Factors that influence congenital hypothyroidism screening among pregnant women
Keywords:
congenital hypothyroidism, family support, health knowledge, pregnant womenAbstract
Congenital Hypothyroidism Screening (CHS) is an essential neonatal health intervention aimed at early detection of thyroid hormone deficiency to prevent growth and developmental disorders. However, CHS coverage in several regions of Indonesia remains low, particularly in East Kalimantan, where limited maternal knowledge and inadequate family support may influence screening participation. This study aimed to identify factors associated with the implementation of congenital hypothyroidism screening in the working area of the Mendik Community Health Center, Paser Regency, East Kalimantan Province, Indonesia. A cross-sectional study was conducted between September and October 2025 involving 30 pregnant women selected using a total sampling technique. Data were collected using a validated and reliable questionnaire assessing respondent characteristics, maternal knowledge, family support, maternal attitudes, and implementation of congenital hypothyroidism screening. Data were analyzed using descriptive statistics, Chi-square tests, and logistic regression analysis with a significance level of p < 0.05. More than half of respondents had inadequate knowledge regarding CHS (57%) and low family support (60%). The implementation of CHS remained low, with 53% of respondents not undergoing screening. Bivariate analysis showed that maternal knowledge (p = 0.009) and family support (p = 0.024) were significantly associated with CHS implementation, whereas maternal attitude was not significantly associated (p = 1.000). Logistic regression analysis identified maternal knowledge as the dominant factor influencing CHS implementation (OR = 15.4; 95% CI = 1.74–136). Maternal knowledge and family support significantly influence the implementation of congenital hypothyroidism screening. Strengthening family-centered health education during antenatal care is essential to improve CHS coverage in primary healthcare settings.
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