Screening Practice of major congenital malformation and associated factors among health care professionals at three teaching hospitals in Addis Ababa, Ethiopia
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Date
2023-10
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Addis Ababa University
Abstract
Background: Congenital anomalies are structural, functional, and metabolic abnormalities that
occur during the formation of organs and appear at birth or later in life. Newborn screening an
activity aimed at early identification of newborns affected with certain genetic and/or metabolic
conditions. Early diagnosis and treatment of these conditions reduce morbidity and mortality.
Objectives: To evaluate the health care professionals’ practice on screening of major congenital
anomalies among newborn infants at three tertiary government hospitals in Addis Ababa,
Ethiopia.
Methods and Materials: Cross-sectional study was conducted from November 2022 to
September 2023 on 163 healthcare professionals working at labor and delivery ward and
neonatal intensive care units of Tikur Anbessa Specialized hospital, St. Paul Hospital
Millennium Medical College and Menilik II comprehensive specialized hospital on Knowledge,
attitude and practice of screening of congenital malformations. Analysis was conducted using
Statistical Package for Social Sciences (SPSS) version 26 and descriptive statistics were reported
as frequency, median, mean ± standard deviation (SD). Binary logistic regression analysis was
done. Tests with P-Value < 0.05 were considered statistically significant.
Results: The Average score of knowledge, Attitude and practice were 6.52 (±1.48), 3.62 (±.304)
and 4.63(±1.79), respectively. Only 45(27.6%) of the health care professionals had adequate
overall knowledge, 113(69.3%) have favorable attitude and 18(11%) of the respondents have
good practice.
Conclusion: majority of HCPs have moderate to adequate knowledge (74.2%), favorable
attitude (69.3%) and poor practice (89%) regarding screening of congenital malformations.
Knowledge of congenital malformations had shown a positive significant association with
screening practice.
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Keywords
Congenital malformation, practice, knowledge, attitude