Research instrument

(kasangkapan sa pananaliksik)

Thesis Title: Level of Awareness and Compliance Regarding Newborn

Screening of Currently Married Women

Pamagat ng Tesis: Antas ng Kamalayan at Pagtalima Hinggil sa Newborn

Screening ng Kasalukuyang Kasal na Babae

I. Personal and Social Information

(Kabatirang Personal at Panlipunan)

Direction: Kindly fill up the following and put a check mark ( / ) on the following
information which implies to you

Panuto: Pakisagutan at pakilagyan po ng tsek ( / ) ang impormasyong naaayon

sa iyo.

Name (Optional):_________________________________________
(Pangalan (pwedeng hindi sulatan) )

Age (Edad): ______

Civil Status (Katayuang Sibil)

( ) Single (Hindi kasal o walang asawa)

( ) Married (Kasal o May asawa)
( ) Widowed (Biyuda)

Religion (Relihiyon): ______________

Educational Attainment (Antas ng Pinag-aralan):

( ) Elementary level (elementarya)

( ) High School level (hayskul)
( ) College level (kolehiyo)
Monthly Family Income (Buwanang Kita ng Pamilya)

( ) below 10,000 Php (10,000 Php pababa)

( ) 10,001 – 20,000 Php (10,001 – 20,000 Php)
( ) 20,001 – 30,000 Php (20,001 – 30,000 Php)
( ) above 30,000 Php (30,000 pataas)

Source of Health Care (Pinagkukunan ng pangangalagang Pangkalusugan)

( ) Hospital (Ospital)
( ) Baranggay Health Center
( ) Private Physician (Pribadong Doktor)
( ) Traditional Practitioner (Hilot)

Number of Children (Bilang ng anak): ____

II. QUESTIONS REGARDING NEWBORN SCREENING TEST

(MGA KATANUNGANG TUNGKOL SA NEWBORN SCREENING TEST)

LEVEL OF AWARENESS (Antas ng Kamalayan)

Direction: Please put a check mark ( / ) each number according to your level
of knowledge regarding Newborn Screening. Please refer your answers on
the following:

(Panuto: Pakilagyan ng tsek ( / )ang bawat bilang na naayon sa antas ng

inyong kamalayan tungkol sa Newborn Screening. Ibatay ang inyong
kasagutan sa mga sumusunod:)

Scale (Proporsyon):

SD – Strongly Disagree (Higit na hindi sumasang-ayon)

D – Disagree (Hindi sumasang-ayon)
N – Neutral (Walang kinikilingan)
A – Agree (Sumasang-ayon)
SA – Strongly Agree (Higit na sumasang-ayon)
 Questions
SD D N A SA
(Tanong)

1. Newborn Screening is a program of the Department of

Health
(Ang Newborn Screening ay programa ng Departamento
ng Kalusugan)

2. Newborn Screening test started since 1996

(Sinimulan sa Pilipinas ang Newborn Screening noon
pang 1996)

3. The attending physician or the birth attendant is

responsible in explaining the screening test results to the
parents
(Ang tagapangalagang doctor o kasamang nangalaga
ang responsable sa pagpapaliwanag ng resulta ng
Newborn Screening sa mga magulang)

4. Newborn Screening test is available at the hospitals

and lying-ins
(May nakahandang Newborn Screening test sa mga
ospital o paanakan)

5. Newborn Screening is also available in rural health

units and health centers
(May nakahanda ring Newborn Screening test sa mga
pangkalusugang yunit o sentrong pangkalusugan)

6. Newborn Screening test is important to ensure the

infant’s good health condition
(Mahalaga ang Newborn Screening test upang matiyak
ang mabuting pangkalusugang kalagayan ng sanggol)

7. Newborn Screening test aides in early detection of five

congenital metabolic diseases of the newborn
(Nakatutulong ang Newborn Screening test sa maagang
pagtuklas ng limang congenital metabolic na sakit sa
kasisilang na sanggol)

8. Newborn Screening Test assists to have an early

treatment for congenital disorder once verified
(Nakatutulong ang Newborn Screening test na maagang
magamot ang congenital disorder oras na ito’y
maberipika)

9. Newborn Screening Test can be done by a nurse,

physician or medical technologist
(Maisasagawa ng isang doctor, medikal teknolojist, nars
o kumadrona ang Newborn Screening test)

10. Newborn Screening Test is done 24-48 hours after

birth
(Isinasagawa ang Newborn Screening test sa loob ng
24-48 na oras pagkasilang ng sanggol)

11. Newborn Screening Tests are done through heel

prick method to get blood samples
(Isinasagawa ang Newborn Screening test sa
pamamagitan ng pagtusok sa sakong ng sanggol at
pagkuha ng dugo mula dito)

12. The blood samples is blotted on an absorbent filter

card and will be sent in the Newborn Screening
Laboratory
(Ang sample na dugo ay ipinapatak sa isang absorbent
filter card at idinadala sa Newborn Screening laboratory)

COMPLIANCE (Pagsunod)
 Direction: Please put a check mark ( / ) each number according to your
compliance regarding Newborn Screening. Please refer your answers on the
following:

(Panuto: Pakilagyan ng tsek ( / )ang bawat bilang na naayon sa antas ng

inyong kamalayan tungkol sa Newborn Screening. Ibatay ang inyong
kasagutan sa mga sumusunod:)

Questions
YES (oo) NO (hindi)
(Tanong)

1. Will you submit your child to Newborn Screening Test?

(Ipapanewborn screening mo ba ang anak mo?)

2. Have you ever submit your other child/children in Newborn

Screening before?
(Naipanewborn screening mo ba ang iba mong anak/ mga anak
dati?)