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Use of a Developmental Milestone Chart (DMC) in Rural Bangladesh to Educate Health Workers and Stimulate Referral for

Tasneem Karim1,2,3, Alfred Scherzer4, Mohammad Muhit2,3

  • 1Discipline of Child and Adolescent Health, Sydney Medical School, University of Sydney, Sydney, Australia.

Journal of Tropical Pediatrics
|December 28, 2018
PubMed

Insights

A simplified Developmental Milestone Chart (DMC) shows promise for assessing neurodevelopment in young children. This tool is practical for health checkups in resource-limited settings, though further validity studies are needed.

Area of Science:

  • Pediatrics
  • Neurodevelopmental Disorders
  • Global Health

Background:

  • Assessing neurodevelopmental status in children is crucial for early intervention.
  • Existing tools may be complex or inaccessible in resource-limited settings.
  • Simplified screening instruments are needed for routine pediatric care.

Purpose of the Study:

  • To evaluate the feasibility of using a simplified Developmental Milestone Chart (DMC) for neurodevelopmental assessment.
  • To assess the tool's acceptability, practicality, and implementation by medical practitioners.
  • To determine the DMC's utility in resource-limited rural settings.

Main Methods:

  • A simplified Developmental Milestone Chart (DMC) was used by medical practitioners.
  • Assessments were conducted during regular health checkups for children aged 1 month to 8 years.
  • 256 children were recruited in three sub-districts in Bangladesh.

Main Results:

  • 41.8% of children (107/256) failed at least one developmental milestone.
  • Motor milestones were most frequently missed (75.6%).
  • Medical practitioners found the DMC acceptable, practical, and implementable for screening.

Conclusions:

  • The simplified Developmental Milestone Chart (DMC) is a feasible tool for neurodevelopmental screening in resource-limited areas.
  • The DMC can be effectively administered by medical practitioners in rural settings.
  • Further research is necessary to validate the DMC for routine clinical practice.

Keywords:
Bangladeshdevelopmental milestonesdevelopmental screeningearly diagnosislow- and middle-income country (LMIC)

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