Problem
Sickle Cell Disease (SCD), a genetically inherited disorder, is detectable
at birth via newborn screening. The community, including health care
professionals and the general public, need to increase their awareness
of SCD and sickle cell trait (SCT). Potential parents who have SCT need
genetic counseling to help them with family planning. Newborn screening
is essential to ensure that families with a child with SCD are supported
and the child has a medical home. Screening and follow-up only can occur
if there is effective collaboration between established organizations
such as sickle cell treatment centers, and the State and City Departments
of Public Health, as well as community agencies and membership organizations.
The Sickle Cell Disease Association of Illinois (SCDAI) proposes its
Newborn Screening Project (NBSP) to address these community needs. The
project's goals are in line with the MCR program priorities, including
1) Promoting an Environment that Supports Maternal and Child Health,
2) Eliminating Health Barriers and Disparities, 3) Improving the Health
Infrastructure and Systems of Care and 4) Assuring Quality of Care.
Goals
and Objectives
There are four goals to SCDAI's proposed project: 1) to provide education
and training to health professionals and community organizations, 2)
to provide education to increase awareness of SCD and SCT to the community
at large, 3) to monitor and track referrals received of newborns that
test positive for sickle cell disease and other abnormal hemoglobinopathies,
4) to provide counseling, education and referrals that include family
genetic screening and other support services for the families and guardians
of infants and children found with sickle cell disease or trait.
Methodology
With 28 months of experience in implementing a Newborn Screening Project,
SCDAI has proposed to accomplish its goals with the following innovative
activities including providing continuing education outreach to Primary
Care Providers, hosting Sickle Cell Disease conferences for health care
professionals, visiting and distributing education materials to churches,
day care centers, schools, and community based social service agencies,
receiving referrals of newborns with SCD, assisting these identified
families in establishing a medical home, counseling and educating identified
parents of newborns with SCD and providing genetic screening and counseling
for potential parents.
Coordination
The foundation of this comprehensive project consists of the Sickle
Cell Disease Association of Illinois which has a dedicated Board of Directors
and qualified staff. For the proposed project, SCDAI will collaborate
with 11 partners, including the IL. Dept of Public Health and 3 sickle
cell treatment centers.
Evaluation
SCDAI will incorporate both quantitative and qualitative evaluation
methods in a comprehensive, ongoing evaluation process that documents
project activities, monitors progress, determines outcomes and provides
feedback for ongoing program planning. The quality assurance plan ensures
the proper flow of work, intervention and care standards, customer service,
quality of services, with respect to care, access, education and counseling.
Key
Words African Americans, Children with Special Health Needs,
Counseling, Family Centered Health Education, Family Support Services,
Genetic Disorders, Newborn Screening, Sickle Cell Disease
Annotation
The Sickle Cell Disease Association of Illinois (SCDAI) proposes its
Newborn Screening Project to educate the community and healthcare providers
about sickle cell disease (SCD), receive referrals of newborns with SCD
in order to support them and their families to receive medical care and
other services and provide counseling to potential parents who have sickle
cell trait. The project will succeed because of its comprehensive collaboration
strategy with 11 organizations, including the Illinois Department of
Public Health and sickle cell treatment centers. An ongoing evaluation
of the project will include both quantitative and qualitative methods.
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