community health worker support
Using a Simple Developmental Checklist in the Community
An anganwadi worker can use a simple developmental checklist by observing each child during normal play and visits across four areas — movement, talking and understanding, social play and self-care — marking milestones as 'yes' or 'not yet', re-checking at the next visit, reassuring families, and referring promptly anyone who is delayed, loses a skill, or whose parent is worried. The checklist screens and flags; it never diagnoses.
You are often the first trusted person to notice when a child in your village is growing a little differently — and that early eye changes everything.
In short
A simple developmental checklist lets you observe whether each child is meeting age-typical milestones in four everyday areas — movement, talking and understanding, playing with others, and doing things for themselves. You are not diagnosing — you are watching, noting, and gently flagging so that a child who needs support reaches it early. Use the checklist at routine weighing days and home visits, record what you see, reassure the family, and refer anyone you are unsure about for a proper developmental check.How to use it in the community
Keep it light, observational and respectful — never a test the child can "fail".1. Watch during normal activity. At the anganwadi or on a home visit, watch the child play, walk, respond to their name and interact. You learn more from natural play than from asking the child to perform.
2. Use simple age-banded questions. For each child, check a few milestones for their age, for example:
- Movement — Does a 12-month-old sit, crawl or pull to stand? Does a 2-year-old walk well and run?
- Talk & understand — Does a 1-year-old babble and turn to their name? Does a 2-year-old use a few words? A 3-year-old, short sentences?
- Social & play — Does the child smile back, point to show you things, play near other children?
- Self-care — Does the toddler feed with fingers, try a spoon, copy simple actions?
3. Note, don't label. Mark each milestone as yes / not yet. "Not yet" is a flag to watch — not a verdict.
4. Re-check at the next visit. Many children simply need a little more time. If a milestone is still "not yet" after a month or two, that is your cue to refer.
5. Refer promptly when something stands out — loss of a skill the child once had, no babble or gesture by 12 months, no words by 16 months, not walking by 18 months, or a parent who is worried. Worried parents are usually right; always honour their concern.
6. Reassure every family. Speak in the home language, in warm plain words: "Let us just keep an eye and get a simple check done — it helps your child do even better." Never frighten a family.
The Pinnacle way
Your checklist spots patterns to watch — it never gives a diagnosis. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care, never from a community checklist or an app. With 70+ centres across 4 states and support in your local language, we can take over the moment you flag a child — see how the journey works and where to send a family for assessment. Your early eye is the most powerful screening tool a community has.Trusted sources
WHO Nurturing Care Framework for early childhood development; CDC "Learn the Signs. Act Early." milestone guidance; AAP developmental surveillance recommendations.Next step — Spotted a child you are unsure about? Help the family book a developmental assessment at a Pinnacle centre.
This is general information, not a diagnosis — a clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre under qualified clinician care.
What to watch
Loss of a skill the child once had; no babble or gesture by 12 months; no single words by 16 months; not walking by 18 months; no two-word phrases by 24 months; little eye contact or response to name; or any parent who is worried — flag and refer.
Try this at home
Watch the child during ordinary play rather than asking them to perform — you learn far more from how a child naturally moves, talks and interacts than from any test, and the family stays relaxed.
Trusted sources
Developed by SETU Consortium · Pinnacle Blooms Network · Last reviewed 2026-06-11 · reviewed every 365 days
This is general information, not a diagnosis. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care.
Frequently asked
Am I allowed to diagnose a child with the checklist?
No. A checklist only helps you observe and flag children who may need support. Diagnosis is never made by a community worker — it is established only by qualified clinicians at a Pinnacle Blooms Network centre after a structured assessment.
What should I do if a parent gets worried?
Reassure them warmly in their own language and explain that a simple developmental check helps their child do even better. Parental concern is usually meaningful, so honour it and help them reach a proper assessment.
How often should I check a child's milestones?
Check at routine weighing days and home visits, and re-check any 'not yet' milestone at the next visit a month or two later. Many children just need a little more time, but a milestone still missing after re-check is your cue to refer.