The Competencies of Daycare Caregivers in Building Interaction and Attachment with Children to Optimize Their Cognitive Development

Families whose parents are both working have limited time in nurturing their children. This circumstance makes parents, especially mothers, alternate parenting to the babysitter or caring institution called daycare. This study aimed to analyze the correlation of children's characteristics, caregiver-child interaction, and attachment with the cognitive development of preschool children in daycare. This study used a cross-sectional study design with the daycare (TPA) selection as the research location carried out purposively located in the buffer areas of the capital city of DKI Jakarta. Respondents in this study were 39 children aged 2.5-6.4 years with complete parents and 16 caregivers from four selected TPA who interacted with their children daily. Data was collected by means of in-depth observations to measure the interaction variables between caregivers and children. This study indicates a positive correlation between caregiver-child interaction and attachment with a child's cognitive development. This study also found a significant positive relationship between the caregivers-child interaction with caregivers-child attachments and a significant negative relationship between the child's age and the caregivers-child attachment. This shows that interaction, and attachment between caregivers and children are important factors that can improve cognitive development while in TPA.

AN OUTBREAK OF NAUSEA, VOMITING AND DIARRHEA ON A MATERNITY SERVICE; TRANSMITTED TO A CHILD CARING INSTITUTION AND TO PRIVATE HOMES

An outbreak of epidemic nausea, vomiting and diarrhea in newborn infants is described. The communicability of the disorder is demonstrated by its direct spread to the residents of a child caring institution and to the occupants of a nearby tenement house. We are in agreement with the observations of Brown, Crawford and Stent and those of Cook and Marmion that the condition is a relatively mild one in newborn infants and that it should not be confused either clinically or epidemiologically with the syndrome epidemic diarrhea of the newborn. A differential diagnosis should be made between this disorder and epidemic diarrhea of the newborn, salmonella infection of the newborn, and the diarrhea accompanying stomatitis in young infants, and should be based on clinical and epidemiologic factors. Outbreaks in nurseries for newborn infants should be studied carefully and indiscriminate grouping of cases avoided. Distinctive and constant clinical and epidemiologic features should be sought in each outbreak to separate it from the general group of diarrheal disorders of the newborn.