The Healthy Going Card (KMS) has been used in Indonesia since the 1970s as a tool to monitor children's growth and development, since it was only born until the age of five. This card is usually filled by your pediatrician. But it is important for parents to understand how to read KMS so that you can supervise and follow up your child's growth over time.
What is the Towards Healthy Card (KMS)?
The Towards Healthy Card (KMS) is a chart of child development that is measured by age, weight, and gender. From there you can find out the nutritional status of your baby and toddler. KMS also provides information on the completeness of childhood immunizations and monitors exclusive breastfeeding for infants aged 0-6 months. In addition, KMS has basic child care tips, such as child feeding, and child care when experiencing diarrhea.
You are encouraged to update the data on the card every month by bringing your toddler to the posyandu to be weighed. By monitoring the growth of a child through this card, the doctor can determine whether a child is growing normally, or has a growth disorder so that it can be diagnosed and treated early.
KMS consists of 1 sheet (2 pages back and forth) with 5 parts in it. The way to fill and read the Menuju Sehat Card is distinguished between boys and girls. KMS boys are blue and have girls pink.
The Towards Healthy Card (KMS) is available in physical form given by the doctor after the birth of the child. But now KMS is also available online that you can download on the Google Play Store (specifically for Android users).
How to read KMS?
After the child has been weighed, the doctor or medical personnel will give a point according to the month the child is examined. Your next task is to pay attention to the location of the point. If the point is located:
- Under the red line shows your child has moderate to severe malnutrition . If your child is in this zone, immediately take your child to a pediatrician to get a further health check.
- Located in the area of two yellow bands (above the red line), this indicates that the child is experiencing mild malnutrition . You don't need to panic. All you need to do is evaluate feeding your child.
- Two light green ribbons and two dark green colors above the yellow ribbon, shows your child has enough weight or good or normal nutritional status. Even so, the child's weight still needs to be weighed and monitored so that it is always in accordance with his age.
- Four ribbons above the dark green ribbon (2 light green ribbons plus 2 yellow ribbons), shows that your child has more than normal weight. If your child experiences this, immediately consult a doctor to get more appropriate health services. Keep in mind, that children who are overweight are susceptible to various diseases, such as obesity or heart attacks.
In addition, you also need to see the development of the point every month, whether up and down, uphill or even decreasing. Each of these developments has meaning.
- If the point on the chart is higher than the previous month, the sign is that your child's weight is rising.
- If the point on the chart is the same as the previous month, then your child's weight is the same as the previous month. You must increase feeding, both the quality and time of administration.
- If the point on the chart is lower than the previous month, then your child's weight will decrease. This can occur especially if the child begins to enter the age of 6 months where the teeth have begun to grow. Usually if the teeth will grow, the child will experience a mild fever and appetite will decrease slightly. If the child does not experience pain, but his weight still decreases, then the mother must immediately bring it to the midwife or doctor.
- If the weight points on the KMS chart are intermittent, this means you are not diligent in weighing children. It would be nice if weighing was done every month.
Explanation of the terms rising or not rising on the child's weight is denoted by the letter N for weight gain and T for weight does not rise. Rose weight (N) means that the weight chart follows the growth line or increases in body weight equal to the increase in minimum body weight (KBM) or more. Body weight does not rise (T) means that the graph of the body weight is horizontal or decreases to cut the growth line below it or increase weight less than KBM.
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