Skip to main content Skip to main navigation menu Skip to site footer

The pattern of adolescent puberty at Sekar Pengharapan orphanage and Widya Asih orphanage, Badung, Bali

  • I Made Darma Yuda ,
  • I Made Arimbawa ,
  • Karuna Dhorayho Yasa ,


Background: Puberty is a transition phase from adolescence to adulthood. In this period, there are physical, hormonal and psychological changes. The appearance of secondary sex characteristics characterizes puberty and ends with the arrival of menarche in girls and complete genital development in boys. This study determined the pattern of puberty in adolescents in orphanages.

Method: This study used a descriptive cross-sectional design. The data were taken at Sekar Pengharapan and Widhya Asih orphanage Badung, Bali, on December 4th, 2021. The subjects in this study were children who entered the age of puberty in an orphanage and met inclusion and exclusion criteria. The ethics section of Medical Faculty Universitas Udayana/Sanglah Hospital approved this research. The SPSS program analyzed the data with p<0,05 determined significant value.

Result: 50 subjects who met the inclusion and exclusion criteria participated in this study; 31 (62.0%) subjects were female, and 19 (38.0%) were male. The research subjects' age (mean±SD) was 15.5±1.3 years. There were 3 subjects (6.0%) in prepubertal condition, while most (50.0%) were in the Tanner scale stage 4. Most subjects had good nutritional status (92.0%), and no subject was stunted. The average length of stay in the orphanage of the subjects was 13.3 ± 9.2 months. Most subjects were on the Tanner 4, about 25 people (50%). The average age of menarche in this study was 11.5 ± 0.6 years. 

Conclusion: The level of sexual maturity in orphanage adolescents is relatively normal in the orphanage population. However, there are still 3 teenagers who are at prepubertal age. The age of menarche in women is relatively normal based on age.


  1. Batubara JRL. Adolescent Development (Perkembangan Remaja). Sari Pediatri. 2016;12(1):21. Available from:
  2. Emmanuel M, Bokor B. Tanner Stages [Internet]. StatPearls [Internet]. 2022. Available from:
  3. Rosen DS. Physiologic Growth and Development During Adolescence. Pediatr Rev. 2004;25(6):194–200. Available from:
  4. Koopman-Verhoeff ME, Gredvig-Ardito C, Barker DH, Saletin JM, Carskadon MA. Classifying Pubertal Development Using Child and Parent Report: Comparing the Pubertal Development Scales to Tanner Staging. Journal of Adolescent Health. 2020;66(5):597–602. Available from:
  5. Sutinah S. Analisa keberadaan lembaga kesejahteraan sosial anak (LKSA) di Kabupaten Sidoarjo. Jurnal Sosiologi Dialektika. 2020;13(1):66. Available from:
  6. Martin F, Sudrajat T. Someone that matters: The quality of care in childcare institutions in indonesia. Jakarta: Save the Children UK/The Ministry of Social Affairs (DEPSOS)/UNICEF. 2007;
  7. Zulaiha D, Fauziah P. Kualitas Pengasuhan untuk Dukungan Pendidikan Sekolah Dasar Kelas Bawah di Panti Asuhan. Cakrawala Dini: Jurnal Pendidikan Anak Usia Dini. 2021;12(1):41–52. Available from:
  8. Oelkers L, Vogel M, Kalenda A, Surup HC, Körner A, Kratzsch J, et al. Socioeconomic Status Is Related to Pubertal Development in a German Cohort. Horm Res Paediatr. 2020;93(9–10):548–57. Available from:
  9. Feibelmann TCM, Silva AP da, Resende DCS, Resende EAMR de, Scatena LM, Borges M de F. Puberty in a sample of Brazilian schoolgirls: timing and anthropometric characteristics. Arch Endocrinol Metab. 2015;59(2):105–11. Available from:
  10. Biro FM, Greenspan LC, Galvez MP, Pinney SM, Teitelbaum S, Windham GC, et al. Onset of breast development in a longitudinal cohort. Pediatrics. 2013/11/04. 2013;132(6):1019–27. Available from:
  11. Brix N, Ernst A, Lauridsen LLB, Parner E, Støvring H, Olsen J, et al. Timing of puberty in boys and girls: A population-based study. Paediatr Perinat Epidemiol. 2018/10/11. 2019;33(1):70–8. Available from:
  12. Brito VN, Latronico AC. Puberty: When is it normal? Arch Endocrinol Metab. 2015;59(2):93–4. Available from:
  13. Campisi SC, Humayun KN, Wasan Y, Soofi SB, Islam M, Hussain A, et al. The relationship between pubertal timing and under‐nutrition in rural Pakistan. J Adolesc. 2021;88(1):58–66. Available from:
  14. Palmert MR, Dunkel L. Delayed Puberty. New England Journal of Medicine. 2012;366(5):443–53. Available from:
  15. Tang C, Zafar Gondal A, Damian M. Delayed Puberty [Internet]. StatPearls [Internet]. 2022. Available from:
  16. Bordini B, Rosenfield RL. Normal Pubertal Development: Part II: Clinical Aspects of Puberty. Pediatr Rev. 2011;32(7):281–92. Available from:
  17. Elshiekh M, Ali Mohammed AM. Influence of Socioeconomic Status in the Age at the of Menarche and Duration of Menstrual Bleeding. Mater Sociomed. 2011;23(4):195–9. Available from:
  18. Canelón SP, Boland MR. A Systematic Literature Review of Factors Affecting the Timing of Menarche: The Potential for Climate Change to Impact Women’s Health. Int J Environ Res Public Health. 2020;17(5):1703. Available from:

How to Cite

Yuda, I. M. D. ., Arimbawa, I. M. ., & Yasa, K. D. (2023). The pattern of adolescent puberty at Sekar Pengharapan orphanage and Widya Asih orphanage, Badung, Bali. Intisari Sains Medis, 14(3), 1116–1120.




Search Panel

I Made Darma Yuda
Google Scholar
ISM Journal

I Made Arimbawa
Google Scholar
ISM Journal

Karuna Dhorayho Yasa
Google Scholar
ISM Journal