Taman Posyandu: Integrated Early Childhood Care

This Entry has been submitted.

Taman Posyandu: Integrated Early Childhood Care: Engaging Parents and Community in Optimizing Children's Development

Bandung, IndonesiaBandung, Indonesia
Year Founded:
2003
Organization type: 
nonprofit/ngo/citizen sector
Project Stage:
Established
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

Taman Posyandu is a model of holistic-integrated early childhood care service (including health, nutrition, development, education) organized by community and built from existing health post, offering a structured play opportunity and parenting skill improvement for community in marginalized area.

WHAT IF - Inspiration: Write one sentence that describes a way that your project dares to ask, "WHAT IF?"

What if community can organize early childhood care service, so that whole child development program and early detection & intervention of delay
About Project

Problem: What problem is this project trying to address?

In rural/ marginalized area, poverty and lack of stimulation often results in high rate of development delay among young children. Parents are not well informed and involved in monitoring children's development. Government's program focus mainly on survival – prevention of diseases (immunization) and improving nutrition. No program touches the subject of development disorders, resulting in late referral of children with manifest disability.

Solution: What is the proposed solution? Please be specific!

1) We believe early detection & intervention of development delay could prevent/ decrease the impact of childhood disabilities. We introduced Pictorial Developmental Milestones to monitor children's development easily and provide early stimulation/ intervention or refer to health service provider at earliest in case of serious delay. 2) We also found that development delay is related to poor parenting, nutritional status, and lack of play opportunity. We developed Taman Posyandu program to build the capacity of health cadres, in order to organize a structured play opportunity for children and parenting skill improvement. Taman (Kindergarten) is integrated with Posyandu (government's health post) and its existing health-nutrition program.
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.

Taman Posyandu is developed in rural/ peri-urban areas where access to early childhood development service (e.g. play group or kindergarten) is lacking. We trained local health cadre, covering children development, play stimulation, and good parenting. They organize Taman Posyandu activity: health post, play group, and parenting forum. This adds the value of existing health post by integrating child development. Through parents meeting, cadre share knowledge on parenting and development stimulation at home. And now that Pictorial Developmental Milestones is inserted in Road to Health Card (containing child health record), both mothers and health cadre can monitor children's growth and development as part of health monitoring.

Impact: What is the impact of the work to date? Also describe the projected future impact for the coming years.

Currently more than 550 Taman Posyandu has been developed in more than 40 districts across Indonesia. Taman Posyandu serves as an institutional vehicle to promote community & parents involvement in children development monitoring, using Pictorial Developmental Milestones as a tool. Better development monitoring resulted in a more structured referal system for cases of developmental delay in children. Parents take a more active part in children growth and development, a shift from the conventional view of "leaving everything" to the health service provider. For mild cases of delay, health cadre consult parents on home stimulation. For more severe cases, referral is made to clinic or hospital. Parents is also encouraged to perform self-management routines and reporting findings on their child developmental condition as recommended by clinic.

Spread Strategies: Moving forward, what are the main strategies for scaling impact?

In 2009 Taman Posyandu has been acknowledge by Development Planning Agency as a model of holistic-integrated early childhood care service, i.e. as a reference for national and local early childhood program among government institutions. We also collaborate with NGOs to replicate the model, with adjustment to every local condition (e.g. cultural factor, existing community infrastructure). We also collaborate with private sector to develop Taman Posyandu program as a mix of employee benefit and CSR program, particularly for company located in rural/ remote areas.
Sustainability

Financial Sustainability Plan: What is this solution’s plan to ensure financial sustainability?

Taman Posyandu is a community based initiative. Health cadre is encouraged to fundraise through micro business unit or accessing funding opportunity from local institution/ government (e.g. village authority). Pictorial Development Milestone is inserted in government's "Road to Health card” distributed in all Posyandu - thus financed under national ministry of health.

Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?

A number of children development clinics are flourishing, but mostly targeting middle-up economic class rather than grass root. Kindergarten and early childhood education is also flourishing among all economic class, but the main focus is school readiness rather than whole child development. The distinctive element of our initiative: 1) how we integrate development, health, and education, thus providing holistic service for children and parents. 2) how we set community's ownership of the initiative, thus it sustains 3) how we cling to existing infrastructure, thus not starting from zero
Team

Founding Story

As pediatrician specializing in neonatology, Anna Alisjahbana realized the importance of monitoring child development progress for early detection and intervention of problem. However development screening is not yet common, especially in rural areas due to lack of facility and coverage.. Thus came the idea to involve mothers and village health cadres in monitoring child development. Pictorial development milestones is introduced in growth monitoring card, accompanied by manual on home stimulation. Lack of structured developmental/ early learning activities in rural areas gave way to Taman Posyandu idea, in which community organizes an add-on of early childhood care service to existing health post – thus creating an integrated service.

Team

Frontiers for Health team consist of 6 full-time and part-time staffs and 2 advisers. In Taman Posyandu program, our role is more as facilitator and trainer for local community, in which we collaborate with other parties and add project-based consultants as needed.
About You
Organization:
Suryakanti Foundation
About You
First Name

Anna

Last Name

Alisjahbana

LinkedIn URL
About Your Organization
Organization Name

Suryakanti Foundation

Organization Country

, JR, Bandung

Country where this project is creating social impact

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..

Impact
Full Impact Potential: What are the main spread strategies moving forward? (Please consider geographic spread, policy reform, and independent replication/adoption of the idea or other mechanisms.)

Partnership with international NGO (like UNICEF), government's institution (like Ministry of Education, Ministry of Health), an collaboration with others who are interested to replicate the idea.

Barriers: What barriers might hinder the success of your project and how do you plan to overcome them?

Unfortunately the health infrastructure for children with developmental problems is lacking. We're building referral system, but clinic/ hospital is not always available/ ready to manage the case. To refer the child to Suryakanti foundation's clinic is not always possible especially when they are not living in Bandung. We continue promoting the concept of early detection and intervention through the Posyandu, and training of health-providers. We hope that when awareness and demand for children developmental service increase the government and other sectors will respond.

Sustainability
Partnerships: Tell us about your partnerships.

Ministry of Health: Pictorial Development Milestone is inserted in government's "Road to Health card” distributed in all Posyandu - thus financed under national ministry of health.

International NGO like UNICEF or Plan International: replicating Taman Posyandu model to other areas.

Ministry of Education, Development Planning Agency: incorporating Taman Posyandu model into national policy for human development.

Closing the Loop
How does your project primarily ensure that feedback delivers results?

Facilitate a conversation that combines wisdom of the crowds with the perspective of experts.

Please elaborate on your answer to the above question.

Pictorial Developmental Milestones help parents to become informed and involved in their children development monitoring. In Taman Posyandu, health cadre and informed parents create dialogue on how children development can be optimized, and put a joint effort (both at home and at play/ health check sessions) to stimulate children.
In case of serious developmental disorder, referal is made to clinic/ hospital. In Suryakanti clinic we encourage parents to perform self-management routines as recommended by multidisciplinary team of experts and report findings on their child's condition.

Languages: In what languages are you able to read and write fluently?

English.

2nd Round Questions
Thinking about your feedback loop; what information are you trying to get from whom, to whom, and to bring about what change?
What is the purpose of your feedback loop?

If other, please specify
What mediums or mechanisms do you use to collect feedback? (check all that apply)

If other, please specify
Could you briefly describe the way you collect the feedback?
What mechanisms are in place to protect people from retribution?

If other, please specify
What are the immediate benefits or incentives for people to provide feedback?

If other, please specify
How do you ensure new and marginalized voices are heard?

If other, please specify
What are the incentives for the intended recipient to act on the feedback?

If other, please specify
How does the feedback mechanism close the loop with those who provided feedback in the first place?

If other, please specify
How is feedback published/transparent?

If other, please specify
Give two concrete examples of how feedback loops have brought a program or policy more in line with citizens’ desires.
If there was one thing you could change to increase the impact of your feedback loop, what would it be?
What are your biggest challenges or barriers in “closing the feedback loop”?

If other, please specify
Are you aware of The Feedback Store?

What are the main uses you can envision for the Feedback Store?
What is the one thing you would most like to see changed to improve the competition process?
What are you doing to make sure that feedback providers know that they are empowered by the information they can give and that they know exactly what the information they are providing?
randomness