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Soedjatmiko Soedjatmiko
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Journal : Paediatrica Indonesiana

 1 
Quality of home stimulation and language development in children aged 12-24 months living in orphanages and family homes Yuridyah P. Mulyadi; Soedjatmiko Soedjatmiko; Hardiono D. Pusponegoro
Paediatrica Indonesiana Vol 49 No 1 (2009): January 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.24 KB) | DOI: 10.14238/pi49.1.2009.25-32

Abstract

Background  Language development  is  fundamental for children'sintellectual development. Therefore, early stimulation in thefirst  three  years  of  life play an  important  role especially indisadvantaged communities such  as  foster homes.Objective  To  determine  the  quality  of  home stimulation  andlanguage development, and their correlations in children livingin orphanages  and  family homes.Methods  This study was conducted between December  2007  andJanuary  2008.  Subjects were recruited from several orphanagesin Jakarta, Tangerang, Bogor, also three posyandus in Jakarta andTangerang.  The  quality  of  home stimulation was assessed usingHome  Stimulation  Observation  for  the  Measurement  of  theEnvironment (HOME) scores, while language development wasassessed using Clinical Linguistic and Auditory Milestone ScaleDevelopment  Quotient  (CLAMS  DQ).Results  A total  of  80  healthy children, consisting  of  40  childrenin orphanages  and  40  in family homes were enrolled. Inadequatestimulation and language delay were found  to  be significantlyhigher in the orphanage group  (52.5%  vs.  27.5%; P=0.022  and57.5%  vs.  10%; P<0.001,  respectively).  HOME  Scores  andCLAMS  DQ  were also significantly lower in  the  orphanagegroup compared to those  in  the family home group  (25.6  vs31.5; P<0.001  and  84.0  vs  110.7; P=0.002).  Logistic regressionrevealed  that  caregiver-child  attachment  time was  the  onlyrisk factor  for  language delay  (OR  32.32; P<0.0001),  in  bothorphanages and family homes.Result  The  quality of home stimulation  is  lower in the orphanages,which results in a higher rate  of  language delay  in  children aged12-24  months.
Mothers' response on Kangaroo Mother Care intervention for preterm infants Bernie Endyami; Rosalina D. Roeslani; Rinawati Rohsiswatmo; Soedjatmiko Soedjatmiko
Paediatrica Indonesiana Vol 49 No 4 (2009): July 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.894 KB) | DOI: 10.14238/pi49.4.2009.224-8

Abstract

Background The low birth weight still remains the main causeof neonatal deaths. Kangaroo Mother Care (KMC) program canprovide a better care for low birth weight newborn infants throughskin-to-skin contact.Objective The aim of this study was to assess factors andresponses from mothers that would influence the re-introductionand re-implementation of KMC at neonatology ward, CiptoMangunkusumo Hospital, Jakarta.Methods This was a prospective preliminary study usingquestionnaires, to mothers oflow birth weight infants who wouldundergo KMC in neonatal ward.Results Most mothers felt sad, guilty, worried, afraid and notconfident when they first saw their babies, thus, they were initiallydoubtful and afraid in the beginning of KMC. But, after KMCwas implemented, most of the mothers found positive effectson mother-infant bonding, maternal affection in love or touch,breastfeeding and mother's confidence in newborn care.Conclusions KMC provides benefits for mothers. Most mothersyield positive response when implementing KMC program to theirinfants.
Assessment of health-related quality of life in children with cancer using PedsQLâ„¢ (a preliminary study) lvony Yuyu Susanto; Soedjatmiko Soedjatmiko; Sukman Tulus Putra
Paediatrica Indonesiana Vol 49 No 6 (2009): November 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.306 KB) | DOI: 10.14238/pi49.6.2009.330-6

Abstract

Background Cancer in children can adversely affect theirdevelopments and growth. The assessment of health-relatedquality of life (HRQL) will justifY its physical and psychologicaleffects.Methods Seventy-seven subjects who underwent therapy wereassessed using the PedsQLâ„¢, which consisted of parent-proxyreports and or child-self reports. PedsQLâ„¢ is assessments ofphysical, social, emotional and role functions. The controlgroup was students with the same number and age as the sample group.Results Children with cancer had lower HRQL than normalhealthy children (odds ratio 3. 7). Children with cancer who camefrom low socio-economic families had lower social functions andgirls had tendencies to have lower quality oflife. Fathers' education had strong influence in children's quality of life. Leukemic patients had better quality of life than those of lymphoma and solid organ tumor. Group with age of diagnosis at 6-9 year old had lower HRQL compared with younger or older groups. The longer period of illness was, the more emotional function would improved. Despite of a good accordance between parents' and child's reports, parents usually had reports about having lower quality of life.Conclusions Children's HRQL is influenced by clinicalcharacteristics and social-demographic variables differently.Assessment of the children's HRQL is better done with parentsand or child as the source of information.
Behavior and emotional problems in children with mental retardation Soedjatmiko Soedjatmiko; Muzal Kadim; Bambang Madiyono; Mardjanis Said
Paediatrica Indonesiana Vol 44 No 3 (2004): May 2004
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.011 KB) | DOI: 10.14238/pi44.3.2004.90-4

Abstract

Background Behavior and emotional problems in a mentally re-tarded child can inhibit the educational process of the child.Objectives The aims of this study were to find out the prevalenceof behavior and emotional problems in children with mental retar-dation as reported by parents and to assess associated risk fac-tors consisting of mother’s psychopathology, marital discord, malesex, child’s age, socioeconomic status, and family size.Methods This cross sectional study was carried out on 63 chil-dren with mental retardation in a school for retarded children, SLBC Asih Budi I, from January until March 2003. Parents were inter-viewed at school and home using special questionnaires, the ChildBehavior Checklist (CBCL) and Symptom Checklist-90 (SCL-90).Results The prevalence of behavior and emotional problems inthis study was 52%. The majority of behavior and emotional prob-lems were anxious/depressed (18%) and withdrawn (16%). Malesex and age group of 12-18 year-old were not risk factors of be-havior and emotional problems (OR=0.49, p=0.190 and OR=1.14,p=0.94, respectively) while socioeconomic status, family size, andmother’s psychopathology were risk factors (OR= 4.08, p=0.008;OR=4.17, p=0.014; OR=9.28, p=0.018; respectively). There wasa correlation between behavior and emotional problems of chil-dren and marital discord.Conclusion The prevalence of behavior and emotional problemswas 52% in which the majority was internalizing disorder. Risk fac-tors for behavior and emotional problems were mother’s psycho-pathology, four or more children in the family, low socioeconomicstatus, and marital discord
Growth and development profile of children at two day care centers in Jakarta Siti Budiati Widyastuti; Soedjatmiko Soedjatmiko; Agus Firmansyah
Paediatrica Indonesiana Vol 45 No 6 (2005): November 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.6.2005.275-9

Abstract

Background Working mothers with toddlers are often confusedwith the difficulties of caregiver substitutes. This leads to the con-cern about neglecting their toddlers. Day care centers are expectedto respond by substituting the absent mothers, in order for thechildren’s needs of growth and development to become optimal.Objective To examine the profile of day care centers in correla-tion with growth and development of toddlers, and to understandthe characteristics of facilities for growth and development in tod-dlers at day care centers.Method This cross-sectional study was conducted at the day carecenters (DCC) of the Department of Social Affairs of the Republicof Indonesia Harapan Ibu (HI) in Salemba, Central Jakarta andTeratai in Bekasi from February 1-August 1, 2004.Results There were 106 children enrolled in this study; 47 chil-dren in DCC HI and 59 in DCC Teratai, male:female ratio was 1:1,mostly at age 3.1-5 years. Growth status was measured accord-ing to body weight/age, body height/age, height circumference/age and found good, normal, and proper growth status in 85 chil-dren (80.2%), 48 children (45.3%), 102 children (96.2%), respec-tively. We found good nutritional status in 44 children (41.5%) andnormal developmental status (Denver II) in 81 children (76.4%).Ratio of caregivers to child was 1:10. All children had completeimmunization. No trauma or upper respiratory tract infection wasrecorded as frequent morbidity. Parents’ reasons for relying theirchildren in DCCs were to enable their children to socialize (50children/47.2%), and to allow them to become independent (49children/46.2%).Conclusion DCCs can serve as a safe alternative caregiving sub-stitute based on good growth and development, good nutritionalstatus, also good characteristics facilities
Co-Authors Agus Firmansyah Bambang Madiyono Bernie Endyami Cahyo Jayanto Hardiono D. Pusponegoro Inna Yoana Sari Tarigan S Kriswantoro Kriswantoro lvony Yuyu Susanto Mardjanis Said Moch Senoadji Karjadi Muzal Kadim Purwono Sidik Permono Rafie Dimas Prabowo Rifqi Firdaus Rahmayanto Rinawati Rohsiswatmo Rosalina D. Roeslani Rudy Hartanto Siti Budiati Widyastuti Sukman Tulus Putra Wahadi Wahadi Yuridyah P. Mulyadi