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Trends in developmental milestone attainment among Israeli children between 2019 and 2024.
Irena Girshovitz1, Guy Amit2, Inbal Goldshtein2
1KI Research Institute, Hod HaSharon, Israel. irena@kinstitute.org.il.
Israel Journal of Health Policy Research
|July 16, 2026
Summary
Developmental milestone failure rates in Israeli children increased slightly from 2019-2023, with widening disparities linked to maternal characteristics during national crises. Parental concern grew, highlighting the need for targeted support.
Area of Science:
- Child Development
- Public Health
- Epidemiology
Background:
- Monitoring developmental milestones is crucial for early identification of at-risk children and intervention planning.
- This study updates developmental milestone attainment trends in Israel from 2019-2023, focusing on the post-COVID-19 period.
- It assesses changes in socioeconomic and regional disparities in child development.
Purpose of the Study:
- To analyze trends in developmental milestone attainment in the Israeli population from 2019 to 2023.
- To evaluate changes in disparities related to maternal and sociodemographic factors.
- To understand the impact of national disruptions on early childhood development.
Main Methods:
- Utilized a dataset of over 1 million children with over 5 million developmental assessments from Maternal and Child Health Clinics (MCHCs).
- Calculated failure rates across language, social, gross motor, and fine motor skills, including parental concern.
- Employed multivariable logistic regression, stratifying data by maternal and family sociodemographic factors.
Main Results:
- Observed a mild overall increase in milestone failure rates between 2019 and 2023.
- Disparities widened based on maternal characteristics (education, marital status, employment, age, immigration) during national disruptions.
- Gaps related to ethnicity and socioeconomic status remained stable or narrowed; parental concern increased.
Conclusions:
- Maternal characteristics strongly predict developmental risk, especially during national crises.
- Emphasizes strengthening parental awareness and early identification of high-risk families.
- Highlights the need for sustained developmental services access during emergencies to promote equity.
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