In Indonesia, the SDIDTK (Stimulation of Early Detection and Intervention of Growth and Development) program aims to monitor children's growth and development. SDIDTK monitors growth, encompassing body weight, height, and head circumference. It also monitors development, which includes a development test using KPSP (Developmental Pre-Screening Questionnaire), sight test, hearing test, and emotional-mental development test. This study analysed midwives' application of early growth detection services in Magetan Regency, Indonesia. It used a mixed-method approach. This quantitative study assessed the application of early detection by surveying 53 randomly selected village midwives. The qualitative study was conducted by interviewing 8 participants. The results showed that about 43.9% of midwives falsely reported providing SDIDTK services even when they only monitored the growth aspect without monitoring children’s development. Midwives are helped by cadres who undergo routine growth examinations. Unfortunately, development detection is not routine. The challenges in implementing developmental detection included heavy workloads, limited time, and limited human resources. Other influential factors include the lack of intersectoral cooperation and the fact that societal empowerment have not optimally been established. The SDIDTK program's implementation remains suboptimal. The authors concluded that midwives should improve cross-sector collaboration, empower communities, and set standards for community midwifery care.

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The Republic of Indonesia’s Ministry of Health. Pedoman

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SDIDTK Di Pelayanan Dasar (SDIDTK Guidelines

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in Basic Services). Jakarta: Dirjen Pembinaan

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Kesmas; 2019.

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Poon BT, Atchison C and Kwan A. Understanding the

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Influence of Community-Level Determinants on

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Children’s Social and Emotional Well-Being: A

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Systems Science and Participatory Approach.

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International Journal of Environmental Research and

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Public Health. 2022;19(10).

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Badan Pusat Statistik. Profil Kesehatan Ibu dan Anak 2022.

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Jakarta: Badan Pusat Statistik; 2022.

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UNICEF/WHO/World bank. Levels and trends in child

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malnutrition UNICEF / WHO / World Bank Group

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Joint Child Malnutrition Estimates Key findings of

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the 2021 edition [Internet]. World Health

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Organization. 2021 p. 1–32. Available from:

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https://www.who.int/publications/i/item/978924002

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Bolajoko O, Adrian C, Donald Nem-Yun M.K.C. Ricardo

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Hannah Olusanya Davis Wertlieb Boo Nair Halpern

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Kuper Bre, Bolajoko O. Olusanya, Adrian D, Donald

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W, Nem-Yun B, Muttathu K, Chandrasekharan N,

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Ricardo H, Hannah K, Cecilia B, Petrus J. de Vries,

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Melissa J G, Neal H, Vijaya K, Mphelekedzeni C M,

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Angelina Kakooza‐Mwesige Felix A.O, Jacob O,

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Andrew NW, Scott M W, Helena M, Alison S,

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Michelle M.E, Chad TI, Angela Liu, Anoushka I M,

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Katherine E B, Emma N, Holly E E, Damian FS,

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Zane R, Mari S, Harvey A. W, Helen EO and

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Nicholas JK . Developmental disabilities among

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children younger than 5 years in 195 countries and

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territories, 1990–2016: a systematic analysis for the

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Global Burden of Disease Study 2016. The Lancet

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Global Health. 2018;6(10):e1100–21.

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Salomone E, Pacione L, Shire S, Brown FL, Reichow B and

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Servili C. Development of the WHO Caregiver Skills

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Training Program for Developmental Disorders or

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Delays. Frontiers in Psychiatry.

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;10(November):1–9.

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Zhang J, Guo S, Li Y, Wei Q, Zhang C, Wang X, Shushang

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L, Chunxia Z and Robert W. Factors influencing

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developmental delay among young children in poor

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rural China: A latent variable approach. BMJ Open.

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;8(8):1–9.

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Dinkes Magetan. Laporan 3 Bulanan Kesehatan Ibu dan

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Anak Tahun 2021. Magetan: Dinas Kesehatan

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Magetan; 2021.

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Permenkes Nomor 66 Tahun 2014.pdf.

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Kemenkes. Pedoman Pelaksanaan Stimulasi, Deteksi dan

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Intervensi Dini Tumbuh Kembang Anak di Tingkat

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Pelayanan Dasar. Kemenkes RI. Jakarta; 2022.

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Kemenkes. Pedoman Umum Pengelolaan Posyandu.

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Jakarta: Kemenkes RI; 2011.

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Kemenkes RI. Profil Kesehatan Indonesia 2021.

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Pusdatin.Kemenkes.Go.Id. Jakarta: Kemenkes; 2022.

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Kementrian Kesehatan Republik Indonesia.

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Undang-undang RI. Undang-undang RI No. 4 Tahun 2019.

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Tentang Kebidanan. 2019;(10):2–4.

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Putri HA and Dwihestie LK. Optimalisasi Peran Kader

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Posyandu dalam Upaya Deteksi Dini Tumbuh

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Kembang Balita di Wilayah Beji Sidoarum Godean

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Sleman. Jurnal Abdimas Mahakam. 2020;4(1):66–

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Mediani HS, Nurhidayah I and Lukman M. Pemberdayaan

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Kader Kesehatan tentang Pencegahan Stunting pada

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Balita. Media Karya Kesehatan. 2020;3(1):82–90.

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Megawati G and Wiramihardja S. Peningkatan Kapasitas

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Kader Posyandu Dalam Mendeteksi Dan Mencegah

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Stunting. Dharmakarya. 2019;8(3):154.

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Nuryani, Negstingrum AH and Wisnu NT. Knowledge and

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the Role of Cadres in the Implementation of Early

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Detection of Toddlers Development Using Kpsp.

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Jurnal Kesehatan Poltekkes Ternate. 2017;10(1):22.

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Ngestiningrum AH, Nuryani and Wisnu NT. Program Kader

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Tanggap Tumbuh Kembang Anak (Pro Kata

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Kembang) Dalam Upaya Pemberdayaan Masyarakat

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Bidang Tumbuh Kembang Anak Di Desa Tunggur

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Kecamatan Lembeyan Kabupaten Magetan. JAM

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(jurnal Abdimas Multidisiplin). 2023;2(2):30–4.

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Nuryani N, Ngestiningrum AH and Wisnu NT. Knowledge

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And The Role of Cadres in the Implementation of

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Early Detection of Toddlers Development Using

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KPSP. Jurnal Kesehatan Poltekkes Ternate.

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;10(1).

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Wisnu NT, Ngestiningrum AH, Nuryani and Sumasto H.

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Metode Role Play Sebagai Upaya Meningkatkan

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Kemampuan Guru dalam Deteksi Dini Pertumbuhan

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Perkembangan Balita. Suara Forikes.

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;11(April):212–8.

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Yulaidah S, Ngestiningrum AH, Herlina T and Hanifa AN.

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Pelatihan Keterampilan Ibu untuk Deteksi

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Perkembangan Anak Prasekolah Menggunakan

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Kuesioner Pra Skrining Perkembangan. Jurnal

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Penelitian Kesehatan Suara Forikes. 2023;14(1):192–

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Ngestiningrum AH and Santosa BJ. Evaluasi pelatihan

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Stimulasi, Deteksi, dan Intervensi Dini

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Perkembangan Anak Berdasarkan Model Evaluasi

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Pelatihan Kirkpatrik. 2-TRIK: Tunas-Tunas Riset

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Kesehatan. 2016;6(1):45–52.

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Utami S, Nursalam N, Hargono R and Susilaningrum R.

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Midwives Performance in Early Detection of Growth

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and Development Irregularities of Children Based on

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Task Commitment. International Journal of

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Evaluation and Research in Education (IJERE).

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;5(4):300.

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Pender NJ, Murdaugh C and Parsons MA. Health Promotion

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in Nursing Practice (6th ed.). Boston: Perason; 2014.

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Kemenkes RI and Kepmenkes

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HK.01.07/MENKES/320/2020 tentang Standar

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Profesi Bidan [Internet]. 2020. Available from:

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https://doi.org/10.1016/j.jnc.2020.125798%0Ahttps:/

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/doi.org/10.1016/j.smr.2020.02.002%0Ahttp://www. ncbi.nlm.nih.gov/pubmed/810049%0Ahttp://doi.wil

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ey.com/10.1002/anie.197505391%0Ahttp://www.sci

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encedirect.com/science/article/pii/B9780857090409

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%0Ahttp:

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Mashamba EK and Ramavhoya IT. The stress of the

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midwife: Experiences of advanced midwives working

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in obstetric emergency units in Johannesburg, South

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Africa. African Journal of Reproductive Health.

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;25(5):93–104.

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Alarape K, Yusuf JO, Akinyemi JO, Samuel FO, MorhasonBello IO, Salami KK, Temitope I, Ayinka A, Abdul

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Rasak A, Isaac A, Abdullahi AM, Okara D, Solanke

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O, and Kana I. Prevalence and patterns of

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anthropometric failure among under-five children in

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Nigeria: Evidence from the National nutrition and

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health survey 2018. African Journal of Reproductive

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Health. 2022;26(11s):54–61.

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Utami S, Nursalam N, Hargono R and Susilaningrum R.

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Midwives Performance in Early Detection of Growth

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and Development Irregularities of Children Based on

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Task Commitment. International Journal of

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Evaluation and Research in Education (IJERE)

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[Internet]. 5(4). Available from:

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https://ijere.iaescore.com/index.php/IJERE/article/vi

ew/5957.