Abstract

A process evaluation of the national programme of screening and prevention of perinatal hepatitis B infection, congenital syphilis and bloodgroup/rhesus-antagonism was performed with special reference to organizational pitfalls. Structured questionnaires were used to collect information from all parties and professional groups involved in the execution of the programme (obstetricians, midwives laboratories, provincial immunization administrations, well baby clinics). The coverage of the hepatitis B programme is not complete. Timely passive/active immunization is not warranted in case of screening in other than the assigned regional public health laboratories. Recommendations are given to adjust the current procedures to obtain immunoglobulin and vaccine.