JOURNAL MIDWIFERY (JM)
Jurnal Jurusan Kebidanan.
Poltekkes Kemenkes Gorontalo P-ISSN .
E-ISSN .
8-523X)
http://jurnal.
id/index.
php/JM/index DOI: http://dx.
org/10.
52365/jm.
The Impact of Growth and Development Stimulation Education on Parental Competence in Detecting Developmental Milestones in Children Aged 0Ae5 Years Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4
1,2,3
Universitas Muhammadiyah Gorontalo.
Gorontalo Regency.
Gorontalo Province.
Indonesia.
Email:nadiabasalama661@gmail.
com1,dwioctavianikatili@umgo.
suryaindahnurdin@umgo.
id3, efrilenyrauf@umgo.
ABSTRACT
Developmental stimulation refers to a series of activities aimed at promoting optimal growth and development in children.
One of the factors influencing the success of child growth and development is the knowledge and ability of parents to detect early signs of development.
This research aimed to determine the effect of developmental stimulation education on the early detection of developmental milestones in children aged 0-5 years.
The research method was a pre-experimental design using a pretest-posttest one group design approach.
The subjects included 73 samples, with 17 samples aged 0-12 months, 18 samples aged 12-36 months, and 38 samples aged 36-60 months.
Early detection ability was measured before and after education using the KPSP questionnaire as a reference.
The results indicated that in the 0-12 month age group, there was a significant increase in early detection ability after receiving education .
1 = 0.
001, p < 0.
In the 12-36 month age group, a significant improvement was also observed .
2 = 0.
001, p < 0.
, while the 36-60 month age group showed an increase after education .
3 = 0.
001, p < 0.
this study concluded that there was a significant effect of developmental stimulation education on the early detection ability of parents for children aged 0-5 years.
Keywords: Early Detection.
Growth and Development.
Stimulation Education A2025 Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili 2.
St.
Surya Indah Nurdin3.
Efry Leny Rauf4 Under the licence CC BY-SA 4.
*Dwi Nur Octaviani Katili.
Universitas Muhammadiyah Gorontalo.
Kabupaten Gorontalo.
Provinsi Gorontalo.
Indonesia.
Email: dwioctavianikatili@umgo.
Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
No.
2, 2025 .
INTRODUCTION
Toddler recording of these children's boundaries is indeed intended so that in providing approximately 10% of children under the age of 5.
Developmental problems in handling will be more appropriate (Pustaka.
Indonesian toddlers are estimated at 13Ae Children who receive maximum 18%, while developmental delays in stimulation will maximize their growth and children account for approximately 10% development potential.
At each stage of worldwide, and global developmental child development, the child's development delays occur in approximately one to three is fully integrated.
During childhood percent of children under five years of age development, there are critical periods, (Baroroh et al.
, 2.
Child development during which comprehensive and high- is affected by conditions such as severe quality developmental guidance is required.
chronic malnutrition, inadequate early This can be supported through stimulation stimulation, iodine deficiency, and iron activities, early detection, and intervention deficiency or anaemia.
Early stimulation is of developmental abnormalities in children a series of activities aimed at stimulating so that the development of motor skills, speech and language, socialization, and developmental skills for optimal growth independence in children occurs optimally and development.
Early developmental developmental problems at an early stage can help children overcome obstacles and allowing for early intervention.
(Nurul maximize their potential in various aspects Abidah & Novianti, 2.
According to of development.
Delays in detection and Caplin .
defines development as intervention can lead to more serious continuous and progressive changes in the problems later in life.
One way to detect organism, from birth to death, growth, child development is by conducting regular changes in form and in the integration of screenings of child development, including cognitive, language, social, and motor skills maturity or the emergence of basic patterns (Ibrahim et al.
, 2.
According to Arinny of learned behavior (Solama et al.
, 2.
, early detection is an effort to According to the Ministry of Health, a personAos age is classified into several impairments, or mental and behavioral The age limits of children have developmental disorders in children that also been determined in the law.
So that the may lead to disability, using growth and and others.
Detecting Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
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2, 2025 .
since parents play the central role in Meanwhile, according to and development providing stimulation, parental education refers to examination activities aimed at becomes essential.
A good and suportive identifying developmental deviations in environment enables children to grow and infants and preschool children (Lestari et , 2.
Early childhood is a critical environment may have adverse effects, period in the process of growth and Growth and development at development in children (Mahyumi Rantina this time is a factor in the success of et al.
, 2.
Education in the form of children's growth and development in the providing knowledge about child growth This period is called the golden age and development according to age to parents is one of the efforts that can be done be repeated (Romauli Pakpahan & Sri behavioral changes and / or delays and Wahyuni Tarigan, 2.
The childcare and disorders of child growth and development according to age stages is also important as Indonesia is realized through the SIGAP a prevention, so that parents can provide (Prepare a Generation of Achiever.
stimulation in the form of activities that are The SIGAP program aims to appropriate for the age of the child ensure that every Indonesian child is (Hayuningrum et al.
, 2.
World Health Organization (WHO) estimates that around development in accordance with their age 5-25% of toddlers worldwide experience In addition, programs such as supplementary feeding (PMT), education and counseling to parents on parenting and Meanwhile, according to the nutrition, as well as monitoring child Ministry of Health of the Republic of growth and development through posyandu Indonesia (MOH RI), around 16% or continue to be carried out.
This is expected 4 million toddlers in Indonesia to reduce the number of problems of growth have been diagnosed with developmental and development disorders and create problems such as gross and fine motor healthy and quality children (Septariana et disorders, hearing disorders, lack of thinking skills, and delays in speaking development are strangly influenced by the (Nurul Abidah & Novianti, 2.
Based on quality of their surrounding environment.
data from the Gorontalo Provincial Health Children's development at this age is rapid and cannot Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
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2, 2025 .
Office in 2023 and 2024, there where 9,037 population in this study were 258 mothers with toddlers aged 0-5 years in the Ulantha the results Community Health Center area.
Sampling showed that 70 children experienced for this study used a purposive sampling, growth and development disorders with a with 73 respondents, which were divided doubtful category and 20 children with into clusters according to the child's age.
Meanwhile, for children who The intervention given to the respondents experienced growth disorders or Stunting, was education for parents about child Gorontalo growth and development.
The education consisting of 18.
4% of stunted toddlers and was delivered through face-to-face sessions 4% of severely stunted toddlers in 2023.
using leaflets as learning media.
This Data from the Bone Bolango District program was implemented according to the Health Office in July 2024 showed that 151 age classification of the children, each children experienced growth problems and 42 children experienced developmental which included a pretest, education, and problems, two of whom were referred.
This The sampling technique was situation indicates the need for greater determined with considerations based on attention to factors that influence child inclusion and exclusion criteria relevant to growth and development.
the study.
Inclusion criteria in this study development examinations.
Province were parents who had children aged 0-60
METHOD
months and were willing to be respondents.
The research method used is quantitative.
Meanwhile, exclusion criteria were parents Quantitative research is a systematic who were not willing to be respondents, children who were not at the research (Dr.
location and children aged >60 months.
The Muhammad Ramdhan, n.
Quantitative tool used to measure changes in parentsAo research is research that takes samples from knowledge is a questionnaire that has been a population and uses questionnaires to validated and rehabilitated in a small group collect the primary data.
Based on the research objectives, the research method questionnaire covers several dimensions, used is Pre-Experiment with Pretest- including knowladge about child growth Posttest and development, early detection practices, comparison can be made with the condition stimulation methods, and parental attitudes.
before being treated (Sugiyono, 2.
The Primary data processing included data One Group Design.
The Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
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input, coding or scoring according to the method analysis, namely Wilcoxon signed questionnaire results, data input according rank test.
to categories, and input into a computer program or software to perform statistical RESULTS AND DISCUSSION
RESULT
Respondent Characteristic Table 1.
Respondent Characteristic Characteristics Age <20 Years 20-35 Years >35 Years Total Last Education Elementary Junior High School Senior High School Collage Total Work Work DoesnAot Work Total Parity Primipara Multipara Total Age of Child 0-12 Months 12-36 Months 36-60 Months Total Child Gender Male Female Total Source: Primary Data .
Frequency Percentage(%) Based on the data obtained, the majority of respondents were within the normal age range of 20-35 years, comprising 60.
Based on their highest educational level, the majority of respondents had a high school diploma .
1%).
Regarding employment, the majority of respondents were unemployed mothers .
8%).
In the aspect of parity, the respondents with the highest percentage were multiparas with 67.
1%, while the highest respondents based on age were children aged 36-60 months with a percentage of 52.
1% with the gender of girls as Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
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2, 2025 .
much as 61.
Overall, this table provides a comprehensive picture of the characteristics of parental age, education, occupation, parity, age of children and gender of children from respondents in this study.
Results of analysis of the level of parental ability before being given education on Early Detection of Child Growth and Development.
Results of Analysis of The Level of Parenteral Ability in Early Detection of Child Growth and Development According to Age .
Age 0-12 Months Table 2.
Frequency Distribution of Pretest Respondents Aged 0-12 Months Parenteral Frequency (%) Ability Enough Not Enough Total Source: Primary Data .
Age 12-36 months Table 4.
Frequency Distribution of Pretest Respondents Aged 12-36 Months Parental Frequency (%) Ability Not enough Total Source: Primary Data .
Based on the table above, it shows that before education was given, the overall pretest results were in the less category for 18 parents .
%).
Based on the table above, it shows that before being given education, the pretest results were in the less category for 13 parents .
5%) and the pretest results were in the sufficient category for 4 parents Table 5.
Posttest Frequency Distribution of Respondents Aged 12-36 Months Parenteral Ability Frequency Good Enough Total Source: Primary Data .
5%).
Based on the table above, it shows that after Table 3.
Posttest Frequency Distribution of Respondents Aged 0-12 Months Parenteral Ability Frequency (%) Good Enough being given education, the posttest results Total Source: Primary Data .
were in the sufficient category for 1 parent .
6%) and the posttest results were in the sufficient category for 17 parents .
4%).
Age 36-60 Months .
2%) and the posttest results were in the Table 6.
Frequency Distribution Respondents Aged 36-60 Parenteral Ability Frequency Enough Not Enough Total Source: Primary Data .
sufficient category for 2 parents .
8%).
Based on the table above, it shows that Based on the table above, it shows that after being given education, the posttest results were in the good category for 15 parents of Pretest
(%)
before being given education, the pretest results were in the sufficient category for 9 parents .
7%) and the pretest results were Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
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in the insufficient category for 29 parents .
3%).
Table 7.
Posttest Frequency Distribution of Respondents Aged 36-60 Months Parental Ability Frequency (%) Good Enough Not Enough Total Source: Primary Data .
Based on the table above, it shows that after being given education, the posttest results Tabel 9.
The effect of growth and development stimulation education on parents' early detection skills in children aged 12-36 months Mean
Parenteral Miean Difference Min-Max
Ability (SD) (CI 95%) 41,06 45,66 0,001 Pretest
86,72
Posttest Source: Primary Data .
were in the sufficient category for 13 Based on the research results, the statistical parents .
2%) and the posttest results test results were obtained (Wilcoxon Tes.
were in the good category for 24 parents results obtained p value = .
< = 0.
2%), while for the less category there so that the H0 statistic is rejected and Ha is was 1 person .
6%).
accepted, meaning that there is an influence Bivariate Analysis Table 8.
The influence of growth and development stimulation education on parents' early detection skills in children aged 0-12 months stimulation education on the ability of Mean Difference (CI 95%) 41,53 development of children aged 12-36 months Parenteral Ability Pretest Posttest Miean (SD) 46,65 .
87,12 .
MinMax A valuie 0,001 Source: Primary Data .
Based on outputwilcoxon Signed Ranks Test, the result show that the obtained pvalue= .
< = 0.
05, so that the H0 statistic is rejected and Ha is accepted.
Table 10.
The effect of growth and development stimulation education on parents' early detection abilities in children aged 36-60 months Parenteral Ability Pretest Posttest Miean (SD) 46,58 .
81,74 .
Mean
Difference Min-Max
(CI 95%)
35,16
A valuie 0,001 Source: Primary Data .
Based on outputwilcoxon Signed Ranks meaning there is an influence between Test shows the research results obtained p growth and development stimulation value= .
< = 0.
05, so that the H0 education on the ability of parents to statistic is rejected and Ha is accepted, detect early growth and development of meaning there is an influence between children aged 0-12 months.
education on the ability of parents to detect early growth and development of children aged 36-60 months.
Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
No.
2, 2025 .
DISCUSSION
this is usually different from what Respondent Characteristic occurs in society, as working mothers The may be more motivated to maximize respondents .
were mostly in their time to continue communicating the 20-35 years old range.
This age with their children after work.
The range falls within the early to middle researcher's assumption is that work adulthood category, which generally does not always hinder parents from already possesses emotional maturity and responsibilities as parents.
This is detection, as it ultimately depends on in line with research (MISNIARTI & the parents' own willingness and HARYANI, 2.
), which states that as a person ages, their development The characteristics of respondents with progresses and they become more prepared to assume the role of parent.
In line with research from Meanwhile, (Windiya et al.
, 2.
the number of level, the majority of respondents had children in a family will influence a high school education.
According to (MISNIARTI & HARYANI, 2.
developmental stimulation to their The most powerful factors are higher education provides motivation, concern for the child, greater knowledge compared to those openness to information, and readiness to apply the knowledge gained.
However, based on observations in the The field, learning motivation does not development stimulation education on always correlate with the level of early detection of milestones in children aged 0-5 years by parents Regarding categories, most respondents were Age 0-12 Months unemployed or housewives.
Research The results of the study indicate the conducted by (Orang et al.
, 2.
explained that unemployed mothers development stimulation education have more time to interact and play on parents' early detection skills in Mother-child children aged 0-12 months.
The education provided can improve growth and development.
However.
Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
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2, 2025 .
recognize simple commands.
This development, where at this age the period is also a crucial phase where main development occurs in gross parents' role is essential for early motor skills .
ifting the head, lying detection of speech and social on the stomach, sitting, crawlin.
, interaction disorders in children.
fine motor skills .
rasping and Meanwhile, in a study conducted by reaching for object.
, and early Khairunnisa et al.
(Khairunnisa et interactions .
ocial smiles, eye , 2.
), which examined contact, and voice recognitio.
parental participation in SDIDTK This finding aligns with research activities, interview results showed (Luh Ayu Purnami, 2.
, which that parents did not yet know how to measures knowledge based on a conduct early detection of growth person's ability to explain their and development, and did not provide much stimulation for their evidence/answers, both verbally children at home.
When linked to Researchers current events, many parents still hypothesize that a lack of basic consider it normal for children to be unable to do certain things, such as development often leads parents to not being able to say their parents' overlook signs of developmental names or not being able to form delays that are inappropriate for sentences at 24 months.
their child's age.
Consequently.
Age 36-60 Months after education, parents' mindsets The results of the study indicate the development stimulation education Age 12-36 Months on parents' ability to detect early Research conducted on parents of growth and development in children aged 36-60 months.
At this age, children begin to demonstrate basic counting skills, name colours, play with friends, and follow complex detection skills.
At this stage.
However, children begin to develop the ability different from what is currently to walk, run, speak two words, and happening, where parents tend to Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
No.
2, 2025 .
provide less stimulation to children, domain in developing mothers' because they assume learning can be done at school.
This is in line This is in line with research (Nurul with research conducted by (Syatifa Abidah & Novianti, 2.
which et al.
, 2.
which explained that states that providing education on developmental disorders in children child growth and development are often not detected early, and this stimulation can improve parents' can cause delays in treatment or ability to provide stimulation to From the perspective children from an early age which of child development and the role of will have positive impacts such as parents, education on growth and improving children's language and development stimulation plays a memory development, children's crucial role in enhancing parents' readiness for school and helping ability to detect child development children to maximize their potential in life.
because mothers are the first provided appropriately and age- educators for their children from appropriately not only strengthens birth to adulthood.
Based on research findings, there is an cognitive, language, and social- influence of education on growth emotional aspects of children, but and development stimulation on can also build parental sensitivity in parents' ability to detect early child recognizing signs of developmental growth and development, where the Parental knowledge results of statistical tests using Wilcoxon-test obtained a significant value of 0.
-value (<0.
stages, gained through education, indicates an effect.
The results of can create a strong emotional and this study indicate that mothers' ability to detect early child growth parents and children.
This can help and development improved after parents be more aware, responsive, and alert in assessing their child's health education is an effective Furthermore, strategy for improving a person's maternal knowledge is a cognitive health behavior, particularly the Early Providing Nadia Firzanly Basalama1.
Dwi Nur Octaviani Katili2.
St.
Surya Indah Nurdin3.
Efri Leny Rauf4 Journal Midwifery Vol.
No.
2, 2025 .
ability to detect early child growth Based on the research results, it was and development.
found that there was an influence of Early detection of developmental abnormalities in children is crucial stimulation education on the ability for parents to understand and of parents to detect early growth identify developmental disorders and development in children aged This is in line with research 0-5 years.
This study also provides conducted by (Armina et al.
, 2.
education so that parents can systematically access public health services, such as community health essential to detect developmental abnormalities in children, including service posts, so that parents can following up on any parental regularly receive information and complaints regarding their child's guidance on early detection and stimulation of child development.
Early quality of childhood development.
THANK YOU
The author would like to thank the supervisors who have helped in preparation of the journal.
CONCLUSION
REFERENCE
abnormalities will improve the The level of parental ability before being given education obtained the average pretest results of parents at the age of 0-12 months is at 46.
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After being given education, there was an increase in the average value at the age of 0-12 months to 12, at the age of 12-36 months 72 and at the age of 36-60 months to 81.
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