Identification Validity Early Detection of Child Development Using Indonesian Mch Handbook

Abstract

Children are inevitably essential parts of Indonesian population. Prevalence of children developmental disorders in Indonesia is still pretty high, ranging from 10–18%. In fact, approximately 70% of children with developmental delays are detected without screening. Surabaya is the city with the largest number of Early Childhood Education (PAUD) institutions in East Java, Indonesia. Ministry of Health publish the latest Maternal and Child Health (MCH) Handbook containing a child development checklist. Thus, the purpose of this study is to examine the validity of MCH Handbook as a measuring tool for early detection of child development with Indonesian Pre-Screening Developmental Questionnaire (KPSP) as a gold standard among Early Childhood Education students in Surabaya city. This research was a cross sectional study using diagnostic test design. The population of the study were the children aged 3–72 months in Surabaya city. The sample were selected using multistage cluster random sampling technique, totaling of 400 children. The data were analyzed using Mc. Nemar statistic tests and Kappa Agreement tests. The results showed that there is no difference in the value of development between MCH Handbook and KPSP (p = 1, 000). The MCH Handbook was valid with the sensitivity value of 84.5%; specificity value of 96.9% and has a consistency rate of 81.9%. Thus, we can conclude that MCH Handbook is said to be a valid early detection tool for children aged 3 months to 72 months with high agreement value and high sensitivity and specificity. It suggested to health workers to promote the importance of MCH Handbook utilization through social media and Primary Health Care.