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"Peningkatan atensi terhadap penggunaan Screen Time orang tua maupun anak sudah menjadi bagian integral dalam kehidupan. Sayangnya, anak usia sekolah saat ini lebih sering beraktivitas dengan hanya menatap layar selama waktu yang lama. Hal itu, membuat anak terpapar layar dengan durasi yang melebihi rekomendasi sehingga menimbulkan efek negatif terhadap tumbuh kembang anak. Penelitian ini bertujuan untuk melihat gambaran Screen Time dan mengidentifikasi hubungan lama Screen Time dengan perkembangan sosial. Penelitian menggunakan pendekatan cross-sectional pada 285 responden orang tua yang sesuai dengan kriteria inklusi melalui metode stratified sampling. Instrumen SCREENS-Q untuk mengukur Screen Time dan Strength and difficulties Questionnaire (SDQ) mengukur perkembangan sosial. Hasil penelitian menunjukkan 74,4% anak mengalami Screen Time berlebihan dan terdapat hubungan antara lama Screen Time dengan setiap sub-skala perkembangan sosial (p value <0,05). Peneliti merekomendasikan adanya sosialisasi dan kerjasama pihak tenaga kesehatan dengan orang tua untuk mencari solusi bersama mengatasi permasalahan ini.

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Increasing attention to the use of Screen Time for parents and children has become an integral part of life. Unfortunately, today's school-age children are more active by just staring at the screen for a long time. This causes children to be exposed to screens for a duration that exceeds the recommendations, which has a negative effect on children's development. This study aims to look at the description of Screen Time and identify the relationship between long Screen Time and social development. The study used a cross-sectional approach to 285 parents who fit the inclusion criteria through a stratified sampling method. The SCREENS-Q instrument to measure Screen Time and the Strength and Difficulty Questionnaire (SDQ) to measure social development. The results showed that 74.4% of children experienced excessive Screen Time and there was a relationship between the length of Screen Time and each social development sub-scale (p value <0.05). Researchers recommend socialization and collaboration between health workers and parents to find solutions together to overcome this problem."

"[ABSTRAKLesi tubular lebih sering ditemukan pada sindrom nefrotik resisten steroid (SNRS)dengan proteinuria masif, yang menyebabkan disfungsi tubulus proksimal. Cederatubular dapat pula didiagnosis dengan uji fungsi tubulus, diantaranya adalah fraksiekskresi magnesium (FE Mg) dan β2-mikroglobulin (β2M) urin. Tujuanpenelitian ini membandingkan FE Mg dan β2M urin pada SNRS dan SN sensitifsteroid (SNSS) remisi. Penelitian potong lintang dilakukan di Departemen IlmuKesehatan Anak RSUPN Dr. Cipto Mangunkusumo Jakarta, RSUD UlinBanjarmasin, RSUP Fatmawati dan RSAB Harapan Kita Jakarta pada Juli sampaiDesember 2015 pada penderita SNRS dan SNSS remisi berusia 2 ? 15 tahun. Padasubyek diperiksakan kadar β2M urin dan FE Mg. Didapatkan 62 subyek yangterdiri dari 31 subyek SNRS dan 31 subyek SNSS remisi. Rerata FE Mg padaSNRS lebih tinggi secara bermakna dibandingkan SNSS remisi (p=0,0065).Median kadar β2M urin pada SNRS lebih tinggi dibandingkan SNSS remisi (p <0,001). Peningkatan kadar β2M urin lebih banyak secara bermakna pada SNRSdibandingkan SNSS (p=0,007). Dengan titik potong 1,64%, peningkatan FE Mgpada SNRS lebih banyak dibandingkan SNSS remisi (p=0,022). Simpulan: Fraksiekskresi Mg dan β2M urin pada SNRS lebih tinggi dibandingkan SNSS remisi.Terdapat perbedaan proporsi peningkatan FE Mg antara SNRS dan SNSS remisi.Proporsi peningkatan β2M urin pada SNRS lebih besar dibandingkan SNSSremisi.

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ABSTRACTTubular lesions more often found in steroid-resistant nephrotic syndrome (SRNS)with massive proteinuria, leading to proximal tubular dysfunction. Tubular injurycan also be diagnosed by tubular function test, such as fractional excretion ofmagnesium (Mg FE) and urinary β2-microglobulin (β2M). The aim of this studyis to compare the FE Mg and urinary β2M on SRNS and steroid-sensitivenephrotic syndrome (SSNS) in remission. A cross-sectional study was conductedin the Department of Pediatrics RSUPN Dr. Cipto Mangunkusumo Jakarta, RSUDUlin Banjarmasin, RSUP Fatmawati and RSAB Harapan Kita Jakarta from July toDecember 2015. Children aged 2-15 years who either had SRNS or SSNS inremission were recruited. Fractional excretion of magnesium and urinary β2Mlevels were examined. There were 62 subjects consisted of 31 subjects SRNS and31 subjects SSNS in remission. The mean FE Mg on SRNS was significantlyhigher than SSNS in remission (p=0.0065). Median levels of urinary β2M onSRNS was higher than SNSS remission (p<0.001). Increased levels of urinaryβ2M was more significantly in SRNS compared to SSNS (p=0.007). With a cutoffpoint of 1.64%, an increased of FE Mg proportion on SRNS was more thanSSNS in remission (p = 0.022). Conclusion: Fractional excretion of Mg andurinary β2M on SRNS were higher than SSNS in remission. There is a differencebetween the increased of FE Mg on SRNS and SSNS in remission. The increasedof urinary β2M on SRNS was higher than SSNS in remission.;Tubular lesions more often found in steroid-resistant nephrotic syndrome (SRNS)with massive proteinuria, leading to proximal tubular dysfunction. Tubular injurycan also be diagnosed by tubular function test, such as fractional excretion ofmagnesium (Mg FE) and urinary β2-microglobulin (β2M). The aim of this studyis to compare the FE Mg and urinary β2M on SRNS and steroid-sensitivenephrotic syndrome (SSNS) in remission. A cross-sectional study was conductedin the Department of Pediatrics RSUPN Dr. Cipto Mangunkusumo Jakarta, RSUDUlin Banjarmasin, RSUP Fatmawati and RSAB Harapan Kita Jakarta from July toDecember 2015. Children aged 2-15 years who either had SRNS or SSNS inremission were recruited. Fractional excretion of magnesium and urinary β2Mlevels were examined. There were 62 subjects consisted of 31 subjects SRNS and31 subjects SSNS in remission. The mean FE Mg on SRNS was significantlyhigher than SSNS in remission (p=0.0065). Median levels of urinary β2M onSRNS was higher than SNSS remission (p<0.001). Increased levels of urinaryβ2M was more significantly in SRNS compared to SSNS (p=0.007). With a cutoffpoint of 1.64%, an increased of FE Mg proportion on SRNS was more thanSSNS in remission (p = 0.022). Conclusion: Fractional excretion of Mg andurinary β2M on SRNS were higher than SSNS in remission. There is a differencebetween the increased of FE Mg on SRNS and SSNS in remission. The increasedof urinary β2M on SRNS was higher than SSNS in remission., Tubular lesions more often found in steroid-resistant nephrotic syndrome (SRNS)with massive proteinuria, leading to proximal tubular dysfunction. Tubular injurycan also be diagnosed by tubular function test, such as fractional excretion ofmagnesium (Mg FE) and urinary β2-microglobulin (β2M). The aim of this studyis to compare the FE Mg and urinary β2M on SRNS and steroid-sensitivenephrotic syndrome (SSNS) in remission. A cross-sectional study was conductedin the Department of Pediatrics RSUPN Dr. Cipto Mangunkusumo Jakarta, RSUDUlin Banjarmasin, RSUP Fatmawati and RSAB Harapan Kita Jakarta from July toDecember 2015. Children aged 2-15 years who either had SRNS or SSNS inremission were recruited. Fractional excretion of magnesium and urinary β2Mlevels were examined. There were 62 subjects consisted of 31 subjects SRNS and31 subjects SSNS in remission. The mean FE Mg on SRNS was significantlyhigher than SSNS in remission (p=0.0065). Median levels of urinary β2M onSRNS was higher than SNSS remission (p<0.001). Increased levels of urinaryβ2M was more significantly in SRNS compared to SSNS (p=0.007). With a cutoffpoint of 1.64%, an increased of FE Mg proportion on SRNS was more thanSSNS in remission (p = 0.022). Conclusion: Fractional excretion of Mg andurinary β2M on SRNS were higher than SSNS in remission. There is a differencebetween the increased of FE Mg on SRNS and SSNS in remission. The increasedof urinary β2M on SRNS was higher than SSNS in remission.]"

"ABSTRAKLatar Belakang. Sindrom nefrotik resisten steroid (SNRS) jarang ditemukan pada anak. Kesintasan kehidupan anak SNRS pada umumnya baik. Akan tetapi, anak SNRS sering mengalami penurunan fungsi ginjal dan pada perjalanan penyakitnya dapat mengalami end stage renal disease (ESRD). Tujuan. Mengetahui kesintasan kehidupan dan fungsi ginjal anak SNRS pada tahun ke-1, 2, 3, 4, dan 5. Mengetahui pengaruh usia, fungsi ginjal, dan hipertensi saat awitan serta tipe resistensi terhadap kesintasan kehidupan dan fungsi ginjal anak SNRS.Metode. Penelitian kohort retrospektif dengan menggunakan data sekunder berupa rekam medis anak SNRS yang datang berobat ke Poliklinik Nefrologi Departemen Ilmu Kesehatan Anak dan praktik swasta konsultan Divisi Nefrologi dalam periode Januari 2000-Januari 2011. Kesintasan fungsi ginjal yang dinilai pada penelitian ini adalah kenaikan kreatinin ≥2 kali dan ESRD.Hasil. Sebanyak 45 anak SNRS diikutsertakan dalam penelitian. Lama sakit adalah 24 (rentang 3-95) bulan. Sebanyak 20% anak meninggal dunia, 31,1% anak mengalami kenaikan kreatinin ≥2 kali, dan 13,4% anak menjadi ESRD pada akhir penelitian. Kesintasan kehidupan anak SNRS pada tahun ke-1, 2, 3, 4, dan 5 berturut-turut adalah 93, 84, 80, 72, dan 61%. Kesintasan anak SNRS terhadap terjadinya kenaikan kreatinin ≥2 kali pada tahun ke-1, 2, 3, 4, dan 5 berturut-turut adalah 92, 72, 56, 42, dan 34%. Kesintasan anak SNRS terhadap terjadinya ESRD pada tahun ke-1, 2, 3, 4, dan 5 berturut-turut adalah 97, 88, 81, 70, dan 58%. Usia, fungsi ginjal, hipertensi saat awitan dan tipe resistensi tidak berpengaruh terhadap kesintasan kehidupan, kenaikan kreatinin ≥2 kali, maupun terjadinya ESRD (semua nilai p>0,05).Simpulan. Penelitian ini mendapatkan hasil bahwa anak SNRS rentan untuk mengalami kenaikan kreatinin ≥2 kali dan ESRD. Faktor-faktor prognostik yang dipikirkan mempengaruhi kesintasan kehidupan dan fungsi ginjal seperti usia, fungsi ginjal dan hipertensi saat awitan serta tipe resistensi tidak terbukti berperan dalam kesintasan.

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ABSTRACTBackground: Steroid resistant nephrotic syndrome (SRNS) is seldom found in children. Children with SRNS generally have good survival although during the course of the disease may develop decreased kidney function, leading to end stage renal disease (ESRD). Data on survival of children with SRNS is still scarce. Objective: To determine survival in children with SRNS on the first, second, third, fourth and fifth year; to study the effect of age at onset, initial kidney function, hypertension and type of resistance towards the survival of children with SRNS.Method: A retrospective cohort is performed using secondary data obtained from medical record of outpatient and inpatient clinic from Division of Nephrology, Department of Child Health, Cipto Mangunkusumo Hospital as well as private clinic of the Pediatric Nephrology consultant from January 2000-January 2011. Kidney survival was determined as doubling of base creatinine levels and ESRD.Results: This study includes 45 children with SRNS. Median time of illness was 24 (range 3-95) months. Twenty percent died due to various reasons; 31.1% had a doubling of base creatinine levels and 13.4% develop ESRD. Survival on the first, second, third, fourth and fifth year are 93, 84, 80, 72 and 61% respectively. Kidney survival on the first, second, third, fourth and fifth year towards doubling of base creatinine levels are 92, 72, 56, 42 and 34%, whereas towards ESRD are 97, 88, 81, 70 and 58% respectively. Age at onset, initial kidney function, hypertension and type of resistance does not affect the survival of children with SRNS (all P>0.05).Conclusion: Children with SRNS is prone to develop a doubling of base creatinine levels and ESRD. Factors such as age at onset, initial kidney function, hypertension and type of resistance does not affect the survival of children with SRNS."

"Latar belakang: Sindrom nefrotik merupakan manifestasi glomerulopati yang tersering ditemukan pada anak. SNRS sering mengalami penurunan fungsi ginjal dan dalam perjalanan penyakitnya dapat mengalami gagal ginjal tahap terminal. Data mengenai kesintasan dan faktor-faktor yang memengaruhi penurunan fungsi ginjal pada SNRS anak di Indonesia masih terbatas.Tujuan: Penelitian ini bertujuan untuk mengetahui kesintasan fungsi ginjal dalam lima tahun pertama pengobatan serta faktor-faktor yang memengaruhiMetode: Penelitian ini merupakan studi prognostik dengan rancangan penelitian kohort retrospektif di Rumah Sakit Cipto Mangunkusumo menggunakan data rekam medis pasien yang terdiagnosis dengan SNRS pada bulan Januari 2012 hingga Desember 2022. Subjek yang diteliti adalah anak berusia 1 - 18 tahun saat terdiagnosis dengan SNRS. Faktor yang diteliti untuk kesintasan dan faktor penurunan fungsi ginjal adalah usia awitan, hematuria saat awitan, hipertensi saat awitan, respon terhadap terapi imunosupresi, jenis histopatologi, dan fungsi ginjal saat awitan.Hasil: Sebanyak 212 anak terdiagnosis sindrom nefrotik resisten steroid dengan median usia 7 tahun (IQR 3-12 tahun), dan 65,1% berjenis kelamin laki-laki. Jenis histopatologi yang ditemukan terbanyak yaitu GSFS sebesar 57%. Sebanyak 51,9% mengalami hipertensi saat awitan nefrotik, dan pada 32,7% pasien ditemukan hematuria saat awitan nefrotik. Proporsi fungsi ginjal saat awitan yaitu masing-masing 68.9%, 12.7%, 5.7%, 4.7%, 4.2%, dan 3.8% pada kategori fungsi ginjal G1, G2, G3a, G3b, G4, dan G5. Secara umum pasien mengalami tren penurunan fungsi ginjal selama periode pemantauan, dengan kesintasan ginjal sebanyak 53,3% pada tahun pertama pemantauan, 47,2% di tahun kedua, 43,9% di tahun ketiga, 41,5% di tahun keempat, dan 40,6% di tahun kelima. Uji regresi Cox menemukan bahwa usia awitan di atas 6 tahun (HR 1,638; IK95% 1,132 – 2,370; p=0,009), hematuria saat awitan (HR 1,650; IK95% 1,135 – 2,400; p<0,009), dan respon buruk terhadap terapi imunosupresi (HR 1,463; IK95% 1,009 – 2,120; p=0,045) merupakan prediktor penurunan fungsi ginjal.Kesimpulan: Usia awitan di atas 6 tahun, hematuria awitan, dan respon buruk terhadap terapi imunosupresi merupakan prediktor penurunan fungsi ginjal pada anak dengan SNRS.

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Background: Nephrotic syndrome is the most common manifestation of glomerulopathy in children. SNRS often has decreased kidney function and during the course of the disease may develop end stage renal disease. However, data on survival kidney function and prognostic factors are still lacking.

Objective: This study aimed to evaluate the first five year survival rate and prognostic factors of outcome.

Method: We conducted a retrospective cohort study in Cipto Mangunkusumo Hospital which included patients aged 1 to 18 years at diagnosis from Januari 2012 to December 2022. Subjects were followed for 1 to 5 years up to December 2023. Factors analyzed for renal function decline were age at onset, hematuria and hypertension at onset, response to immunosuppression therapy, type of histopathology and renal function at onset. Results: A total of 212 patients with SNRS were included with median age of 7 (IQR 3- 12 years) and 65.1% were male patients. The majority of histopathology type was GSFS (57%). 51,9% had hypertension at SNRS onset, and 32,7% hematuria was found at the onset of SNRS. The proportion of kidney function at onset was 68.9%, 12.7%, 5.7%, 4.7%, 4.2%, and 3.8% in the G1, G2, G3a, G3b, G4, and G5 kidney function categories, respectively. In general, patients experienced a trend of decreasing kidney function during the monitoring period, with renal survival 53,3% in the first year monitoring, 47,2% in the second year, 43,9% in the third year, 41,5% in the fourth year, and 40,6% in the fifth year. Cox regression analysis found that age of onset over 6 years (HR 1.638; 95%CI 1.132 – 2.370; p=0.009), hematuria at onset (HR 1,650; IK95% 1,135 – 2,400; p<0,009), and bad response to immunosuppressive therapy (HR 1,463; IK95% 1,009 – 2,120; p=0,045) were predictors of decreased kidney function.

Conclusion: Age of 6 years or older at onset, onset hematuria, and bad response to immunosuppressive therapy were independent predictors of worsening kidney function in children with SRNS."

"Prevalensi stunting pada balita di Indonesia, khususnya Kabupaten Bogor masih tergolong tinggi. Keragaman konsumsi pangan, salah satu penilaian pada praktik pemberian makan bayi dan anak, merupakan salah satu determinan utama dalam kejadian stunting. Penelitian ini bertujuan melihat hubungan keragaman konsumsi pangan dan faktor lainnya dengan kejadian stunting pada balita. Penelitian ini menggunakan desain studi cross-sectional dengan jumlah sampel 149 anak usia 6-35 bulan di Kecamatan Babakan Madang selama bulan April-Juni 2019. Skor keragaman konsumsi pangan diambil dari 1x24hr food recall berdasarkan 7 kelompok pangan dan dikategorikan berdasarkan beragam (<4 kelompok pangan) dan tidak beragam (≥4 kelompok). Hasil penelitian menunjukkan prevalensi stunting pada anak sebesar 32.2%. 31.5% anak mengonsumsi pangan tidak beragam. Hasil uji chi-square menunjukkan adanya hubungan bermakna antara keragaman konsumsi pangan (p=0.033), minimum acceptable diet (p=0.013), dan konsumsi sayur dan buah sumber vitamin A (p=0.015). Maka dari itu, upaya intervensi perlu dilakukan dengan meningkatkan keragaman pangan dan kualitas makan bayi dan anak dalam menurunkan risiko kejadian stunting di tingkat keluarga dan masyarakat.

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Prevalence of stunting among under children in Indonesia, particularly in Bogor, East Java, is still considered high. Dietary diversity, one of the important assessments in infant and child feeding practice, is one of important determinants of stunting. This study is aimed to examine associations between dietary diversity with other factors with prevalence of stunting among children. A cross-sectional design study involving 149 children aged 6-35 months in Babakan Madang District from April-June 2019 was performed in this study. Dietary diversity scores were collected from 1x24hr food recall based on 7 food groups and categorized as low (<4 food groups) and high (≥4 food groups). Results showed the prevalence of stunting in this study is 32.2%. 31.5% of the children had low dietary diversity. Using chi-square analysis, there was significant associations in prevalence of stunting in children in dietary diversity (p=0.033), minimum acceptable diet (p=0.013), and consumption of vitamin A-rich fruits and vegetables (p=0.015). Interventions should be taken by improving dietary diversity to reduce the burden and prevalence of stunting in both household and community level."

"Tujuan penelitian ini adalah untuk mengetahui faktor-faktor terkait dan dominan faktor dalam kejadian stunting pada anak-anak antara 24-30 bulan dalam dua yang dipilih desa-desa di Kecamatan Cakung pada tahun 2019. Metode penelitian ini adalah cross sectional Desain. Jumlah sampel dalam penelitian ini adalah 221 anak-anak dan mereka diperoleh oleh pengambilan sampel cluster. Penelitian ini dilakukan pada Mei 2019 di Jatinegara dan Pulogebang Kecamatan. Database dikumpulkan dengan mengukur tinggi badan, wawancara pada kuesioner, dan penarikan makanan 2x24 jam. Hasil analisis menunjukkan Proporsi anak usia 24-30 bulan yang mengalami stunting adalah 20,4%. Mann Whitneys Tes menunjukkan bahwa asupan makronutrien, asupan mikronutrien seperti vitamin C dan seng menunjukkan hubungan yang signifikan dengan stunting. Uji chi square menunjukkan hal itu makronutrien, asupan mikronutrien seperti vitamin A, usia minum susu, frekuensi konsumsi susu, pendidikan ibu, dan pengetahuan ibu tentang gizi menunjukkan a hubungan yang signifikan dengan stunting. Hasil analisis multivariat diperoleh usia minum susu sebagai faktor dominan dalam kejadian stunting pada anak usia 24- 30 bulan di dua kecamatan terpilih di Kecamatan Cakung.

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The purpose of this study was to determine the related factors and dominant factors in the incidence of stunting in children between 24-30 months in the two selected villages in Cakung District in 2019. The method of this study was cross sectional design. The number of samples in this study were 221 children and they were obtained by cluster sampling. This research was conducted in May 2019 in Jatinegara and Pulogebang Districts. The database was collected by measuring height, interview onquestionnaire, and 2x24 hour food withdrawal. The analysis showed that the proportion of children aged 24-30 months who experienced stunting was 20.4%. The Mann Whitney Test shows that macronutrient intake, micronutrient intake such as vitamin C and zincshow a significant relationship with stunting. Chi square test showed that macronutrients, micronutrient intake such as vitamin A, age of drinking milk, frequency of milk consumption, mothers education, and mothers knowledge about nutrition showed a significant relationship with stunting. Multivariate analysis results obtained by age drinking milk as a dominant factor in the incidence of stunting in children aged 24-30 months in two sub-districts selected in the District of Cakung."

"Seribu hari pertama kehidupan merupakan momentum kritis yang akan menentukan kualitas generasi masa depan suatu bangsa. Hal ini karena perlunya gizi terbaik berupa asupan gizi selama kehamilan, serta ASI dan makanan yang tepat sesuai umur untuk perkembangan otak anak. Penelitian ini menggunakan pendekatan kuantitatif dengan desain studi cross sectional. Analisis penelitian ini yaitu analisis prediksi dan analisis spasial. Sampel penelitian ini berjumlah 2.232 individu dan 25 kabupaten/kota di Sulawesi Tengah, Sulawesi Tenggara dan Sulawesi Barat. Hasil penelitian ini menunjukkan variabel suplementasi besi folat ibu, suplementasi vitamin A baduta usia 7-23 bulan, menyusui bayi usia 0-6 bulan dan pemberian MP-ASI baduta usia 7-23 bulan membentuk model prediksi. Variabel persalinan tidak dibantu tenaga kesehatan menjadi model global spasial, sedangkan variabel ibu hamil yang tidak suplementasi besi folat, baduta usia 7-23 bulan yang tidak mendapatkan MP-ASI, bayi usia 0-6 bulan yang tidak ASI Eksklusif dan bayi yang tidak mendapatkan pelayanan kesehatan membentuk model lokal spasial yang dapat memicu 58% kejadian stunting di 3 Provinsi Sulawesi. Variabel ibu hamil yang tidak mendapatkan suplementasi besi folat berhubungan secara statistik di 8 kabupaten/kota Provinsi Sulawesi Tengah, sehingga diperlukan intervensi tambahan berupa suplementasi besi folat ibu hamil selain intervensi persalinan dibantu tenaga kesehatan.

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The first thousand days of life are critical moments that will determine the quality of the future generations of the nation. This is because of the need for the best nutrition including nutritional intake during pregnancy, as well as breast milk and foods that are age-appropriate for childrens brain development. This research uses quantitative with cross sectional study design. The analysis of this study is prediction analysis and spatial analysis. The study sample was an experiment of 2,232 individuals and 25 districts/cities in Central Sulawesi, Southeast Sulawesi and West Sulawesi. The results showed variable maternal folate supplementation, supplementation of vitamin A toddlers aged 7-23 months, breastfeeding infants aged 0-6 months and complementary food toddlers aged 7-23 months making predictive models. Variable of the labor does not involve health workers to be a global spatial model, while the variables of pregnant women who are not iron folate supplementation, those aged 7-23 months who do not get complementary food, infants aged 0-6 months who are not exclusive breastfeeding and infants who do not receive care health draws spatial local models that can be handled 58% of stunting occurrences in 3 Sulawesi Provinces. Variables of pregnant women who did not receive supplementation were related to statistics in 8 districts/cities of Central Sulawesi Province, so additional interventions including supplementation of pregnant women were needed in addition to labor interventions to assist health workers."

"Penelitian ini bertujuan untuk menggambarkan pelaksanaan program Taman Anak Sejahtera Yayasan Sayap Ibu (TAS YSI) bagi anak-anak berkebutuhan khusus serta kendala yang dihadapi dalam pelaksanaannya terkait dengan tumbuh kembang sebagai pemenuhan hak anak. Penelitian ini menggunakan pendekatan kualitatif dengan desain deskriptif. Teknik penarikan sampel yang digunakan adalah teknik purposive sampling dengan 5 orang informan penelitian. Temuan lapangan penelitian menggambarkan proses stimulasi terhadap perkembangan anak berkebutuhan khusus melalui layanan pendidikan dan layanan kesehatan dalam pelaksanaan program TAS YSI, perubahan pada aspek perkembangan anak setelah mengikuti layanan, serta kendala menghambat berjalannya pelaksanaan program. Hasil penelitian membahas pelaksanaan program TAS YSI sebagai pendidikan anak usia dini, pelaksanaan program TAS YSI dalam meningkatkan aspek perkembangan fisik-motorik, kognitif, bahasa, dan sosial-emosional sebagai pemenuhan hak tumbuh kembang anak, serta bagaimana kendala dalam pelaksanaan program TAS YSI terkait dengan tumbuh kembang sebagai pemenuhan hak anak. Pada akhir penelitian terdapat saran bagi pihak lembaga TAS YSI dan orang tua peserta program TAS YSI agar kualitas pelayanan dapat ditingkatkan menjadi lebih optimal.

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This study aims to illustrate how the Taman Anak Sejahtera program at Yayasan Sayap Ibu (TAS YSI) for children with special needs and the obstacles faced in implementing the program are related to child’s development tasks as fulfillment of children's rights. This study uses a qualitative approach with descriptive design. The sampling technique used was purposive sampling technique with 5 research informants. The findings illustrate the stimulation process for the development of children with special needs through education and health services in the implementation of the TAS YSI, changes in aspects of child development, and obstacles to the implementation of the program. The results of the study discussed how the implementation of the TAS YSI program as early childhood education, how the implementation of the TAS YSI enhances aspects of physical-motor development, cognitive development, language development, and social-emotional development as the fulfillment of children's development rights, and how the obstacles in implementing the TAS YSI program are related to child’s development tasks as fulfillment of children's rights. At the end of the study there were suggestions for the TAS YSI and parents of the students at TAS YSI so that service quality could be improved to be more optimal.

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"Peningkatan kualitas kesehatan pada anak sebagai upaya pembentukan sumber daya manusia yang produktif. Peningkatan kesehatan anak dilakukan dengan perhatian optimal terhadap tahapan perkembangan anak khususnya pada masa keemasan yaitu usia prasekolah. Perkembangan merupakan faktor penting dikehidupan anak usia prasekolah karena akan menentukan perkembangan anak diusia yang selanjutnya. Perkembangan anak belum menjadi prioritas utama orang tua dalam pengasuhan anak. Kondisi ini sangat berdampak terhadap pemberian stimulasi perkembangan pada anak usia prasekolah oleh orang tua. Program "Sahabat" adalah salah satu upaya untuk mengoptimalkan perkembangan anak usia prasekolah. Penulisan ini bertujuan untuk memberikan gambaran pelaksanaan "Sahabat" di taman kanak-kanak yang terintegrasi dengan manajemen pelayanan kesehatan, asuhan keperawatan komunitas, dan asuhan keperawatan keluarga. Praktik residensi ini dilakukan dengan pendekatan case studi. Hasil kegiatan praktik yaitu terbentuknya penanggung jawab program perkembangan di TK. Hasil praktik juga menunjukkan peningkatan perkembangan anak usia prasekolah. dari 76 menjadi 95, dan peningkatan pengetahuan orang tua dari 63 menjadi 93, sikap 42 hingga 86, dan keterampilan 53 hingga 76. Program "Sahabat" dapat digunakan oleh perawat komunitas sebagai upaya promotif dan preventif dalam perkembangan anak.

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The enhancement of child's health quality is a means of creating a more productive human resources. The enhancement of child's health is conducted with optimal attention to the child's development especially during preschool age, which is the golden age of a child. A child's development is an important factor in a child 39;s preschool life because this will decide how the child will develop in their next age stage. A child's development have not been a parent's main priority in parenting. This condition really affects the stimulus given to the child during the preschool age by their parents. Sahabat program is one of the solution to optimize preschool children's development. This paper aims to give a demonstration of implementation of how it can be done in preschools that are integrated with health care, community nursing care, and family nursing care. This practice is conducted with case study approach. The result of the research is the formation of person in charge of development program in kindergarten. The result of this research shows that there are enhancements in the preschool children's development, from 76 to 95, and the parent's knowledge regarding the matter rises from 63 to 93, attitude from 42 to 86, and skills from 53 to 76 . Sahabat program can be used by the nurse community as a means of children's development in a preventive way."