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Asha Phc
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Signs & concerns
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Signs & concerns
What Cognitive milestones should my newborn have reached?
Newborns don't have a cognitive milestone checklist — early thinking shows as alertness: noticing faces, calming to your voice, brief tracking by 6–8 weeks and a first social smile around 6 weeks. Watch for never being alert, no startle to sound, or no fixing on faces by 2–3 months, and raise these with your paediatrician.
Read the answer AnswerWhat cognitive warning signs should an ASHA worker act on?
Act on cognitive warning signs when a child is not learning, understanding or playing as expected for their age — and most urgently on any loss of skills already gained. The ASHA role is to notice the pattern and refer to the PHC Medical Officer, never to diagnose. Two or more signs together, a clear lag behind peers, or any regression warrant a developmental check with hearing and vision review.
Read the answer AnswerWhat Communication milestones should a frontline worker check during routine visits?
On routine visits, frontline workers should check that a child listens and responds to sound, babbles, uses gestures, says first words by 16 months, and joins two words by 24 months. Act on any loss of skills or parental concern, refer for a hearing check in parallel, and route delays for a developmental assessment.
Read the answer AnswerWhat Communication milestones should my 12-to-18-month-old have reached?
By 12–18 months most toddlers say their first words, point to share interest, follow simple one-step requests, and use gestures like waving. Understanding outpaces speech at this age. Consider a developmental check and hearing test if there are no words, no pointing, no response to name by 18 months, or any loss of skills.
Read the answer AnswerWhat Communication milestones should my 18-to-24-month-old have reached?
By 18–24 months most toddlers grow from about 20 words to 50+, start joining two words, follow simple instructions, and point to share interest. Communication has a wide normal range — steady progress matters most, and a clinician can guide you if words feel slow.
Read the answer AnswerWhat Communication milestones should my 2-year-old have reached?
By age 2, most children use 50+ words, begin joining two words together, follow simple instructions, and point to name familiar objects. They understand more than they can say. A gentle check is worth it if your child uses very few words, isn't combining words, or rarely gestures.
Read the answer AnswerCommunication milestones for your 3-to-6-month-old
By 3–6 months most babies coo, gurgle and laugh, smile back at you, turn towards voices and sounds, and take playful back-and-forth turns. Milestones are guides, not deadlines — but if your baby doesn't smile, make sounds or react to sound by 6 months, ask for a developmental and hearing check.
Read the answer AnswerWhat Communication milestones should my 3-year-old have reached?
By age three, most children speak in short three-word-plus sentences, follow two-step instructions, ask questions, and are understood by familiar adults much of the time. These are guideposts, not deadlines — every child grows at their own pace, and one missed step alone is rarely a worry.
Read the answer AnswerWhat Communication milestones should my 4-year-old have reached?
By four, most children speak in clear 4–5 word sentences, tell short stories, follow two-to-three step instructions, ask many questions, and are understood by strangers about 75% of the time. Children bloom at their own pace; a friendly speech check helps if your child is rarely understood, isn't combining words, or has lost skills.
Read the answer AnswerCommunication milestones for your 5-year-old
By five, most children speak in clear full sentences strangers understand, tell short stories, ask many questions, use correct grammar, and hold real conversations. These are signposts, not a stopwatch — a friendly screen helps if speech is unclear or sentences stay very short.
Read the answer AnswerWhat Communication milestones should my 6-to-9-month-old have reached?
Between 6 and 9 months, expect babbling with repeated syllables, turning to voices, beginning to respond to their name, and using sounds, smiles and gestures in playful turn-taking. These are guideposts, not a strict checklist — babies vary, and warm daily talk helps most.
Read the answer AnswerCommunication milestones for your 6-year-old
By six, most children hold full conversations, tell connected stories, follow multi-step instructions, speak clearly to strangers, use mostly correct grammar, and begin linking sounds to letters. Children vary; steady progress matters most. Seek a check if speech is unclear, instructions are hard to follow, or communicating causes frustration.
Read the answer AnswerCommunication Milestones: 9-to-12-Month-Old
By 9-12 months most babies babble in long strings, respond to their name, understand "no", wave and point, and may say one or two meaningful words by 12 months. Gestures matter as much as words. These are guides, not deadlines.
Read the answer AnswerWhat Communication milestones should my newborn have reached?
Newborns (0–3 months) communicate through crying, calming to a familiar voice, brief eye contact, and — around 6–8 weeks — first social smiles and cooing. They have no words or babble yet, and that is completely normal. Respond warmly to every cry and coo to build the foundation for language.
Read the answer AnswerWhat communication warning signs should an ASHA worker act on?
An ASHA worker should act on missed communication milestones, parental concern, or any loss of skills — no babble or gesture by 12 months, no single words by 16 months, no two-word phrases by 24 months, or speech others cannot understand by 3 years — by routing the family to a developmental check and hearing test, never by diagnosing.
Read the answer AnswerWhat Does a Delay in Achievement & Growth Mean for My Child?
A delay in Achievement & Growth (ICF d155) means your child is taking longer to learn, retain and build on new skills — at ages 3–7 this is a reason to look closely and offer early support, not a diagnosis. Watch for slow skill-building, not carrying skills forward day to day, difficulty completing simple tasks, or frustration with new learning. Early, targeted help works best, and a clinical assessment gives you clarity.
Read the answer AnswerWhat a Delay in Achievement Means for Your Toddler
In toddlers, "Achievement" means the everyday learning steps you can see — exploring, problem-solving, imitating, remembering and picking up new skills. A delay means one or more arrives later than expected; it is not a diagnosis or a fixed limit, but a signal to seek a gentle developmental check now. Watch for not imitating play, little problem-solving, slow learning of words or routines, trouble following simple requests, or any loss of a skill. Early support in the toddler years works beautifully.
Read the answer AnswerWhat Does a Delay in Adaptive Skills Mean for My Child?
Adaptive skills are the everyday self-help abilities a child uses to manage daily life — eating, dressing, washing, toileting and following routines. A delay means your child is taking longer than peers to master some of these; it is not a diagnosis. Seek a developmental check if self-care lags well behind peers, routines feel hard, or the delay travels with differences in talking, attention or coordination — because early, playful support works beautifully at this age.
Read the answer AnswerWhat does a delay in Attachment mean for my child?
A delay in attachment means your toddler's trusting bond with you is forming more slowly or differently — not that it cannot grow. At 12–36 months, watch for limited comfort-seeking, little checking back to you, few shared smiles, or going indiscriminately to strangers. These are reasons for a gentle developmental check, not a diagnosis, because responsive early support works best at this age.
Read the answer AnswerWhat does a delay in Attention and Inhibition mean for my child?
A delay in Attention and Inhibition means your 3-to-7-year-old is finding it harder than peers to focus, wait, or pause before acting — part of the slow-maturing executive-function system. It is a reason for a calm developmental check, not a diagnosis. Seek a review if the difficulties show across home, preschool and play, are clearly more than same-age peers, and get in the way of learning or friendships. Early, tailored support helps these skills grow strongly.
Read the answer AnswerWhat does a delay in attention mean for my child?
A delay in attention means your toddler takes longer to settle, look, listen or stay with an activity than typical for their age. In the toddler years attention is naturally short and active, so this is a reason to observe and seek a gentle check — not a diagnosis. With early, playful support, attention skills usually strengthen well.
Read the answer AnswerWhat does a delay in Autonomy mean for my child?
Autonomy means your toddler's growing ability to do small everyday things themselves — feeding, dressing, washing, making simple choices. A delay between 12 and 36 months usually means these self-help skills are emerging more slowly than expected; it is not a diagnosis, and often responds well to gentle, playful practice. Seek a developmental check if the delay is significant, skills are lost, or it travels with communication or motor concerns — because early support works best.
Read the answer AnswerWhat does a delay in Awareness mean for my child?
Awareness is your toddler's early ability to notice and respond to people, sounds and what's happening around them. A delay means these skills are taking longer to build than expected — not a diagnosis, but a good reason for a calm developmental check. Watch for not turning to their name, not following your point or gaze, little interest in faces or changes, and few shared moments of joint attention. A check also confirms hearing and vision are clear. Early, playful support between 12 and 36 months works beautifully.
Read the answer AnswerWhat does a delay in Balance mean for my child?
A delay in balance means your toddler is taking longer to build the steadiness needed to stand, walk, climb and play — not a diagnosis. Balance develops at different paces, and many toddlers simply need more time and practice. When it appears with other movement concerns, it is a reason for an early developmental check, because gentle support works best early.
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