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Kakak tumbuh kembang (KUMBANG): Engaging medical students for screening and detecting growth and developmental delays in children
https://doi.org/10.22146/jcoemph.66684 Zulfikar Ihyauddin(1*), Reza Pandu Aji(2), Dwi Astuti Dharma Putri(3), Jeslyn Tengkawan(4), Ayu Anandhika Septisari(5)
(1) Capella Project Indonesia
(2) The University of Melbourne
(3) Universitas Gadjah Mada
(4) Capella Project Indonesia
(5) Capella Project Indonesia
(*) Corresponding Author
Abstract
ABSTRACT The current COVID-19 situation has disrupted routine growth and developmental screening programs for children delivered by the Community Health Centers (Puskesmas). The KUMBANG project aims to provide a ‘new normal’ alternative in screening for children's growth and development by involving medical students and using online platforms. This study aimed to assess the project’s reach in screening growth and developmental delays while also exploring the project’s effectiveness through parents' perspectives.Collaborating with the Center for Indonesian Medical Students’ Activities (CIMSA) Universitas Gadjah Mada, we recruited and trained 33 volunteers. Volunteers screen for children’s development through an online platform, while the community volunteer cadres measure children’s growth through COVID-safe offline appointments. We analyzed children's growth using the WHO Anthro Survey Analyzer and children's development according to the Kuesioner Pra Skrining Perkembangan guidelines. Parents' perspective on this project was assessed through a survey.A total of 92 under-five years old children from four Posyandu in Puskesmas Gondokusuman participated in the project. Around 29% (27/92) of the children had nutritional problems, either underweight, stunted, wasted, or a combination. Meanwhile, 34% (29/84) of children were at risk of developmental delays, of which five were suspected to have developmental delays, while 24 had dubious results. Parents reported that this method is sufficiently effective in screening for children's development and were comfortable with the online screening, since it is more COVID-safe. Parents also felt comfortable communicating with volunteers and believed that the medical students could provide valid and reliable information.KUMBANG project offers a good alternative for screening children's growth and development during the current disrupted routine screening. Involving medical students could help in service delivery, since health professionals are relatively occupied with COVID-19 management. The online method used in this project should be considered as a prospective option for routine screening.
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1. Hsieh R-L, Hsueh Y-M, Huang H-Y, Lin M-I, Tseng W-C, Lee W-C. Quality of life and impact of children with unclassified developmental delays: Quality of life of developmental delays. J Paediatr Child Health. 2013;49(2):E116-E121. doi:10.1111/jpc.12081
2. World Health Organization, UNICEF. Early Childhood Development and Disability: A Discussion Paper.; 2012.
3. de Onis M, Borghi E, Arimond M, et al. Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutr. 2019;22(1):175-179. doi:10.1017/S1368980018002434
4. Kementerian Kesehatan Republik Indonesia. Petunjuk teknis penggunaan buku kesehatan ibu dan anak; 2015. Available from: http://kesga.kemkes.go.id/images/pedoman/JUKNIS%20BUKU%20KIA%202016.pdf
5. Tengkawan J, Anandhika A, John RE, Ihyauddin Z, Jessica K, Karuniawaty TP. Children growth awareness: an important role for reaching the optimal first 1000 days in life. In: Atlantis Press; 2020:146-150. doi:10.2991/assehr.k.200808.028
6. Ntambara J, Chu M. The risk to child nutrition during and after COVID-19 pandemic: what to expect and how to respond. Public Health Nutr. Published online April 13, 2021:1-7. doi:10.1017/S1368980021001610
7. Zar HJ, Dawa J, Fischer GB, Castro-Rodriguez JA. Challenges of COVID-19 in children in low- and middle-income countries. Paediatric Respiratory Reviews. 2020;35:70-74. doi:10.1016/j.prrv.2020.06.016
8. Sitaresmi MN, Ismail D, Wahab A. Risk factors of developmental delay: a community-based study. Paediatrica Indonesiana. 2008;48(3):161-165. doi:10.14238/pi48.3.2008.161-5
9. Philibert I. International Medical Education Outreach: Benefits for US Medical Education and Practice. J Grad Med Educ. 2009;1(1):162-163. doi:10.4300/01.01.0027
10. Priyono, Johanes de Britto. Berita resmi statistik - gini ratio Daerah Istimewa Yogyakarta Bulan Maret 2018. Published online July 16, 2018. Accessed April 6, 2020. Available from: https://yogyakarta.bps.go.id/pressrelease/2018/07/16/890/tingkat-ketimpangan-pengeluaran-penduduk-daerah-istimewa-yogyakarta-maret-2018-meningkat-gini-ratio-pada-maret-2018-sebesar-0-441.html
11. Kementerian Kesehatan RI (Indonesian Ministry of Health). Hasil utama laporan Riskesdas 2018 (Indonesian basic health research 2018). Jakarta: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan Republik Indonesia. Published online 2018:22. doi:1 Desember 2013.
12. Kementerian Kesehatan RI. Pedoman Pelaksanaan stimulasi, deteksi, dan intervensi dini tumbuh kembang anak. Published online 2016.
13. The World Health Organization. Training course on childhood assessment WHO child growth standards: interpreting growth indicators. 2018 [updated 2018; cited 2021 June 13]. Available from: https://www.who.int/childgrowth/training/module_c_interpreting_indicators.pdf
14. The Ministry of Health, Indonesia, UNICEF Indonesia. Routine immunization for children during the COVID-19 pandemic in Indonesia. 2014 [updated 2014; cited 2021 June 14]. Available from: https://www.unicef.org/indonesia/reports/routine-immunization-children-during-COVID-19-pandemic-indonesia
15. Huybrechts I, Himes JH, Ottevaere C, et al. Validity of parent-reported weight and height of preschool children measured at home or estimated without home measurement: a validation study. BMC Pediatr. 2011;11:63. doi:10.1186/1471-2431-11-63
16. Smith W, Taki S, Wen LM. The role of telehealth in supporting mothers and children during the COVID-19 pandemic. AJAN. 2020;37(3). doi:10.37464/2020.373.168
17. Conti E, Chericoni N, Costanzo V, et al. Moving toward telehealth surveillance services for toddlers at risk for autism during the COVID-19 pandemic. Front Psychiatry. 2020;11:565999. doi:10.3389/fpsyt.2020.565999
18. Langkamp DL, McManus MD, Blakemore SD. Telemedicine for children with developmental disabilities: a more effective clinical process than office-based care. Telemedicine and e-Health. 2015;21(2):110-114.
19. Eguia KF, Capio CM. Teletherapy for children with developmental disorders during the COVID-19 pandemic in the Philippines: a mixed-methods evaluation from the perspectives of parents and therapists. medRxiv. Published online 2021.
20. Saah FI, Amu H, Seidu A-A, Bain LE. Health knowledge and care seeking behaviour in resource-limited settings amidst the COVID-19 pandemic: A qualitative study in Ghana. Plos one. 2021;16(5):e0250940.
21. Smith AC, Thomas E, Snoswell CL, et al. Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). J Telemed Telecare. 2020;26(5):309-313. doi:10.1177/1357633X20916567
22. Dinas Kesehatan Pemerintah Kota Yogyakarta. Profil kesehatan tahun 2020 kota yogyakarta (data tahun 2019). 2020 [updated 2020; cited 2021 June 13]. Available from: https://kesehatan.jogjakota.go.id/uploads/dokumen/profil_dinkes_2020_data_2019.pdf
23. Agency of Health Research and Development. National report of basic health research 2018. Ministry of Health, Republic of Indonesia; 2018.
DOI: https://doi.org/10.22146/jcoemph.66684
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