Mothers-Friendly Children Development Monitoring for Rural Areas
Growth and Development Early Detection Toolkit, Enabling Mothers in Rural Areas to Monitor Child Development and Take Appropriate Measure to Ensure Healthy Grow
About You
About You
About Your Organization
Organization Name
Suryakanti Foundation
Organization Website
Organization Country
Indonesia, JR, Bandung
Country where this project is creating social impact
Indonesia
Is your organization a
Non‐profit/NGO/citizen sector organization
How long has your organization been operating?
More than 5 years
Has the organization received awards or honors? Please tell us about them
a. Aktion Sonnenschein Medaille, from Aktion Sonnenschein International Congress of German Sosial Pediatric Association for outstanding work in the prevention of handicapped by initiating and founding the SURYA KANTI FOUNDATION August 22, 1991
b. “Best overall Award“, country presentation of ECCD (Early Childhood Care and Development) at the UNICEF Regional Meeting in Bangkok, 2003.
c. Theodor Hellbruegge Award. 17 November 2011; for work as Founder of SuryaKanti Foundation, the Indonesian Social Pediatric Model for Development and Rehabilitation, Muenchen, Germany
References - Please provide two references with a two-sentence biography, email address, and phone number for each
a. Professor Dr Fasli Jalal, previous Deputy Minister for National Education Email. fasliJalal@yahoo.com , Hp. 0811814823.
b. Marcoluigi Corsi, Deputy Representative and Officer in Charge, UNICEF, Jakarta. Jakarta@unicef.org, phone: 62 21 2996 8000
The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..
Innovation
Select the stage that best applies to your solution
Scaling (the next step will be growing impact on a regional or even global scale)
How long have you been in operation?
Operating for more than 5 years
The Need: What problem are you trying to solve?
The first five years of life is crucial in child development to build a strong base for the child's quality of life. Thus, aside from physical growth, it’s important to regularly record and monitor developmental progress. Early detection and proper intervention of developmental disorder during this time can reduce the severity of the condition and help children adapt in school and social life.
However in Indonesia developmental screening is not part of routine examination, especially in rural areas. Lack of professionals and the large population make it necessary to involve mothers and village health cadres in children development monitoring. Thus, cases at risk of developmental problems can be referred to health professional at the earliest, when it's easiest to rehabilitate.
The Solution: What is your solution? Be specific!
Technically, a number of tools are available to monitor developmental progress, such as Frankenburg or Denver assessment, Bailey test, Munchner Developmental test. However, developing countries are lacking health professional to conduct such screening, and mostly neither affordable nor accessible for mothers from low income class with limited literacy.
To enable rural mothers and health cadres to monitor their own child and take appropriate action, we develop Growth and Development Early Detection Toolkit (see picture). This toolkit consists of a pictorial developmental chart, interpretation guideline, and manual for follow-up intervention. We train health cadres to train mothers on how to use the toolkit, and ask for their feedback to improve material comprehensibility.
The Model: Walk us through a specific example of how your solution makes a difference; include your primary activities
We at Suryakanti establish a center for child development, which programs are:
1)Home Based Early Detection & Early Intervention
Where professionals are lacking, mothers should be enabled to check basic developmental status. Growth and Development Early Detection Toolkit is a user-friendly home based screening tool. The developmental chart shows indicator skills of children maturity at specific age (based on Gesell and Muenchner test in 5 domain (gross motor; fine motor; perception/ adaptive behavior; speech and language; psychosocial) for 8 age groups). Upon delay in reaching developmental milestone, mothers can follow-up with proper stimulation or in serious case refer to healthcare facility.
As growth and development is interrelated with health and nutrition, we advocate inclusion of the toolkit into Integrated Road to Health Card (KMS terpadu). This card is distributed in Public Integrated Health Post (Posyandu), allowing holistic health monitoring.
2)Child Development Clinic
The clinic serves as reference point when development delay is detected. We provide therapy (occupational therapy, physiotherapy, speech therapy, etc.), rehabilitation aid equipments, and advance examination (EEG and audiometric test).
3)Special Education School
For children with special need (e.g. autistic, mentally retarded, down syndrome, cerebral palsy) we provide special education aligned with national curricula. Unlike public special school, we don’t categorize their disability, but instead treat them as individuals with multiple ability and disability.
The Marketplace: Who are your peers and competitors? Identify others also working to address the needs you are and what differentiates you from them. What challenges could these players pose to your success or growth?
Our peers are among which the government (public health care provider, health department, education department) and international NGO (such as UNICEF and Plan International).
Although for well-off urban population children development clinic is already mushrooming, rarely anyone is doing this kind of effort on the grass root level. Challenge appears as we have to share the market that help cross-subsidize our operation on the grass root.
This Entry is about (Issues)
Social Impact
Founding Story: We want to hear about your "Aha!" moment. Share the story of where and when the founder(s) saw this solution's potential to change the world.
We did a epidemiological case study using the DDTK to assess Under 5 (U5) children growth & development every 5 years at the Integrated Health Post (Posyandu) and could present information about the extend of the problem of developmental delay and young at risk to become special needs. The audience that consist of a heterogenic group of professionals, were surprise of the result: that in rural, slum area and peri-urban area the percentage of U5 children with developmental delay ranges fro 30-40%, and U5 children at risk for special needs from 5-9%.
Stunted U5 children (marasmic under-nutrition) showed even higher rates of 70% delayed in development. This means that immediate action is needed to prepare the next generation.
Please describe the goal of your initiative; outline what you are trying to achieve
While government’s priority is ensuring the survival of children (lowering infant mortality rate), we want to ensure that beyond survival every child is growing and developing well, and not becoming “lost generation”. To do so, children need proper care, stimulating environment, and quick response upon detection of growth or developmental delay. Thus we want mothers and health cadres on the grass root level to be well-informed and capable in providing these needs.
What has been the impact of your solution to date?
1) Awareness of developmental monitoring: More mothers become aware that something is not right with their child, and even health cadres are aware and have referred children to the health professionals. Unfortunately within the health infrastructure a referral system for children with developmental problems is lacking. To refer the child to Suryakanti foundation is not always possible especially when they are not living in Bandung.
However at this moment the Ministry of National Education have shown some interest in the concept of early screening.
2) Early learning: mothers are aware of the benefit of early learning for children development and school preparedness, and take communal action. We facilitate health cadres and mothers to organize community early learning center, providing stimulation activities and socialization opportunity for children. Currently over 200 of such centers are spread all around Indonesia, and the model is adapted by department of education.
What is your projected impact over the next five years?
Close the gap between the urban and rural children. All U5 children in cities as well as in remote and rural areas growth and development should be monitored and children who are delayed or at risk for developmental problems received the appropriate services, and thus preventing primary and secondary developmental problems while improving the quality of life of each child.
Winning entries present a strong plan for how they will achieve and track growth. Identify your six-month milestone for growing your impact
Scientific validation of Growth and Development Early Detection Toolkit
Identify three major tasks you will have to complete to reach your six-month milestone
Task 1
Look for funding to evaluate the Growth and Development Early Detection Toolkit for validity and reliability
Task 2
Promoting early screening for developmental problems and the proper management. Expand areas to all provinces in Indonesia
Task 3
Disseminate the result of the validity research to governmental and universities institution, for a scientific approval.
Now think bigger! Identify your 12-month impact milestone
Campaign to optimize the golden age period of young child as an investment for the next generation
Identify three major tasks you will have to complete to reach your 12-month milestone
Task 1
Promoting the toolkit for other purposes such as school readiness, screening for more specific developmental disorders.
Task 2
Promoting growth and development screening as the right of the child to optimize the golden age period.
Task 3
Advocacy to government of the importance of investing in Early childhood Growth and Development.
Sustainability
Tell us about your partnerships
1) Health Dept: The Growth and Development Early Detection Toolkit is inserted in government's "Integrated Road to Health card” distributed in all Posyandu.
2) NGO: The toolkit posters are distributed at all early learning centers implementing early childhood care and development program developed by Suryakanti and UNICEF. The program include regular growth and developmental monitoring, and can be used as for evaluation of school readiness.
3) Education Dept.: adopted the early learning center as national model of community based preschool
Are you currently targeting other specific populations, locations, or markets for your innovation? If so, where and why?
Mostly in eastern Indonesia, as interests are growing from local government. They began to grasp the importance of optimizing the golden period of children as an investment. This motivation comes from the current view of eastern Indonesia as being backward/ underdeveloped.
What type of operating environment and internal organizational factors make your innovation successful?
multi- and inter-disciplinary open environment, reliance on scientific method while also innovative in alignment with appropriate technology, empathy toward cultural sensitivity and diffability.
Please elaborate on any needs or offers you have mentioned above and/or suggest categories of support that aren't specified within the list
1) Investment, mostly for research and development of supporting appropriate technology (toolkit, aid equipment, etc.) and its evaluation study.
2) Social marketing, for mainstreaming the importance of the golden period and accelerating join effort in optimizing children growth and development.
| Attachment | Size |
|---|---|
| ddtk_developmental_chart.jpg | 548.84 KB |
 | 14 weeks agoAnna Alisjahbana updated this Competition Entry. |
| 14 weeks agoAnna Alisjahbana updated this Competition Entry. |
| 15 weeks agoAnna Alisjahbana submitted this idea. |
