objective of this study was to evaluate the implementation of CHS within healthcare services. A mixed-methods design employing a sequential exploratory model was utilized. The study identified 917 newborns, all of whom underwent CHS. The majority of screenings (59.59%) were conducted within 48 hours of birth, and only 0.186% of infants were diagnosed with hypothyroidism. However, the management of hypothyroidism was found to be suboptimal. In summary, the CHS program has demonstrated excellent coverage, as evidenced by 100% participation among newborns. Nevertheless, deficiencies remain in the post-screening management of hypothyroidism, which has not yet achieved optimal implementation.
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