Abstract
Preschool age is widely recognized as a critical phase in child development, often referred to as the golden period, the window of opportunity, and the critical period. Alarming statistics from the Indonesian Ministry of Health reveal that 16% of Indonesian toddlers, amounting to 0.4 million children, experience developmental delays, encompassing fine and gross motor skills, hearing impairments, reduced cognitive abilities, and speech delays. This study aims to assess the effectiveness of an Android-based early detection and intervention system on the development of preschool children during the challenging circumstances of the COVID-19 pandemic in Central Java. The research employed a quasi-experimental design without a control group using a range of instruments, including observation sheets, the Sahabat Bunda application, the pre-screening developmental questionnaire (PDQ), and anthropometric measurements. Data analysis was conducted using the Wilcoxon test because the data were not normally distributed. The study’s results underscore a significant influence between the initial developmental status of children and their subsequent progress following developmental intervention, with a remarkable p-value of 0.001. In conclusion, this research demonstrates that providing developmental intervention positively impacts the overall development of preschool children. This study substantially benefits the community, specifically preschool-age children and their parents. The utilization of the Sahabat Bunda application emerges as a valuable tool for early detection of developmental issues and to foster the growth of preschool-age children. This research contributes to enhancing child development, particularly in the context of the COVID-19 pandemic.
Keywords: android, early detection of development, preschool
Abstrak
Deteksi dan Intervensi Dini Anak Usia Prasekolah Menggunakan Pemantauan Berbasis Android pada Masa Pandemi COVID-19 di Jawa Tengah. Usia prasekolah umumnya diakui sebagai fase kritis dalam perkembangan anak, sering disebut sebagai periode emas, jendela kesempatan, dan periode kritis. Data statistik yang dari Kementerian Kesehatan Indonesia mengungkapkan bahwa 16% dari anak-anak balita Indonesia, sekitar 0,4 juta anak, mengalami keterlambatan perkembangan, mencakup keterlambatan keterampilan motorik halus dan kasar, gangguan pendengaran, kemampuan kognitif yang berkurang, dan keterlambatan bicara. Penelitian ini bertujuan untuk menilai efektivitas sistem deteksi dini dan intervensi berbasis Android terhadap pertumbuhan dan perkembangan anak usia prasekolah selama situasi sulit pandemi COVID-19 di Jawa Tengah. Desain penelitian ini adalah quasi-experimental tanpa kelompok kontrol menggunakan berbagai alat, termasuk lembar observasi, aplikasi Sahabat Bunda, Pre-Screening Developmental Questionnaire (PDQ), dan pengukuran antropometri. Analisis data dilakukan menggunakan uji Wilcoxon dikarenakan data tidak terdistribusi secara normal. Hasil penelitian ini menunjukkan pengaruh signifikan antara status perkembangan awal anak-anak dan kemajuan mereka selama intervensi perkembangan, dengan nilai p 0,001. Secara keseluruhan, penelitian ini menunjukkan bahwa pemberian intervensi perkembangan berdampak positif pada perkembangan anak usia prasekolah. Penelitian ini sangat bermanfaat bagi masyarakat, khususnya anak-anak usia prasekolah dan orang tua mereka. Penggunaan aplikasi Sahabat Bunda muncul sebagai alat berharga untuk mendeteksi dini masalah perkembangan dan memfasilitasi pertumbuhan anak-anak usia prasekolah. Penelitian ini berkontribusi pada peningkatan perkembangan anak, terutama dalam konteks pandemi COVID-19.
Kata Kunci: android, deteksi dini perkembangan, prasekolah
References
- Andriyani, R., Fadlyana, E., & Tarigan, R. (2023). Factors affecting the developmental status of children aged 6 months to 2 years in urban and rural areas. Children, 10 (7), 1214. doi: 10.3390/children10071214.
- Anggraini, D. (2017). Pengaruh stimulasi perkembangan dengan pencapaian perkembangan motorik anak usia 1-3 tahun di Playgroup Kelurahan Pandean Kota Madiun [Undergraduate thesis, STIKES Bhakti Husada Mulia Madiun]. Retrieved from: http://repository.stikes-bhm.ac.id/183/
- Apriningrum, N., Carudin, C., & Rahayu, M.A. (2018). Rancang bangun aplikasi M-Chat berbasis android bagi anak balita di Kabupaten Karawang. Berita Kedokteran Masyarakat, 34 (11). doi: 10.22146/bkm.40504.
- Badan Pusat Statistik (BPS). (2022). Statistik telekomunikasi Indonesia 2021. Retrieved from: https://www.bps.go.id/id/publication/2022/09/07/bcc820e694c537ed3ec131b9/statistik-telekomunikasi-indonesia-2021.html
- Bishwokarma, A., Shrestha, D., Bhujel, K., Chand, N., Adhikari, L., Kaphle, M., Wagle, A., & Karmacharya, I. (2022). Developmental delay and its associated factors among children under five years in urban slums of Nepal. PLoS One, 17 (2), e0263105. doi: 10.1371/journal.pone.0263105.
- Cahyono, A.D. (2017). Pengaruh stimulasi orang tua terhadap perkembangan sosial anak usia toddler. Jurnal Akademi Keperawatan Pamenang (AKP), 5 (1).
- Chesney, R.W. (2013). The disappearance of diseases, conditions, and disorders of childhood. Journal of Pediatrics, 162 (5), 903–905. doi: 10.1016/j.jpeds.2012.11.088.
- Hasanah, M.N., Rachmawati, D.A., & Efendi, E. (2019). The correlation between mother’s knowledge about language stimulation and language development of toddlers in Lengkong, Mumbulsari, Jember. Journal of Agromedicine and Medical Sciences, 5 (3), 167–171. doi: 10.19184/ams.v5i3.9628.
- Källander, K., Tibenderana, J.K., Akpogheneta, O.J., Strachan, D.L., Hill, Z., Asbroek, A.H.A.T., Conteh, L., Kirkwood, B.R., & Meek, S.R. (2013). Mobile health (mhealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: A review. Journal of Medical Internet Research, 15 (1), e17. doi: 10.2196/jmir.2130.
- Martorell, R. (2017). Improved nutrition in the first 1000 days and adult human capital and health. American Journal of Human Biology, 29 (2), 1–24. doi: 10.1002/ajhb.22952.
- Ministry of Health Republic Indonesia. (2016). Pedoman pelaksanaan: Stimulasi, deteksi dan intervensi dini tumbuh kembang anak di tingkat pelayanan kesehatan dasar. Kementerian Kesehatan RI. Retrieved from: https://www.library.stikesbup.ac.id/index.php?p=fstream-pdf&fid=203&bid=2481
- Saurina, N. (2016). Aplikasi deteksi dini tumbuh kembang anak usia nol hingga enam tahun berbasis android. Jurnal Buana Informatika, 7 (1), 65–74. doi: 10.24002/jbi.v7i1.485.
- Yektiningsih, E., Martiningsih, M., & Mukayaroh, A (2017). Hubungan pemberian stimulasi oleh orang tua dengan perkembangan bahasa pada anak usia pra sekolah (3-5 tahun) di Taman Kanak-kanak Al-Fath Pare. Jurnal Akademi Keperawatan Pamenang (AKP), 1 (2).