Landscape of genetic counseling in the Philippines.

Philippines education genetic counseling newborn screening professional development workforce

Journal

Journal of genetic counseling
ISSN: 1573-3599
Titre abrégé: J Genet Couns
Pays: United States
ID NLM: 9206865

Informations de publication

Date de publication:
25 Oct 2023
Historique:
revised: 12 09 2023
received: 04 03 2023
accepted: 26 09 2023
medline: 25 10 2023
pubmed: 25 10 2023
entrez: 25 10 2023
Statut: aheadofprint

Résumé

In this paper, we report on the professional development of genetic counselors in the Philippines as we discuss the status of genetic counseling training and research, along with the roles and scope of practice of genetic counselors. The development of a master's level training program for non-physician genetic counselors in the Philippines initiated in 2011 was in response to the increasing demand for genetic counseling services. There are currently 18 locally trained genetic counselors who are practicing in various fields including newborn screening, pediatrics, cancer, prenatal and preconception, neurology, and research. Despite the success of the genetic counseling training program, various professional challenges hinder maximizing the impact of genetic counselors in the health system. The challenges discussed in this paper include the limited number of genetic counselors, the lack of government positions officially recognizing the 'genetic counselor' title, and the absence of a regulatory framework. These issues require thorough discussion with appropriate government agencies and collaboration with other healthcare professional organizations with the ultimate goal of ensuring quality genetic counseling services nationwide.

Identifiants

pubmed: 37877196
doi: 10.1002/jgc4.1804
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023 The Authors. Journal of Genetic Counseling published by Wiley Periodicals LLC on behalf of National Society of Genetic Counselors.

Références

Abacan, M., Alsubaie, L., Barlow-Stewart, K., Caanen, B., Cordier, C., Courtney, E., Davoine, E., Edwards, J., Elackatt, N. J., Gardiner, K., Guan, Y., & Wicklund, C. (2019). The global state of the genetic counseling profession. European Journal of Human Genetics, 27(2), 183-197. https://doi.org/10.1038/s41431-018-0252-x
Abad, P. J. B., Anonuevo, C. A., Daack-Hirsch, S., Abad, L. R., Padilla, C. D., & Laurino, M. Y. (2017). Communication about congenital adrenal hyperplasia: Perspective of Filipino families. Journal of Genetic Counseling, 26(4), 763-775. https://doi.org/10.1007/s10897-016-0043-x
Abad, P. J. B., & Sur, A. L. D. (2022). Nursing engagement in genetics and genomics: A developing country's perspective. International Nursing Review, 69(4), 559-565. https://doi.org/10.1111/inr.12751
Abad, P. J. B., Tan, M. L., Baluyot, M. M. P., Villa, A. Q., Talapian, G. L., Reyes, M. E., Suarez, R. C., Sur, A. L. D., Aldemita, V. D. R., Padilla, C. D., & Laurino, M. Y. (2014). Cultural beliefs on disease causation in The Philippines: Challenge and implications in genetic counseling. Journal of Community Genetics, 5(4), 399-407. https://doi.org/10.1007/s12687-014-0193-1
Austin, J., Semaka, A., & Hadjipavlou, G. (2014). Conceptualizing genetic counseling as psychotherapy in the era of genomic medicine. Journal of Genetic Counseling, 23, 903-909.
Bragg, D. C., Mangkalaphiban, K., Vaine, C. A., Kulkarni, N. J., Shin, D., Yadav, R., Dhakal, J., Ton, M. L., Cheng, A., Russo, C. T., Ang, M., & Ozelius, L. J. (2017). Disease onset in X-linked dystonia-parkinsonism correlates with expansion of a hexameric repeat within an SVA retrotransposon in TAF1. Proceedings of the National Academy of Sciences of the United States of America, 114(51), E11020-E11028. https://doi.org/10.1073/pnas.1712526114
Cairo, C. U. (2019). Next frontiers in Philippine oncology and development in the entire cancer care continuum from prevention to management. Annals of Oncology, 30, vi12. https://doi.org/10.1093/annonc/mdz309
Cavan, B. C., Mendoza, A., & Veloso, G. (2017). Prenatal genetic counseling in the Philippine setting: A case series. Annals of Translational Medicine, 5(Suppl 2), AB042. https://doi.org/10.21037/atm.2017.s042
Cura, J. D. (2015). Respecting autonomous decision making among Filipinos: A re-emphasis in genetic counseling. Journal of Genetic Counseling, 24(2), 213-224. https://doi.org/10.1007/s10897-015-9823-y
Cutiongco-de la Paz, E. M., Pedro, M., Yarza, T. K. L., Lagrana-Villagracia, S. M., Amoranto, A. J. P., Jover, E. J. M., Domine, M. T. B., Chiong, C. M., & Santos-Cortez, R. L. P. (2019). Genetic counseling in an indigenous Filipino community with a high prevalence of A2ML1-related otitis media. Journal of Community Genetics, 10(1), 143-151. https://doi.org/10.1007/s12687-018-0368-2
de Castro-Hamoy, L. G., Tumulak, M. J. R., Cagayan, M., Sy, P. A., Mira, N. R. C., & Laurino, M. Y. (2022). Attitudes of Filipino parents of children with down syndrome on noninvasive prenatal testing. Journal of Community Genetics, 13(4), 411-425. https://doi.org/10.1007/s12687-022-00597-w
Department of Health. (2004). Rules and Regulations Implementing Republic Act No. 9288 otherwise known as the “Newborn Screening Act of 2004”. [Accessed 29 January 2023]. Available at https://www.newbornscreening.ph/images/stories/ResourcesDOHPolicies/IRR.pdf
Department of Health. (2014a). Guidelines on the implementation of the expanded newborn screening program. Administrative Order 2014-0045, 14 November 2014. [Accessed 29 January 2023]. Available at https://dmas.doh.gov.ph:8083/Rest/GetFile?id=337007
Department of Health. (2014b). Implementing guidelines on the setting-up of newborn screening continuity clinics. Administrative Order 2014-0035, 20 October 2014. [Accessed 29 January 2023]. Available at https://dmas.doh.gov.ph:8083/Rest/GetFile?id=336996
Department of Health. (2016). Philippine health picture. [Accessed 12 January 2023]. Available at https://doh.gov.ph/mortality
Doyle, C. (1997). Self regulation and statutory regulation. Business Strategy Review, 8(3), 35-42.
Felipe-Dimog, E. B., Tumulak, M.-A. J. R., Laurino, M. Y., Daack-Hirsch, S., Silao, C. L. T., Conaco, M. C. G., Padilla, C. D., & Estacio, L. R. (2022). Beliefs on the causes of birth defects as perceived by mothers of children with birth defects in a tertiary care hospital in The Philippines. Journal of Community Genetics, 13(2), 183-191. https://doi.org/10.1007/s12687-021-00543-2
Guasch-Ferré, M., Dashti, H. S., & Merino, J. (2018). Nutritional genomics and direct-to-consumer genetic testing: An overview. Advances in Nutrition, 9(2), 128-135. https://doi.org/10.1093/advances/nmy001
Guerbo, R. J., Padilla, C. D., Laurino, M. Y., Regalado, E. S., Silao, C. L. T., & Gregorio, E. R., Jr. (2020). Filipino Midwives' knowledge, self-perceived role and experiences in educating parents of families with newborns who are confirmed cases of glucose 6 phosphate dehydrogenase deficiency. Acta Medica Philippina, 54(4), 394-399.
Lagarde, J. B. B., Laurino, M. Y., San Juan, M. D., Cauyan, J. M. L., Tumulak, M.-A. J. R., & Ventura, E. R. (2019). Risk perception and screening behavior of Filipino women at risk for breast cancer: Implications for cancer genetic counseling. Journal of Community Genetics, 10(2), 281-289. https://doi.org/10.1007/s12687-018-0391-3
Laurino, M. Y., Leppig, K. A., Abad, P. J., Cham, B., Chu, Y. W. Y., Kejriwal, S., Lee, J. M., Sternen, D. L., Thompson, J. K., Burgess, M. J., Chien, S., & Thong, M. K. (2018). A report on ten Asia Pacific countries on current status and future directions of the genetic counseling profession: The establishment of the Professional Society of Genetic Counselors in Asia. Journal of Genetic Counseling, 27(1), 21-32.
Laurino, M. Y., Padilla, C., Alcausin, M. M. B., Silao, C. L. T., & Cutiongco-de la Paz, E. M. (2011). A master of science in genetic counseling program in The Philippines. Acta Medica Philippina, 45(4), 865-868.
Laurino, M. Y., & Padilla, C. D. (2013). Genetic counseling training in The Philippines. Journal of Genetic Counseling, 22(6), 865-868. https://doi.org/10.1007/s10897-013-9587-1
Lee, L. V., Rivera, C., Teleg, R. A., Dantes, M. B., Pasco, P. M. D., Jamora, R. D. G., Arancillo, J., Villareal-Jordan, R. F., Rosales, R. L., Demaisip, C., Maranon, E., & Sarcia, S. (2011). The unique phenomenology of sex-linked dystonia parkinsonism (XDP, DYT3, “Lubag”). International Journal of Neuroscience, 121(sup1), 3-11.
Leslie, K., Moore, J., Robertson, C., Bilton, D., Hirschkorn, K., Langelier, M. H., & Bourgeault, I. L. (2021). Regulating health professional scopes of practice: Comparing institutional arrangements and approaches in the US, Canada, Australia and the UK. Human Resources for Health, 19(1), 15. https://doi.org/10.1186/s12960-020-00550-3
Nacis, J. S., Labrador, J. P. H., Ronquillo, D. G. D., Rodriguez, M. P., Dablo, A. M. F. D., Frane, R. D., Madrid, M. L., Santos, N. L. C., Carrillo, J. J. V., Fernandez, M. G., & Gonzales, G. B. L. (2023). A study protocol for a pilot randomized controlled trial to evaluate the effectiveness of a gene-based nutrition and lifestyle recommendation for weight management among adults: the MyGeneMyDiet® study. Frontiers in Nutrition, 10. https://doi.org/10.3389/fnut.2023.1238234
Ormond, K., Hudgins, L., Laurino, M., Alcausin, M., & Padilla, C. D. (2012). A new “sister genetic counseling program” partnership between Stanford University and the University of The Philippines, Manila. Perspectives in Genetic Counseling, 34(1), 22-24.
Ormond, K. E., Laurino, M. Y., Barlow-Stewart, K., Wessels, T. M., Macaulay, S., Austin, J., & Middleton, A. (2018). Genetic counseling globally: Where are we now? American Journal of Medical Genetics. Part C, Seminars in Medical Genetics, 178(1), 98-107. https://doi.org/10.1002/ajmg.c.31607
Padilla, C. D., & Cutiongco-de la Paz, E. M. (2016). Genetics and genomic medicine in The Philippines. Molecular Genetics and Genomic Medicine, 4(5), 494-503. https://doi.org/10.1002/mgg3.247
Pan, V., Yashar, B. M., Pothast, R., & Wicklund, C. (2016). Expanding the genetic counseling workforce: Program directors' views on increasing the size of genetic counseling graduate programs. Genetics in Medicine, 18(8), 842-849. https://doi.org/10.1038/gim.2015.179
Patch, C., & Middleton, A. (2018). Genetic counselling in the era of genomic medicine. British Medical Bulletin, 126(1), 27-36. https://doi.org/10.1093/bmb/ldy008
Philippine Statistics Authority. (2022). Age and sex distribution in the Philippine population (2020 Census of Population and Housing). [Accessed 12 January 2023]. Available at https://psa.gov.ph/population-and-housing/node/167965
Republic Act 11223. (2019). Universal Health Care Act. [Accessed 28 January 2023]. Available at https://www.officialgazette.gov.ph/2019/02/20/republic-act-no-11223/
Republic Act 9288. (2004). Newborn Screening Act of 2004. [Accessed 28 January 2023]. Available at https://www.newbornscreening.ph/images/stories/ResourcesDOHPolicies/RA9288.pdf
Resta, R., Biesecker, B. B., Bennett, R. L., Blum, S., Estabrooks Hahn, S., Strecker, M. N., & Williams, J. L. (2006). A new definition of genetic counseling: National Society of genetic Counselors' task force report. Journal of Genetic Counseling, 15, 77-83.
Summer Linguistics Institute. (2022). Ethnologue: Languages of the World. [Accessed 12 January 2023]. Available at https://www.ethnologue.com/country/PH/languages
Talapian, G. L. (2021). The barriers and facilitators to the utilization of prenatal genetic test and prenatal genetic counseling among obstetricians in a Philippine private tertiary hospital [Master's thesis, University of the Philippines Manila].
Thong, M.-K., See-Toh, Y., Hassan, J., & Ali, J. (2018). Medical genetics in developing countries in the Asia-Pacific region: Challenges and opportunities. Genetics in Medicine, 20(10), 1114-1121. https://doi.org/10.1038/s41436-018-0135-0
Tumulak, M. J. R., Pascua, A. V., Jover, E. J. M., Guerbo, R. J., Canoy, G. M. R., & Laurino, M. Y. (2021). Genetic counseling in the time of COVID-19: The Philippine experience with telegenetics. Journal of Genetic Counseling, 30(5), 1285-1291. https://doi.org/10.1002/jgc4.1518
World Health Organization. (2018). The Philippines health systems review. WHO. [Accessed 12 January 2023]. Available at https://apps.who.int/iris/bitstream/handle/10665/274579/9789290226734-eng.pdf?sequence=1&isAllowed=y

Auteurs

Peter James Abad (PJ)

The University of Iowa College of Nursing, Iowa City, Iowa, USA.
College of Nursing, University of the Philippines Manila, Manila, Philippines.

Ma-Am Joy Tumulak (MJ)

Institute of Human Genetics, National Institute of Health, University of the Philippines Manila, Manila, Philippines.
Department of Pediatrics, College of Medicine, University of the Philippines Manila, Manila, Philippines.

Romer Guerbo (R)

Newborn Screening Center-Mindanao, Davao City, Philippines.

Leniza de Castro-Hamoy (L)

Institute of Human Genetics, National Institute of Health, University of the Philippines Manila, Manila, Philippines.
Department of Pediatrics, College of Medicine, University of the Philippines Manila, Manila, Philippines.

Niecy Grace Bautista (NG)

Sunshine Care Foundation for Neurological Care and Research, The Health Centrum Hospital, Roxas City, Philippines.

Ramonito Nuique (R)

Augusto P. Sarmiento Cancer Institute, The Medical City, Pasig, Philippines.

Frances Isabelle Jacalan (FI)

Department of Science and Technology-Food and Nutrition Research Institute, Taguig, Philippines.

Gay Luz Talapian (GL)

Department of Obstetrics and Gynecology, St. Luke's Medical Center - Quezon City, Quezon City, Philippines.
Center for Advanced Reproductive Medicine and Infertility, St. Luke's Medical Center- Global City, Taguig City, Philippines.
St. Luke's Medical Center -College of Medicine, William H. Quasha Memorial, Quezon City, Philippines.

Eva Belingon Felipe-Dimog (EB)

Nursing Department, Mountain Province State Polytechnic College, Bontoc, Mountain Province, Philippines.

John Benedict Lagarde (JB)

Sunshine Care Foundation for Neurological Care and Research, The Health Centrum Hospital, Roxas City, Philippines.

Starlene Joy Plaga (SJ)

Newborn Screening Center- Visayas, West Visayas State University Medical Center, Iloilo City, Philippines.

Edbert Jasper Jover (EJ)

Newborn Screening Center-Mindanao, Davao City, Philippines.

Kristine Dawn Morales (KD)

Philippine General Hospital - University of the Philippines Manila, Manila, Philippines.

Graciel Mae Canoy (GM)

Newborn Screening Center-Mindanao, Davao City, Philippines.

Mercy Y Laurino (MY)

Department of Pediatrics, College of Medicine, University of the Philippines Manila, Manila, Philippines.
Fred Hutchinson Cancer Center, Seattle, Washington, USA.

Classifications MeSH