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NURSING INOVATION COMPETITION

NURSING FACULTY OF PELITA HARAPAN UNIVERSITY

INOVATION OF POSYANDU BASED ON THE CHILDRENS GROWTH AND


DEVELOPMENT STIMULATION AS THE WAY TO IMPROVE THE REACH
OF QUALITY OF INDONESIAN CHILDREN DEVELOPMENT.
CHILDREN NURSING CATEGORY

Proposed by:
Septia Fahmi Hastuti

NURSING ACADEMY OF NOTOKUSUMO


YOGYAKARTA
2013

INOVATION OF POSYANDU BASED ON CHILDRENS GROWTH AND


DEVELOPMENT STIMULATION AS THE WAY TO IMPROVE THE REACH
OF QUALITY OF INDONESIAN CHILDREN DEVELOPMENT.
The improvement of the societys understanding in health creates the
international agreement like,World Health Assembly in 1997, Alma Ata conference in
1978, and Millenium Development Goals or often called as MDGs. In Indonesia, there
is a plan of healthy Indonesia vision, one of the strategy is the health service for babies
and moms, to stop the rate of the death of moms and babies in Indonesia.
One of the way to improve the childrens health is by holding Posyandu in all
area of Indonesia. By doing posyandu, the childrens health will improve. One of the
component in improving the children health is the childrens growth and development.
However, posyandu now only focuses on the growth, by scaling the babys weight,
observing the nutrition, promoting the nutrition for children, and serving babys
nutrition while the development of the children is not yet given attention.
In fact, the children development which focuses on the stimulation of growth
and development is very important. The development of children can be seen from their
movement ability and language ability. Each child has different stage of growth and
development based on their ages. One of the way to help reaching the growth and
development of the children based on their ages is by giving stimulation. The children
who do not get growth and development stimulation and who get lack of attention often
face development disorder. Beside that, giving growth and stimultion will help the
children to reach their development stage in line with their ages.
As the above problems occur, it is neccesary to improve the health service for
children by holding posyandu which is based on the growth and development of chidren
in Indonesia as the way to improve the future generation. That way is focused on the
measurement of the growth and development of the children, the education of babys
growth and development, and the pre-detection of the late in reaching the babys growth
and development.

Based on the problem above, one of the program can be carried out is
developing Posyandu which becames the important thing in improving the health of
infant and baby to the Posyandu based on the stimulation of childrens growth and
development. This means Posyandu which now has 5 table should be added with one
table for the table centre of stimulation of childrens growth and development. The
program on that table involves measuring the reach of the childrens growth and
development based on the stage of the age, educating childrens growth and
development stimulation for moms, pre-detection of the late in reaching the babys
growth and development. By holding Posyandu which is based on the growth and
development of children will improve the quality of the indonesians generation.
The quality of childrens growth is not only seen from the children nutrition and their
physicall appearence, but is also seen from the reaching of the children development
based on their ages. The childrens growth and development can be maximized by
giving stimulation on the childrens growth and development so the late of the reaching
growth and development can be avoided. Posyandu as the important thing in serving
babys health, which is proven to give contribution on the quality of children health in
Indonesia, can be develop to the Posyandu which is based on the stimulation of
childrens growth and development. This is hope to help improving the quality of
indonesians generation by the maximum reach of childrens growth and development.
By holding the health service like posyandu which is based on the stimulation of
childrens growth and development, it is expected to:
1.
2.
3.
4.
5.

Measure the reach of childrens growth and development.


Give education on childrens growth and development for Moms.
Pre-detect the late of the childrens growth and development.
Decrease the rate of baby and childrens death and the birth rate.
Improve the societys involvement in shifting to technology for the

6.

independence of societys health.


Decrease rate of childrens growth and development failure especially for

babies under five years old.


7. Help improving childrens cognitive ability.
8. Help parents to observe their childrens growth and development
With this program,it is hoped to be one of the new strategy in the field of
society health and also for the health centre especially Posyandu. This program is also
hoped to help the betterment of nutrition quality and the development of children in

Indonesia. Posyandu which usually only has 5 proggrammes , which is usually called
program five table, by adding one table focused on the stimulation of childrens
growth and development will improve the children health.
The expected benefits from that program is Pos Pelayanan Terpadu (posyandu)
as the one of facilities to improve childrens growth and development. The other
expected benefits from Posyandu based on childrens growth and development
stimulation are:
1. Knowing the reach of children's growth and development based on the stages o f

the age.
2. Developing societys knowledge about childrens growth and development.
3. Pre-detecting the late of childrens growth and development.
4. Improving societys knowledge about the way to stimulate childrens growth
and development.
5. Improving parents understanding of the importance of the quality of childrens
growth and development.
6. Improving the understanding of the process of childrens development.
Back to the begining concept that Posyandu is communication community,
technology swift and health service by the society and for the society which has
strategic value to develop human resources. Posyandu is also an activity to give service
of health and keluarga berencana which is supported by health workers to reach Norma
Keluarga Kecil Bahagia Sejahtera (NKKBS). Posyandu is also community activities,
where there is combination between professional service and non professional (by
society). Posyandu has a cooperation with some proggrams such as KIA, KB, nutrition,
imunity injection, and diarrea prevention. Beside that posyandu also has cooperation
with some departments like Departemen Kesehatan RI, Depdagri/Bangdes, and
BKKBN, also group community like pos desa, kelompok timbang/pos timbang, pos
imunisasi, pos kesehatan. Posyandu has the same goal, those are babies 0-1 year old,
babies 1-4 years old, pregnant moms, and PUS. Posyandu use the development
approach and PKMD/PHC.
Children stimulation development is a stimulation to improve childrens thinking
quality and brain development. Chidren stimulation is important because it affects the

children intelligence. If the stimulation is not given in their early ages their intelligence
will be low, it will result on their ability to receive that stimulation.
The realization of the Posyandu based on childrens growth and development is
began with counseling after that will be held posyandu with six tables system. Six table
is a new system by adding one table in each posyandu. This table focuses on childrens
growth and deveopment stimulation program, including:
1. Scoring childrens growth and development based on the age stage.
2. Education the stimulation way of childrens growth and development.
3. Pre-detection of childrens growth and development stimuation.

The development of Posyandu inovation based on the childrens growth


and development stimulation (TUMBANG) can be presented in the
diagram below:

Posyandu based on childrens


growth and development

Posyandu now

Picture 1. Posyandu Transtition Model


Explanation :

Table 1 - Registration
Recording the baby, baby under five years old, pregnant moms
and breast feeding mom.
Table 2 - scaling baby, baby under five years old and pregnant mom.
Table 3 - Filling KMS
Table 4 - knowing the childrens weight (up or down), high risk pregnant
- Health promotion
- Service of TMT, Oralit, Vit A, zinc tablet
Table 5 - Giving imunity injection
-

Observing pregnancy
-

Observing health and treatment given.

Table 6 - scoring the reach of growth and development.


-

giving education for the childrens mom.

With this inovation program of Posyandu based on the childrens growth and
development, it is hoped to improve the quality of the childrens growth and
development maximally so they can be qualified generations of Indonesia.