community health worker support
Using a Simple Developmental Checklist as an ASHA Worker
An ASHA worker uses a simple developmental checklist to observe and ask about age-based milestones during home and immunisation visits — noticing, not diagnosing. Tick 'yes / not yet', always trust the mother's concern, recheck at the next visit, and refer early when gaps persist, a skill is lost, or there are seizures. A clinical AbilityScore® and diagnosis are formed only at a Pinnacle Blooms Network centre.
You are often the first trusted face a family sees — and a simple checklist in your hands can change a child's whole future.
In short
As an ASHA worker, a developmental checklist is your quiet superpower: a short list of age-based milestones you observe and ask about during home visits and immunisation days. You are not diagnosing — you are noticing whether a child is roughly on track for their age, and gently flagging the few who need a closer look. Use it at every contact, trust a parent's worry, and refer early rather than wait. Early action is the single most powerful thing you can do for these children.How to use the checklist, step by step
1. Use the milestones the child should have by their age band. For each age, check a few simple things — does the baby smile back and turn to sound, does the one-year-old babble, point and respond to their name, does the two-year-old join words and follow a simple instruction, can the toddler walk, scribble and play near other children. Government tools such as the RBSK/ICDS milestone cards work well; healthychildren.org also has free milestone checklists you can adapt.*2. Watch and ask. Observe the child for a few minutes, then ask the mother in her own words — "Does he look at you when you call his name? Does she try to say words?"* Mothers notice first; their concern is reliable and you should always record it.
3. Use plain "yes / not yet" — never a score or a label. Tick what the child can do. "Not yet" simply means watch and recheck, not a problem in itself.
4. Recheck at the next visit. One "not yet" at one visit is not alarming. The same gaps continuing across visits, or any loss of a skill the child once had, means refer now.
5. Refer kindly and clearly. Tell the family this is a normal next step to help their child grow stronger — never frame it as bad news.
When to refer without waiting
- No social smile or no response to sound in early infancy
- No babble, pointing or gestures by 12 months
- No single words by 16 months, no two-word phrases by 24 months
- Not walking by 18 months
- Any loss of speech, social connection or skills at any age
- Any fits/seizures, or a child who suddenly stops responding — these need a doctor promptly, not a wait-and-watch
- Any persistent worry from the mother
The Pinnacle way
Your checklist is a screening aid in the community — a clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care, never from a checklist or an app. When you flag a child, you can route the family confidently. Across [70+ centres in 4 states](/), our clinician-administered structured assessment turns your early notice into a clear plan, and therapy support helps the child catch up. You are the bridge — we take it from there.Trusted sources
WHO Nurturing Care Framework on early childhood development and community screening; CDC and healthychildren.org (AAP) developmental milestone checklists; WHO ICD-11 framework for developmental functioning.Next step — Spotted a child who needs a closer look? Help the family book a developmental assessment at the nearest Pinnacle Blooms Network centre — [start here](/).
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
Watch for the same milestone gaps continuing across visits, any loss of a skill the child once had, no walking by 18 months, no words by 16 months — and always act on a mother's persistent concern.
Try this at home
At every visit, ask the mother one open question in her own words — 'What is he doing now that he wasn't doing before?' Her answer often tells you more than any single observation.
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 diagnosing the child when I use the checklist?
No. The checklist is a screening aid only — you are noticing whether a child is roughly on track and flagging those who need a closer look. Any diagnosis or clinical AbilityScore® is formed only at a Pinnacle Blooms Network centre under qualified clinician care.
How often should I use the checklist?
Use it at every routine contact — home visits, growth-monitoring and immunisation days. One 'not yet' at a single visit is not alarming; it is the same gaps continuing across visits, or any loss of a skill, that prompts referral.
Should I refer a child if only the mother is worried?
Yes. A parent's persistent concern is a reliable signal and should always be recorded and acted upon, even if your observation seems reassuring. Refer for a closer look rather than wait.
What needs a doctor urgently rather than a therapy referral?
Any fits or seizures, or a child who suddenly stops responding, needs prompt medical attention — not a wait-and-watch approach. Route these families to a doctor quickly.