scholarly journals Pola Pengasuhan Pada Anak Dengan Hambatan Perkembangan

2020 ◽  
Vol 48 (1) ◽  
Author(s):  
Sri Poedji Hastoety ◽  
Rika Rachmalina ◽  
Irlina Raswanti Irawan ◽  
Febriani Febriani

Abstract Parenting is a factor that is directly related to child development. This study aims to explore the parenting style among children with developmental delay. This qualitative study nested in a Child Growth and Development Cohort Study that was conducted in Bogor in October 2019. Six children aged 2 to 6 years with developmental delay were recruited in this study. Mother of these children were purposely selected as informants and participated in individual interview about parenting Style of Baurimnd. The mothers as the main caregiver of their children applied control and warmth parenting. The mothers did not know if their children suffered from developmental delay and they had never been informed about this problem by health workers. Economic factors were the reason why mother did not check up their child development. Family had an important role to prevent developmental delay of their children. Parents did not realize that their children had developmental delay, thus there was no specific parenting style applied to cope with this problem. Early detection and early developmental stimulation for children are necessary. It is important to develop indirect counselling media, both electronic and printed media, for mothers of children with developmental delay; hence they can perform early detection and early developmental stimulation by themselves. Keywords: developmental delay, parenting style Abstrak Pola asuh merupakan faktor yang terkait langsung dengan perkembangan anak. Penelitian ini bertujuan untuk mengeksplorasi pola asuh orang tua pada anak dengan hambatan perkembangan. Penelitian ini merupakan bagian dari Studi Kohor Tumbuh Kembang Anak yang dilaksanakan di Bogor pada bulan oktober 2019. Jumlah sampel 6 anak yang mengalami hambatan perkembangan berusia 2 hingga 6 tahun, informan adalah ibu dari anak yang mengalami hambatan perkembangan tersebut, yang dipilih secara purposive untuk diwawancara terkait informasi dimensi pola asuh Baumrind. Pengasuhan anak lebih banyak dilakukan oleh ibu dengan menerapkan pola asuh kontrol dan kehangatan. Ibu tidak tahu jika anak mereka mempunyai hambatan dalam perkembangannya dan belum pernah mendapatkan informasi tersebut dari tenaga kesehatan. Faktor ekonomi merupakan alasan ibu tidak melakukan pemeriksaan terhadap perkembangan anak. Keluarga berperan besar dalam mengatasi hambatan perkembangan anak. Orang tua tidak menyadari bahwa anaknya memiliki hambatan perkembangan sehingga tidak ada pola asuh spesifik yang diterapkan untuk menangani masalah tersebut. Kegiatan deteksi dini dan stimulasi perkembangan sejak dini perlu digiatkan, serta pentingnya mengembangkan media penyuluhan tidak langsung baik media elektronik maupun media cetak, bagi ibu yang memiliki anak dengan hambatan perkembangan agar bisa melakukan deteksi dini dan stimulasi terhadap gangguan tumbuh kembang anak secara mandiri. Kata kunci: Hambatan perkembangan, Pola asuh

2017 ◽  
Vol 52 (1) ◽  
pp. 51 ◽  
Author(s):  
Dwi Susanti ◽  
Florentina Sustini

It’s Important to conduct child development screening regularly in primary health services, so child developmental delay cases can be detected and treated as early as possible. Child development screening program in Puskesmas should been carried out integrated with growth screening in Stimulation, Detection, and Early Intervention of Child Growth and Development (SDIDTK) Program. Aims of this study was to gathering informations about the implementation of child development screening activity conducted by Puskesmas Mojo. This was a cross sectional study with kualitatif method. Primary data taken from under 5 years old child’s mothers, kindergarten teachers, cadres, and health staff of Puskesmas Mojo. Secondary data gotten from PWS KIA report of Puskesmas Mojo.Results of SDIDTK activities in Puskesmas Mojo according to PWS KIA report, achieve 88.1% in 2013 and 95.2% in 2014. Child development screening activities done infrequenly in Posyandu. Routine activities of Posyandu was growth/nutrition screening. Child development screening activities done by visiting kindergarten school every 6 month but not every child getting development screen, only those who suspicious have developmental delay because of minimum number of staff and aids. Results of SDIDTK activities in Puskesmas Mojo only represents child growth screening activities.


2019 ◽  
Vol 6 ◽  
pp. 2333794X1882194
Author(s):  
Lourdes Huiracocha-Tutiven ◽  
Adriana Orellana-Paucar ◽  
Victoria Abril-Ulloa ◽  
Mirian Huiracocha-Tutiven ◽  
Gicela Palacios-Santana ◽  
...  

We assessed the development, nutritional status, and complementary feeding of 12- to 23-month-old children from Cuenca, Ecuador in 2013. Ecuador, an upper-middle-income country, developed a child policy in accordance with World Health Organization (WHO) guidelines. We collected cross-sectional survey data. Child development was assessed using the Integrated Management of Childhood Illness Guide–2011. The nutritional status was defined with WHO Child Growth Standards−2006. We investigated nutrient density, WHO Infant and Young Child Feeding Indicators, and nutrient supplementation intake of the complementary feeding. In all, 11.7% of children had “possible developmental delay,” stunting was identified in 29.4% of the children, and 25.3% faced overnutrition (overweight risk/overweight/obesity). The complementary feeding composition can be summarized as having adequate fat, high energy (MJ/day) and protein, and low iron and zinc. Children with “possible developmental delay” received less iron ( P < .05) than children with normal development. Overall, 30.4% of children had minimum dietary diversity. A total of 47.7% of children received nutrient supplementation. This epidemiological profile of infants remains a challenge for Ecuador’s health programs.


2019 ◽  
Vol 1 (2) ◽  
pp. 83
Author(s):  
Merita Merita

Some of the effects of child development that are not in accordance with their age can inhibit brain development. Therefore, the purpose of this service is to carry out counseling on growth and development in children under five age. This activity was held from September 2018 to January 2019, at the Sukasari Posyandu, Sarolangun District. Sasaran is a mother who has children aged 0-5 years. This activity consisted of giving counseling with power point media, leaflets, posters, and pre-post test questions and anthropometric measurements of toddlers. The output of this service activity are: (1) Media leaflets and posters of child development and; (2) Mother's behavior in monitoring child growth and development. The results of the activity showed that participants were able to answer questions related to growth material in children aged 0-5 years in the post-test stage, ie correct answers of ≥ 80%. Participants are also able to understand the material about child development related to good consumption patterns through discussion. Based on this activity, it is necessary to collaborate with health workers and cadres to motivate children under five to routinely monitor the growth of children under five to posyandu or the nearest health care facility.


2020 ◽  
Vol 3 (2) ◽  
pp. 66
Author(s):  
Tri Sunarsih

The need for stimulation or efforts to stimulate children to introduce new knowledge or skills is very important in improving children's intelligence. Stimulation in children can be started since the baby is a fetus, because the fetus is not a passive creature. In the womb, the fetus is able to breathe, kick, stretch, move, swallow, suck the thumb, and others. While the main stimulation is given specifically for children aged 0-7 years (Siswono, 2004). PAUD teacher's understanding and awareness of the importance and influence of parental education on child development vary. Many do not understand the characteristics of early childhood development, stimulation, and implementation of early detection of early childhood growth and development. Asih Waluyo Jati Clinic is a Pratama clinic that has a program about child development. With community service at the Asih Waluyo Jati Primary Clinic, it is expected that the knowledge and understanding of PAUD teachers on the characteristics of growth and development, simulation, and implementation of early detection of early childhood growth and development can be increased. The activity was carried out at the Pratama Asih Waluyo Jati Clinic on Sunday, October 8, 2017, at 09.00 to 15.00 with material about problems of child growth and development in Indonesia, the importance of monitoring children's growth and development, the participation of teachers and parents in child development, how to detect children's growth and how to detect a child's development. The methods used in this activity include lectures, questions and answers, and role-play. Most of the participants understood what early detection and stimulation of children's growth and development were. But about the types and ways of early detection that must be done many do not understand. The participant's lack of understanding about the types and methods of early detection of children when training has not been conducted is likely because since they have never attended training and there has been no socialization from the education office related to monitoring child development. After being given the material, the participants understood that the types of early detection were detection of growth, development, and mental-emotional. Stimulation is very important as a form of intervention so that the child's growth and development can take place optimally.Keywords: early childhood, stimulation, early detection, growth, development


2020 ◽  
Author(s):  
Oliva Bazirete ◽  
Manassé Nzayirambaho ◽  
Aline Umubyeyi ◽  
Marie Chantal Uwimana ◽  
Evans Marilyn

Abstract Background: Reduction of maternal mortality and morbidity is a major global health priority. However, much remains unknown regarding factors associated with postpartum hemorrhage (PPH) among childbearing women in the Rwandan context. The aim of this study is to explore the influencing factors for prevention of PPH and early detection of women at risk as perceived by beneficiaries and health workers in the Northern Province of Rwanda. Methods: A qualitative descriptive exploratory study was drawn from a larger sequential exploratory‐mixed methods study. Semi‐structured interviews were conducted with 11 women who experienced PPH within the 6 months prior to interview. In addition, focus group discussions were conducted with: women’s partners or close relatives (2 focus groups), community health workers (CHWs) in charge of maternal health (2 focus groups) and health care providers (3 focus groups). A socio ecological model was used to develop interview guides to describe factors related to early detection and prevention of PPH in consideration of individual attributes, interpersonal, family and peer influences, intermediary determinants of health and structural determinants. The research protocol was approved by the University of Rwanda, College of Medicine and Health Sciences Institutional Ethics Review Board. Results: We generated four interrelated themes: (1) Meaning of PPH: beliefs, knowledge and understanding of PPH: (2) Organizational factors; (3) Caring and family involvement and (4) Perceived risk factors and barriers to PPH prevention. The findings from this study indicate that PPH was poorly understood by women and their partners. Family members and CHWs feel that their role for the prevention of PPH is to get the woman to the health facility on time. The main factors associated with PPH as described by participants were multiparty and retained placenta. Low socioeconomic status and delays to access health care were identified as the main barriers for the prevention of PPH. Conclusions: Addressing the identified factors could enhance early prevention of PPH among childbearing women. Placing emphasis on developing strategies for early detection of women at higher risk of developing PPH, continuous professional development of health care providers, developing educational materials for CHWs and family members could improve the prevention of PPH. Involvement of all levels of the health system was recommended for a proactive prevention of PPH. Further quantitative research, using case control design is warranted to develop a screening tool for early detection of PPH risk factors for a proactive prevention.


2020 ◽  
Vol 1 (3) ◽  
pp. 144-150
Author(s):  
Yuyuk Eva Fitriyanti ◽  
Gusman Arsyard ◽  
Sumiaty Sumiaty

Indicator of child growth is weight. At the age of 1-3 months is a period of rapid growth, so it is necessary to maintain a baby's weight according to age. Touch therapy or massage is one of technique that combines the physical benefits of human touch with emotional benefits such as bounding and increasing weight. The purpose of this study was to determine the effect of infant massage on weight gain in infants aged 1-3 months in the work area of the Sangurara Health Center in Palu. This type of research was a Quasi-experimental design with pretest and Posttest control group design. The sample in this study was 30 months old infants as many as 30 infants with sampling technique consecutive sampling. Data analysis used test Chi-square with a confidence level of 95% (α = 0.05). The results show that babies who were massaged had more weight gain, which was 24.07%, while babies who were not massaged had a weight gain of 18.28%. This is evidenced by the value of p value: 0.03 (p.value≤0.05). In conclusion, there was the effect of Baby Massage on Increased Body Weight. Suggestions for researchers for health workers to socialize and suggest baby massage to reduce the case of BGM weight (Under the Red Line) in infants.


Author(s):  
Shallon Atuhaire ◽  
John Francis Mugisha

Objective: The utilization of Antenatal Care (ANC) services to the recommended time by WHO is still low in developing countries. In Uganda, about 990,000 women become pregnant annually, 90 to 94% of whom attend at least the first ANC visit while 65% and 58% of them attend four or more times in urban and rural areas respectively with eventual health facility birth at about 62%, homebirth and TBA together at about 38%. The study determined antenatal care attendance and the mother’s choice of birthplace in Uganda. Materials and methods: Using electronic databases mainly Google Scholar, Science Direct, PubMed and African Journals Online, and journal articles of international Website, 70,195 articles were identified but only 19 met the Cochrane review inclusion criteria hence were reviewed. Results: Reviewed studies attribute a decline in antenatal care visits and subsequent choice of birthplace to institutional, demographic and socio-economic factors. The demographic factors are maternal age (mothers less than eighteen years are less likely to utilize maternal health services than those above), marital status, occupation, residency, distance from home to the health facility, and parity. The socio-economic factors are mothers’ and partners’ levels of education (less educated women and their partners are less likely to utilize ANC), household income which affects transportation and medical bills, cultural norms and taboos, patriarchy society, enrollment on ANC in the third trimester, and intrinsic factors of attending ANC such as obtaining ANC card to present in case of emergency. Institutional factors include quality of medical care, availability of logistics and supplies, and health workers’ influence in terms of attitude, referral, competences, and staffing. Conclusion: Pregnant women who attend ANC are more likely to deliver in the health facility than those who do not at all. To enable them to attend ANC to full term and have a health facility delivery, their empowerment for increased self-efficacy through education, sustainable livelihood training and provision of subsidized capital alongside partner involvement. The facilitation of health facilities would also attract them.


Author(s):  
Devi Nurhayati ◽  
Latifah Susilowati

Children entering the age of 1-3 years of development stage whose behavior starts to be influenced by the external environment and family environment that must provide good stimulation for children. Mother's behavior about stimulation is assessed as a basic need to hone child development and improve her abilities. The purpose of this study was determined the correlation between maternal behavior about growth and development stimulation with the development of children aged 1-3 years in Depok, Sleman, Yogyakarta. This study was used descriptive analytic method with cross sectional approach. 79 mothers and children taken by purposive sampling technique. Researchers collected data on respondents when mothers and children came to the posyandu. Respondents who were not present at the posyandu, the researchers collected data through home visits. The mother filled out a questionnaire about the mother's behavior in giving stimulation of child growth and development first, then the researcher conducted development using Denver II. The data collected was analyzed using the Spearman test. The most of mothers had good behavior in the stimulation of child growth and development that is 65 respondents (82.2%), and most of the children in the normal category are 58 respondents (73.4%). Based on Spearman's test the p value = 0.016 so that there is a relationship between maternal behavior about growth and development stimulation with child development, and the value of the closeness of a weak relationship is 0.269. There is a correlation between maternal behavior regarding growth and development stimulation with the development of children aged 1-3 years. Keywords: mother behavior; stimulation; growth and development; children aged 1-3 years ABSTRAK Orang tua terutama ibu harus memberikan stimulasi yang baik bagi anak. Perilaku ibu tentang stimulasi merupakan kebutuhan dasar untuk mengasah perkembangan anak dan meningkatkan kemampuannya. Tujuan dari penelitian untuk mengetahui hubungan perilaku ibu dalam pemberian stimulasi pertumbuhan dan perkembangan dengan perkembangan anak usia 1-3 tahun di Depok, Sleman. Sampel dalam penelitian ini berjumlah 79 ibu dan anak diambil dengan teknik purposive sampling. Peneliti melakukan pengambilan data pada responden saat ibu dan anak datang ke posyandu. Bagi calon responden yang tidak hadir pada saat posyandu maka peneliti melakukan pengambilan data melalui kunjungan rumah. Ibu mengisi kuesioner tentang perilaku ibu dalam pemberian stimulasi pertumbuhan dan perkembangan anak terlebih dahulu selanjutnya peneliti melakukan pemeriksaan pertumbuhan dan perkembangan pada anak menggunakan Denver II. Data dianalisis menggunakan uji Spearman. Sebagian besar Ibu memiliki perilaku baik dalam stimulasi pertumbuhan dan perkembangan anak yaitu 65 responden (82,3%) dan sebagian besar anak perkembangannya dalam kategori normal yaitu sebanyak 58 responden (73,4%). Berdasarkan uji Spearman hasil nilai p=0,016 sehingga ada hubungan antara perilaku ibu dalam pemberian stimulasi pertumbuhan dan perkembangan dengan perkembangan anak, dan nilai keeratan hubungan lemah yaitu 0,269. Ada hubungan antara perilaku ibu tentang stimulasi pertumbuhan dan perkembangan dengan perkembangan anak usia 1-3 tahun. Kata kunci: perilaku ibu; stimulasi; pertumbuhan dan perkembangan; anak usia 1-3 tahun


2020 ◽  
Vol 8 (1) ◽  
pp. 51-70
Author(s):  
Islah Wahyuni

Background: The emergence of nutritional problems in toddlers is influenced by many interrelated factors. Directly influenced by some things, the toddler is not getting enough nutritious food balanced at the age of toddlers, the child does not get adequate nutritional care and children suffer from infectious diseases. Poverty is also one of the causes of malnutrition in regard to availability and consumption of family food. Less or worse nutritional problems and stunting are certainly required early detection attempts. Early detection of children's growth is an activity/examination to early find the existence of growth irregularities in infants The purpose of research: to do the growth factor: Nutrition Status, event Stunting in toddler  aged < 5 years in the work area Puskesmas Sidomulyo Pekanbaru. Research method: The sample used in this research is a toddler in Sidomulyo Puskesmas work area which amounted to 30 toddlers 12-59 months with Consencutive sampling technique. The study took place in December 2019.    Research instruments are digital weight scales, body length meters, Midline and questionnaires. Data analysis using the Rank Spearman. Research result: Classification of nutritional problems in infants based on the BB/U majority is BB less (underweight) 19 Reponden (63.3%). On a short (stunteed) majority, 14 respondents (46.7%), and based on the majority of the BB/TB of Good Nutrition (Normal) 17 respondents (56.7%). There are factors that affect the problem of nutritional status and stunting in children, from the knowledge aspect obtained by 16 respondents (53.3%)  Less knowledgeable, the majority of maternal education was 19 (63.3%), there were a history of 23-person disease infections (76.7%), and a low family income of 20 people (66.7%) and incomplete immunizations as much as 17 people (56.7%). There is a relationship factor of mother knowledge with the problem of nutrition (stunting) (0.00), there is a relationship factor mother education with the problem of nutrition (stunting) (0.00), there is a relationship factor family income with nutrition (stunting) (0.001), there is a relationship factor of infection history in infants with stunting problems (0.00), there is a relationship factor immunization history with the problem of the nutrient (stunting) (0.010). It is expected that the health workers further improve the counseling and education to the toddler mother in monitoring nutritional problems and growth of toddlers


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