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Validation of the Child Development Card (KKA) as a growth and development tool for stunted and normal children in West Java, Indonesia

Bibliographic Data

ID19529759
AuthorsRatna Jatnika (0000-0002-7519-4968, Padjadjaran University, corresponding author), Hendriati Agustiani (0000-0003-2360-0474, Padjadjaran University), Syauqiyyah Syahlaa (0009-0005-2085-6513, Padjadjaran University)
Year2025
Volume18
Issue1
Pages2547440-2547440
Publication date2025-12-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2025.2547440
PMID40873302
OpenAlexW4413797303
LanguageEN
References cited21

BACKGROUND: Stunting remains a major public health issue in Indonesia, and the limitations of anthropometric measures highlight the need for alternative tools such as the Child Development Card (KKA). OBJECTIVES: This study aimed to determine the validity and reliability of the KKA as a tool to measure the growth and development of stunted and normal children through direct observation. METHODS: The revised KKA was administered to 262 children aged 13-60 months, including 174 normal and 88 stunted children, from three stunting-locus regencies in West Java Province, Indonesia. The data were analysed using content validity, the Guttman coefficient of reproducibility, and Cronbach alpha to develop a revised KKA observation guideline. RESULTS: A total of 15 conceptually inappropriate items were revised, and an observation guideline was developed as a guide for the direct observation of children. In each aspect of growth and development, age range, and sample category, the reproducibility and scalability coefficients showed values of >0.9 and >0.6, respectively. Meanwhile, Cronbach alpha values for each age range and sample category were >0.7. CONCLUSION: The revised KKA demonstrated both validity and reliability as a tool for the detection, monitoring, and early intervention of growth and developmental delays in children with stunted as well as those with normal development

Anthropometry · Child development · Developing country · Economic growth · Economics · Environmental health · Java · Pathology · Psychiatry · Public health · Child Nutrition and Water Access · Computer Science · Health Education and Validation · Medicine · Public Health and Nutrition

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