Midwife’s Role in The Implementation of The Health Minister’s Regulation Number 66 of 2014 Through Stimulation, Early Detection and Intervention Activities to Child’s Growth Disruption at Public Health Centers of Yogyakarta City

Abstract

Every child had the rights to survive, grow, and well develop to perfect adulthood.
However, many children with special needs were factually ignored by their families even they
were often considered as family’s disgrace. The government, through midwives, could play a
role in minimising the risks experienced by children with special needs by doing stimulation,
early detection and intervention to child’s growth disruption.
This research usedsocio‐legal approach with the analytical‐descriptive specification. Primary
data were obtained from interviews with Head of Health Centers (Puskesmas) of Mergangsan,
Jetis and Tegalrejo beside with midwives, integrated service post (posyandu) cadres, and five
parents of children with special needs. Secondary data were obtained from books and legal
materials related to the research. The data were then qualitatively analysed.
The results showed that the three Health Centers (Puskesmas), namelyMergangsan, Jetis and
Tegalrejo, had implemented the Health Minister’s Regulation Nr. 66 of 2014. The Health
Centers had programs having relations with child’s growth that was SDIDTK (stimulation, early
detection and intervention of growth disruption). Midwives had performed their roles in
stimulation, early detection and intervention of growth disruption thorough examination that
was monthly conducted together with posyandu’s activities at the Health Centers.
Supporting factors of the monitoring implementation of a child’s growth, development and
development disruption included health care facilities, adequate human resources (health
workers), affordable posyandu’s costs and cross‐sectorial cooperation. The inhibiting factors
were low‐income family’s supports, unfavourable social and economic conditions and mother's
knowledge that remained poor.