Underprivileged Children Research Articles

What determines the accessibility of early childhood education in Bangladesh?

This paper aims to understand the potential factors influencing the accessibility of early childhood education (ECE) in Bangladesh. Utilising data from the Multiple Indicator Cluster Survey (MICS) 2019, this study explored the influence of individual, household, socio-economic as well as geographical variables on ECE enrollment. It employed a comprehensive approach, which involved using descriptive statistics for univariate analysis, chi-square and t-statistics for bivariate analysis, and the logit model for multivariate analysis. The findings revealed that a child’s likelihood of attending an ECE program increases with their age, while those with functional difficulties and larger household sizes exhibit lower odds of attendance. Children with mothers possessing higher education levels demonstrated increased odds of ECE enrollment. Wealthy households and urban or Mymensingh division residency were associated with higher odds of ECE enrollment, while Barishal, Rajshahi, and Sylhet divisions indicated lower odds. To enhance ECE accessibility, the study recommends implementing a roadmap for ensuring universal early childcare and early education with an emphasis on socioeconomically underprivileged children, particularly in rural areas. Proposed strategies may include providing financial assistance to poor households and fostering public–private partnerships for ECE provision in remote regions like Barishal, Rangpur, Rajshahi, and Sylhet divisions. Moreover, it is crucial to make parents and communities aware about the significance of ECE in order to make sure that children ages 3–5 years are involved in ECE programs.

Towards the realization of socio-economic rights of children in Zimbabwe; a child sensitive policy framework

ABSTRACT With high incidences of poverty and a depressed economy as well as limited political will, it will be difficult to guarantee the socio-economic rights of children in Zimbabwe. Children struggle to get access to basic services such as health care, basic education, clean water and proper sanitation. This study critically reviews the implementation or lack thereof, of the key socio-economic rights as enunciated in the constitution and child-sensitive policies in Zimbabwe. Through document analysis, the study offers a nuanced examination of social policy implementation in the country. This paper advances the argument that poverty and inequality in Zimbabwe have worsened the lives of children who are subjected to inadequate food, lack access to proper heath facilities and proper shelter among other social amenities. Using a human security framework, the paper foregrounds the need for deliberate policies which respond to the needs of the underprivileged children. The paper concludes that a multifaceted and multi-stakeholder approach will ensure that no child is left behind as envisioned by the agenda of the sustainable development goals. It recommends that the government should implement various policies which guarantee the protection of children in need.

A Unique Government–NGO–Industry Partnership Care Model to Reduce Morbidity and Mortality Among Underprivileged Children With Type 1 Diabetes Mellitus in LMIC: A Pilot Study From Tamil Nadu, India

Abstract Aim: To pilot a 1-year comprehensive type 1 diabetes mellitus program, assessing outcomes on glycemic control and diabetic ketoacidosis (DKA) admissions pre- and post-intervention in underprivileged children with type 1 diabetes mellitus from three selected Government Medical College Hospitals across Tamil Nadu state, through a Government–nongovernmental organization (NGO)–Industry partnership. Materials and Methods: A total of 214 children were identified through the hospital database. Highly focused diabetes mellitus and insulin education along with analog insulins in penfill cartridges in the basal-bolus regime, high quality 800 memory glucometers with 100 glucose strips per month, ultrafine needles, 24/7 telephone support, and monthly review were supported to all the children. Data on baseline characteristics, pre- and post-intervention glycosylated hemoglobin A1c (HbA1c), and DKA admissions were tabulated on Microsoft Excel, and the results were analyzed. Results: A 2.4% reduction in HbA1c and more than 90% reductions in DKA admissions were seen post-intervention compared with baseline. This can potentially translate to huge reductions in mortality and cost savings for all stakeholders. Conclusions: A combined Government–NGO–Industry partnership is the need of the hour to reduce morbidity and mortality associated with type 1 diabetes mellitus among underprivileged children in India. Our model has the potential to serve as a blueprint for type 1 diabetes mellitus care in low- and middle-income countries.

The Revolution of Artificial Intelligence in Nursing Education and Practice

As a grade 11 student studying in Modern School, Barakhambha Road, New Delhi, I have been fortunate enough to witness the effects of government policies aimed at integrating children from economically weaker sections (EWS) into mainstream education. While the inclusion of EWS children in schools like ours has been a significant stride towards social equity, there are still several challenges to overcome. Our batch (2011) was the first batch where the EWS quota was implemented by the government. All throughout junior school, I kept hearing from my family that it was the noblest idea to integrate children who come from slightly disadvantaged backgrounds into the mainstream, and how it was only through education and equal opportunities that the children of this country would grow to become fine human beings who could lead the world of the future. I was always taught to treat them with kindness and compassion, but also, at the same time, in an effort to be inclusive, was taught to be careful about not hurting them by making them feel different or pointing out the differences between our upbringings. The presence of EWS children in our school is a testament to the success of policies such as the Right to Education (RTE) Act, which mandates private schools to reserve a percentage of their seats for underprivileged children. This initiative has provided EWS children with access to quality education, creating opportunities for their future. However, the social aspect of integration is an area that still requires attention. One of the most glaring challenges is the lack of interaction between children belonging to higher socio-economic strata and those belonging to the EWS. I have myself been a witness to unequal treatment, even though it was largely inadvertent. This is because schools ask children to engage in activities that may not necessarily be within the means of an EWS household. Activities such as domestic field trips and international exchange programmes challenge even affluent households at times. It is not uncommon to see students from different socio-economic backgrounds form separate social circles. This social divide can have a profound impact on the EWS children, making them feel isolated and unwelcome. Such feelings can further affect their academic performance and emotional well-being. As a student, I believe it is crucial to explore ways to foster better relationships between students from diverse backgrounds.

Problems on Implementation of Mid-Day Meal in Nagaland with Special Reference to Kiphire District

Education has become a necessity in present context which enables a person to live a respectable and secured living. Without education there is a high chance of one being ending in poverty and hunger with no proper place and position to fit in. in today’s ever fast changing society education provides more opportunities in terms of job haunt. Though the Government of India provides free and compulsory education to children in the age group of 6-14 years, the country still has countless illiterate children. There are numerous reasons and one prominent reason among them is poverty and the inability of the parents to send their children to schools. The government in order to curtail has implemented the Mid-Day Meal Scheme for the benefit of the underprivileged children. However, as far as Nagaland and the area chosen Kiphire is concerned, even though the schools have implemented Mid-Day Meal Scheme, to carry out this task is a difficulty because of many reasons like, deteriorating road conditions, insufficient funds, insufficient workers, insufficient facilities, ignorance of the authorities concerned, poor quality and less quantity meals etc., which the study discusses. For the proposed study 40 schools under Kiphire district of Nagaland was surveyed to find out the problems of the schools related to the implementation of Mid-Day Meal Scheme.

Dr. Newton Shaffer (1846-1928): Renowned Orthopedic Surgeon and Founder of the American Orthopaedic Association.

An unsung hero of American orthopedic surgery is the largely forgotten Dr. Newton Melman Shaffer (1846-1928). Upon graduating from medical school at New York University, Shaffer began his career training at the Hospital for the Ruptured and Crippled in 1867. Shaffer then went on to practice at St. Luke's Hospital and New York Orthopaedic Dispensary and Hospital where he became chief. Here, Shaffer made major contributions to the field in treating clubfoot and tuberculosis. He then declared orthopedics as a separate entity from general surgery at the 10th International Medical Congress. He helped start the American Orthopaedic Association to push for the recognition of American orthopedics to the international community. In 1900, Shaffer opened the first state-run hospital for underprivileged children requiring rehabilitation. During his career, Shaffer advocated for conservative orthopedic treatments, aided in the invention of medical devices, contributed largely to academic orthopedics, and successfully advocated for the inception of the field of orthopedic surgery.

Optimizing Zakat Management to Improve Education Quality in Palu City, Central Sulawesi, Indonesia

This study aims to discuss the zakat management optimization in improving education quality at National Zakat Charity Agency (BAZNAS) of Palu. This study used a qualitative approach and the data was gathered through field observation, in-depth interviews, and written document analysis. The data analysis, then, was analysed through data reduction, data presentation, and conclusion drawing. The results of this study show that the process of optimizing zakat to improve education quality at Baznas Palu city was conducted according to Islamic zakat management principles which includes planning, implementation, reporting, and monitoring process in the program of collection, distribution, and utilization at National Zakat Charity Agency Palu. The agency also follows professional administration principles such as transparency, accountability, responsibility, independence, fairness, and Islamic shariah compliance. This study also found that the agency has focused zakat distribution for specific educational institutions, both formal and informal. The agency also provide scholarships for academic achievement, and educational cost assistance for underprivileged children. Furthermore, the agency provides capital support for productive businesses runned by disadvantaged families or communities to improve their incomes.

The Detrimental Effects of Family Recession on Children’s Development Rights in Malaysia During the COVID-19 Pandemic

The World Bank reports that the Coronavirus pandemic (COVID-19) has sent the world economy into its greatest depression since World War II. To stop the fatal outbreak, massive shutdowns have crippled the world's economy. Due to the crisis, Malaysia's economic performance has deteriorated, necessitating economic adjustments. The major purpose of this article is to first expound on the link between family financial condition and children's rights implementation. The primary concerns about the violation of children's rights as a result of family recession are then investigated from the perspectives of welfare, protection, and development. This article is based on socio-legal research conducted in a qualitative manner. All data was gathered through library research and thoroughly analysed using the content analysis method. The study found that, the economic slump has had a significant impact on children's lives and development prospects, as well as their basic rights such as health, education, and participation. The consequences are particularly worse for underprivileged children, who are more vulnerable than others. Therefore, the government must continuously address economic stability and social protection aspects. Legal enforcement and collaboration between nations and communities must also continue to promote children's rights.

Abstract reasoning, theory of mind and character development in the school

We show that the development of abstract reasoning and cognitive empathy (theory of mind) is severely hindered when children are deprived of the stimulation of a school environment. We document significantly lower abstract reasoning and cognitive empathy scores in elementary school children who returned from an extended school closure caused by the Covid-19 pandemic relative to proximate pre-pandemic cohorts. This developmental delay has a significant socioeconomic gradient, with underprivileged children experiencing more substantial delays. We also document a significant disruption in the development of socioemotional skills: 0.24 sd lower grit, 0.43 sd lower emotional empathy, 0.06 sd lower epistemic curiosity, and 0.24 sd higher impulsivity. About eight months of school exposure results in a remarkable recovery in abstract reasoning and theory of mind for all socioeconomic groups. However, the measured levels still indicate significant delays relative to the expected developmental trajectories. No notable improvements are observed in socioemotional skills except for curiosity. These findings reveal that the damage school closures inflicted on children goes beyond well-documented academic losses and highlight the crucial role of the school environment in fostering fundamental cognition and socioemotional development in children.

Group-based instrumental musical training to enhance resilience among school-aged children from low-income families: A pilot randomised waitlist controlled trial.

To evaluate the acceptability, feasibility and potential effectiveness of a group-based instrumental musical training programme in improving resilience, depressive symptoms, self-esteem and quality of life among school-aged children from low-income families. Assessor-blinded pilot randomised waitlist controlled trial with process evaluation. This study was conducted in the community from January 2022 to July 2023. Sixty-four children from low-income families (aged 8-12 years) were randomised (1:1) to intervention and waitlist control groups. The intervention group (n = 32) received weekly 1-hour instrumental musical training for 6 months in groups of four to five from professionally qualified musicians at a music centre. The participants in the waitlist control group (n = 32) received the same intervention as the participants in the intervention group after the completion of all outcome assessments. The primary outcome was the children's levels of resilience, measured using the Resilience Scale for Children - 10. The secondary outcomes were depressive symptoms, self-esteem and quality of life. Assessments were conducted at baseline (T0) and immediately post-intervention (T1). An intention-to-treat analysis was performed. The 64 participants had a mean (SD) age of 9.5 (1.44) years, and 37 (57.8%) were boys. Compared with the waitlist control group, participants in the intervention group showed significantly greater improvements in resilience levels from baseline to T0 (group-by-time interaction coefficient β = 4.41; 95% CI, 1.82-6.99; p = 0.001), depressive symptoms (β = -6.42; 95% CI, -11.12 to -1.71; p = 0.008), self-esteem (β = -2.60; 95% CI, 0.28-4.92; p = 0.028) and quality of life (β = 6.69; 95% CI, 0.18-13.2; p = 0.044). The group-based instrumental musical training programme was feasible and acceptable for school-aged underprivileged children and showed the potential to improve the resilience and quality of life of this vulnerable population.

NOODLE: An Innovative, Affordable Virtual Learning Device for Inclusive Education

During the gradual transition of the teaching-learning process, reliance on virtual learning has become unavoidable in the post-pandemic period. Virtual learning has proven essential for the sustainability of education during the challenging pandemic phase. Despite the uncertainty surrounding the complete return to traditional in-person learning due to the significant impact of virtual learning, a hybrid model is anticipated to be the future of education. However, every innovation comes with its own set of advantages and disadvantages. For virtual learning, which requires pervasive and ubiquitous devices such as mobile phones, personal computers, laptops, notebooks, tablets, iPads, iPods, etc., affordability becomes a critical issue, leading to a digital divide among underprivileged children. Additionally, addressing the knowledge transfer to these underprivileged children involves considering their nutritional needs and mental health. The solution proposed is a low-cost device named NOODLE, which stands for New Normal Object Oriented Dynamic Learning Environment. This device integrates virtual learning apps and platforms, offering a novel, globally accessible tool designed to enhance learning and resource collection. NOODLE aims to promote equity by providing an affordable means for underprivileged children to engage in virtual learning, thus narrowing the digital divide.

ADDRESSING PROSOCIAL DEFICITS: A COMPREHENSIVE INTERVENTION FOR CHILDREN IN A SOCIAL WELFARE HOME - A CASE STUDY AT UPT PSPA PEKANBARU, RIAU

This report presents an assessment and intervention plan aimed at addressing low prosocial behaviour among children residing at the Unit Pelaksana Teknis Panti Sosial Pengasuhan Anak (UPT PSPA), a social welfare home established in 2016 in Pekanbaru, Riau Province, Indonesia. The UPT PSPA serves as a haven for orphans, underprivileged children, and those facing various socio-economic challenges. Their honesty and empathy have become a constant concern, which may affect their daily behaviour as an individual and in a group. As a qualitative research method, the assessment phase involved a combination of interviews and participant observations conducted over the course of several weeks. The Respondents are all the Children (37 children) at UPT PSPA. Using the description analysis of the data results, the finding revealed a significant lack of prosocial behaviours, including honesty, empathy, and helping others, among the children. Instances of lying, bullying, and reluctance to assist peers were frequently observed. These behaviours prompted the need for intervention to foster prosocial behaviours and emotional intelligence. The intervention plan consisted of group counselling sessions and psychoeducation. The counselling sessions aimed to instil the values of honesty, gratitude, empathy, and mutual assistance in daily life. The psychoeducation component emphasized the importance of prosocial behaviour, including the use of “please”, “thank you”, and “I’m sorry” in interactions with others. Following the intervention, a post-assessment was conducted to evaluate changes in the children’s behaviours. While improvements were observed in some children, challenges remained, particularly with those who continued to engage in dishonesty due to fear of punishment or a desire for attention. In conclusion, this report highlights the importance of addressing prosocial behaviour deficits among children in social welfare homes. It underscores the need for ongoing efforts to nurture these behaviours, given their significance in promoting healthy social interactions and personal development. Future interventions will explore additional strategies to further enhance prosocial behaviours in the context.

Guidelines for Improving Educational Personnel Competencies in The Digital Age to Elevate the Quality of Life and Underprivileged Children Competencies in Urban Communities, Chiang Mai Province

Objectives: This study aims to explore categories, quality of life, and underprivileged children competencies, and study guidelines for improving educational personnel competencies in the digital age to elevate the quality of life and underprivileged children competencies in urban communities, Chiang Mai province. Methods: Exploring categories, quality of life, and underprivileged children’s competencies was conducted through in-depth interviews and public hearings with 180 school administrators, teachers, representatives of underprivileged children's parents, and experts obtained by Purposive Sampling. Studying guidelines for improving educational personnel competencies was conducted through competency assessment and workshops with 162 school administrators, teachers, supervisors, and experts, selected through Purposive Sampling. Results: The findings revealed 10 categories of the underprivileged children, 11 factors affecting the their quality of life. The underprivileged children had a low level of threshold competencies and core competencies. The educational staff has high communication skills, learning management development, and health understanding in the digital age. Conclusions: The guidelines to improve educational personnel competencies include to develop digital literacy curriculum, smartphone-based media production curriculum, curricula for advanced thinking and innovation skills, foreign language learning management skills, communication skills in foreign and local languages, cultivation and maintenance of medicinal plants skills, modern urban community agriculture skills, product development skills for schools, online distribution, special education curricula for disabilities and children with developmental delays, health knowledge in the digital age for educational personnel, digital-era school administrations, and the competencies development of supervisors.

Mahesh Foundation – care for the uncared

Learning outcomes The learning outcomes of this case study are to identify the role of non-governmental organizations (NGOs) in social upliftment of developing countries, understand the functioning of NGOs, understand the challenges faced by the NGOs in day-to-day operations and discuss the probable solutions for the same, appreciate the role of leader and leadership in an NGO, study the working style of NGO leaders, appreciate the importance of having a formal organizational structure for these informal organizations (NGOs) to ensure the sustainability of their ventures and design a sustainable organization structure having a proper succession plan for the NGOs. Case overview/synopsis The case study is about one NGO – Mahesh Foundation – located in a small town named Belagavi, nestled in the state of Karnataka, India. Mahesh Foundation worked towards the upliftment of poor children infected with HIV. Today, fighting against all odds, Mahesh Foundation is a safe shelter home for 45 HIV-infected children in the age group of 6–18 years and has reached more than 2,000 beneficiaries from the time of its inception (2008). In addition, Mahesh Foundation also provides skill-based education to the HIV-infected, slum and underprivileged children. The foundation also supported the livelihood of underprivileged women and till date has supported more than 1,500 needy women. Mr Mahesh Jadhav, the founder member of Mahesh Foundation, has been successful in overcoming different challenges faced by the NGO, may it be the requirement for funds or shelters or social agitation. However, Jadhav was worried about the succession planning of his organisation. Mahesh Foundation, being run as a one-man show, Jadhav was bothered about its sustainability after him. The case study therefore highlights and discusses the importance of having a formal organization structure for such informal organizations, thereby having a proper succession plan to ensure their perpetual existence. Complexity academic level This case study is best taught as part of a graduate and postgraduate Business Administration (BBA/MBA) programme, Management Development Programme or Executive MBA Programme. Supplementary materials Teaching notes are available for educators only. Subject code CSS 11: Strategy.

Inclusive Education in NEP 2020

The NEP 2020 released by the Government of India makes along way in the form of Inclusive Education. The different techniques, methods and strategies paved the way towards Inclusive Education. The well-defined policies are essentially required to provide proper education to underprivileged and disabled children. It is an acceptable fact that education is compulsory for all irrespective of any status of Socio-economically Disadvantaged Groups and it is no longer a privilege in our country. This is the most important aspect of providing alternative and accessible education to all needy persons. The Inclusive Education policies ensured the platform for the development of education for all for further development and growth in all walks of life. The reasons for the requirement of the introduction of inclusive education were analyzed in detail by the expert committee of NEP 2020 and suggested a good amount of measures to reach the needy.

Education scholarship distribution management at Baznas Pohuwato

Baznas is declared a non-structural government institution that manages educational scholarship assistance for underprivileged children because education is a vital need for every comprehensive person, starting from the mindset, belief, and attitude of life that leads to quality of life. The purpose of this study was to examine the management of the distribution of educational scholarships at Baznas Pohuwato and to examine the obstacles in the distribution of academic scholarships at Baznas Pohuwato. This research is a qualitative descriptive method to answer questions about existing phenomena—data collection techniques through observation, interviews and documentation from primary and secondary data sources. The data obtained is then processed to produce conclusions from the phenomena found. The results of this study are the scholarship program at Baznas Pohuwato to improve achievement and educate the nation's children with a budget that will be allocated according to the expected student targets by analyzing the circumstances and needs of students. Baznas hopes that scholarship recipients can convey and introduce this program to other communities, and the community will be aware of the obligation to pay ZIS through Pohuwato to manage the funds collected. The Baznas Pohuwato can carry out routine socialization to people experiencing poverty so that the community will be aware of the activities and programs managed by the National Amil Zakāt Agency (BAZNAS), especially the scholarship assistance program for poor children at all levels of education. In distributing scholarship assistance, the National Amil Zakāt Agency (BAZNAS) would pay attention to the timeliness of scholarship distribution so that the waiting time for recipients is not too long.

COVID-19, eLearning, the Digital Divide and Underprivileged Children

Within the last two years studies show that many of our youth are lagging in education due to the pandemic lockdown, the application of eLearning with the lack of preparation, and a shortage of adequate learning technology and updated technology (Povich, 2020). Schools moved away from paper homework and in-person learning, and to online homework unfamiliar to students. In some areas, the schools were able to provide technology that the students could take home, but this did not always come along with Wi-Fi, hotspots, or some type of internet to make it functional. In other areas, the school systems were not able to fund the distribution of technology to each student. The pressure students feel from not having access to the technology they need leads to academic decline. Students with lower socio-economic status and limited access to eLearning and technology were unable to complete their homework or receive an adequate education.

Rheumatic heart disease in school-attending Nepalese children: A descriptive analysis of the national heart screening database

ObjectiveRheumatic Heart Disease (RHD) remains a significant public health problem with high morbidity and mortality in children and young adults from lower-middle income countries like Nepal. However, a nation-wide database of the disease is lacking for designing effective future prevention and control programmes and strategies. The aim of our study is to estimate the prevalence of RHD in school-attending Nepalese children. MethodsWe performed a cross-sectional descriptive analysis of a nationally representative database of Nepal Heart Foundation (NHF) national RHD screening programme which included school-attending Nepalese children between five and sixteen years of age. The screening was conducted between May 2015 and March 2020 in 236 schools, representing all seven provinces, across all three ecological zones of Nepal. Transthoracic two-dimensional echocardiography was performed in all eligible children with more than grade one murmur on cardiac auscultation. We estimated the prevalence of RHD among school-attending children as the number of RHD cases per 1000 school-attending children with a 95% confidence interval. ResultsThe database included a total of 107,340 children who were screened clinically, of whom 10,600 (9·9%) underwent transthoracic two-dimensional echocardiography. The overall prevalence of RHD was 2.22 cases per 1000 school-attending children (95% CI:1·94 - 2·50). The highest prevalence was observed among children living in the southern Terai ecological zone (2·89 per 1000, 95% CI (2·32–3·46)) of Nepal. Among the provinces, Karnali had the highest prevalence of RHD (3·45 per 1000, 95% CI (2·42–4·48)). Among the districts screened, Kalikot had the highest RHD prevalence (5.47 per 1000, 95% CI (3.02–7.92)). ConclusionPrimordial, primary and secondary prevention programmes should pay special attention to southern Terai zone, particularly the under-privileged children from remote districts.

Factors Leading to Conductive Hearing Loss among Children Living in Delhi Slum Areas

Background: Middle-ear diseases in children pose a significant burden to the healthcare system. Recurrent upper respiratory tract infections, cold, and cough often initiate middle ear disease. It results in mild to moderate hearing impairment that can be detrimental to the child's linguistic development. It can further lead to behavioural and cognitive problems. The study was designed to establish a relationship between common middle pathologies like CSOM and OME with hearing loss in children.
 Objective: To determine the prevalence of middle ear pathology and its association with hearing loss in slum children of Delhi.
 Methods: A study was conducted with 269 children aged five to ten years. The children were screened by otoscopic examination, followed by Tympanometry and then by Pure Tone Audiometry.
 Results: The prevalence of middle ear problems was 24.2%, out of which the prevalence of Chronic Suppurative Otitis Media (CSOM) was 10.8%, Otitis media with effusion (OME) was 12.3% and Acute Otitis Media (AOM) was 1.1%. A significant correlation (p< 0.005) was found between hearing loss and middle ear pathology like CSOM and OME. Out of the 65 children with ear pathology, hearing loss was detected in 55 children, out of which 29 children with CSOM, moderated conductive hearing loss was detected in 28 children and out of 33 OME children, mild to moderate conductive hearing loss was detected in 26 children.
 Conclusion: The article highlights the high prevalence of middle ear pathology in underprivileged children. The study also concludes the high probability of conductive hearing loss in these children. It is recommended that there is more need for awareness for early detection and treatment of middle ear infection to avoid any language and behavioural problems in the future. Also, the disparity between children living in urban and rural areas needs to be bridged.

Edukasi Penerapan Budaya 5S (Senyum, Salam, Sapa, Sopan dan Santun) dalam Kehidupan Sosial Anak Panti Asuhan Yayasan Nischaya Indonesia di Kecamatan Medan Selayang Kota Medan

The Orphanage is considered as a shelter for neglected children where this Orphanage can guarantee the lives of foster children. By providing attention, affection, guidance, and direction of behavior in accordance with good values ​​and norms as well as non-formal and formal education which is also given appropriately for children living in orphanages. Through the Nischaya Indonesia Foundation Orphanage, Kec. Medan Selayang, Medan City, accommodates Nias children, such as orphans and orphans, as well as underprivileged children. Through observation and interviews it can be seen how the service system of the Panti is. Then it was found that there were various different behaviors, especially individualism which often changed. The before after implementation method is in the form of outreach to the orphanage children of the Indonesian Niscaya Foundation by providing education about the 5S culture (Smile, Greeting, Greet, Polite and Polite). The result of implementing the 5S culture is being able to have good manners and an attitude of mutual respect for the surrounding environment.