Abstract:
In developing nations, 200 million children (~39%) under age five have developmental delay. In USA, 13-16% children under five have developmental difficulties. This huge gap between developed and developing countries is due to lack of early detection and intervention in low and middle-income countries. Universal use of standardized assessment tools was only (2.6%). The practice of growth and developmental assessment is also poor even in the western countries 1.1% practice of filling developmental assessment tools and 75% inconsistent use of growth monitoring charts.