Early intervention guidelines for infants at risk of neurodevelopmental delay using traditional childcare practices

Tanochni Mohanty1, Mallikarjunaiah H S2, Umme Uzma M3

  • 1Department of Physiotherapy, Manipal College of Health Professions, Bengaluru, Manipal Academy of Higher Education, Manipal, Karnataka, India tanochni.mohanty@manipal.edu.

BMJ Paediatrics Open
|November 10, 2025
PubMed

Insights

Traditional Indian child-rearing practices align with early intervention (EI) principles. Videos were created from these practices to train community health workers, supporting early childhood development.

Area of Science:

  • Child Development
  • Public Health
  • Indigenous Knowledge Systems

Background:

  • Neurodevelopmental disorders are a growing concern in India, affecting approximately 1 in 8 children.
  • The first 1000 days of life are critical for brain development and long-term outcomes.
  • Global early intervention (EI) strategies emphasize caregiver involvement and enriched environments, but training for grassroots workers is limited.

Purpose of the Study:

  • To explore traditional Indian child-rearing practices that align with evidence-based EI principles.
  • To develop culturally relevant, easy-to-follow video resources for training grassroots health workers, specifically Accredited Social Health Activists (ASHA).

Main Methods:

  • Conducted 11 focus group discussions with 121 mothers and grandmothers across diverse Indian regions.
  • Gathered insights into daily caregiving routines for infants under 1 year through open-ended prompts.
  • Thematically analyzed transcribed conversations by infant age group (0-12 months) and developed EI videos based on recurring practices, validated by community and expert feedback.

Main Results:

  • Identified common Indian practices like massage, floor play, lullabies, and face-to-face interaction as consistent with global EI principles.
  • Developed video resources from these traditional practices were positively received by caregivers and experts.
  • Videos were found to be clear, culturally relevant, and practically useful for training purposes.

Conclusions:

  • Indian families inherently practice nurturing routines that foster early development.
  • Documenting and disseminating these traditional practices through accessible videos bridges traditional wisdom with modern science.
  • Empowering parents and ASHA workers with these resources can effectively support children's development within the home environment.
Abstract

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