# Early Signs of Speech & Language Delay an Anganwadi Worker Might Notice

Canonical: https://pinnacleblooms.org/ask/what-early-signs-of-speech-and-language-delay-might-a-daycare-or-anganwadi-worker-notice
Publisher: Pinnacle Blooms Network / Bharath Healthcare Laboratories Private Limited

Daycare and anganwadi workers may notice a child who isn't babbling, pointing or using words like peers, rarely responds to their name, or struggles to follow simple instructions or join in play. These are early signs that speech and language need a closer look — not a diagnosis, but a reason to flag gently for a developmental and hearing check. AbilityScore® is part of Pinnacle’s developmental assessment. Diagnosis, where needed, requires an appropriately qualified healthcare professional.

*You see children every day, at play and at snack time — which means you are often the first to notice when a child's words aren't keeping pace with their peers.*

## In short
As a daycare or anganwadi worker, you may notice a child who **isn't babbling, pointing or using words like others of the same age**, who rarely responds to their name, or who struggles to follow simple instructions or join in talk and play. These are early signs that a child's **speech and language** may need a closer look — not a diagnosis, but a reason to gently flag for a developmental check. You are a vital early eye, and noticing early helps a child get support sooner.

## Signs you might notice by age
Every child grows at their own pace, but these patterns are worth gently noting:

- **Around 12 months** — little or no babbling ("ba-ba", "da-da"), not pointing, waving or gesturing, not turning when their name is called.
- **Around 18 months** — using very few or no clear words, not pointing to show you things, not trying to copy simple sounds or words.
- **Around 2 years** — fewer than about 50 words, not joining two words together ("more milk", "go out"), hard to understand even for the family, not following simple one-step instructions.
- **Around 3 years** — speech that strangers find very hard to understand, not making short sentences, not asking simple questions, struggling to join group talk or pretend play.
- **Any age** — seeming not to hear well, losing words they once had, or being frustrated because they cannot make themselves understood.

A child who understands well, plays, and connects with you through eyes and gestures — but is simply a little slow to talk — is often a "late talker" who catches up. The value of your observation is that it prompts a check that can tell the difference. Always note whether the child seems to **hear** clearly, as hearing is the first thing to rule out.

## How to flag it kindly
Share what you notice with the family in a warm, non-alarming way — describe what you see ("he points less than the others") rather than labels. Encourage a free developmental and hearing screening through RBSK or a paediatrician. You are opening a door, not delivering a verdict.

## The Pinnacle way
AbilityScore® is part of Pinnacle’s developmental assessment. Diagnosis, where needed, requires an appropriately qualified healthcare professional — never from an app, a checklist or an observation alone. Your noticing is the first step; our clinicians build the full picture through a [clinician-administered structured assessment](/ask/what-is-the-abilityscore-and-how-is-it-calculated) and, where helpful, [speech and language therapy](https://www.pinnacleblooms.org/top-speech-therapy-center-india-proven-improvement-rate). Learn more about [how children build speech and language](/).

## Trusted sources
WHO ICD-11 (6A01, Developmental speech or language disorders); CDC "Learn the Signs. Act Early." developmental milestones; Indian Academy of Pediatrics; American Academy of Pediatrics (HealthyChildren.org); RBSK developmental screening.

**Next step —** Noticed a child who may need a closer look? Share it kindly with the family and suggest a [speech and language check with a Pinnacle clinician](https://www.pinnacleblooms.org/top-speech-therapy-center-india-proven-improvement-rate).

## Sources
- WHO ICD-11 6A01 · Developmental speech or language disorders: https://icd.who.int/browse11
- CDC — Learn the Signs. Act Early. developmental milestones: https://www.cdc.gov/child-development
- American Academy of Pediatrics — HealthyChildren.org: https://www.healthychildren.org

## Connected topics and perspectives
- Conditions: https://pinnacleblooms.org/ask/conditions
- Early Years Worker: https://pinnacleblooms.org/ask/lens/stakeholder/early_years_worker
- Adaptive: https://pinnacleblooms.org/ask/lens/domain/adaptive
- Support: https://pinnacleblooms.org/ask/lens/intent/support
- Plan: https://pinnacleblooms.org/ask/lens/lifecycle/plan
- Speech Therapy: https://pinnacleblooms.org/ask/lens/route/speech-therapy
- Family Empowerment: https://pinnacleblooms.org/ask/lens/empowerment/family_empowerment

## Related question paths

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- How Speech and Language Delay Affects Daily Life: https://pinnacleblooms.org/ask/how-does-speech-and-language-delay-affect-a-child-s-daily-life
- Is Speech and Language Delay considered a disability?: https://pinnacleblooms.org/ask/is-speech-and-language-delay-considered-a-disability
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- What causes speech and language delay in children?: https://pinnacleblooms.org/ask/what-causes-speech-and-language-delay-in-children
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- What is Speech and Language Delay?: https://pinnacleblooms.org/ask/what-is-speech-and-language-delay
- Speech and Language Delay (ICD-11 6A01) Defined: https://pinnacleblooms.org/ask/what-is-speech-and-language-delay-and-what-are-its-icd-11-features-in-early-childhood
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### Recognise signs & concerns
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- Spotting Speech and Language Delay early: https://pinnacleblooms.org/ask/how-can-a-frontline-health-worker-spot-a-child-with-possible-speech-and-language-delay-early
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- Early Signs of Speech and Language Delay: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-speech-and-language-delay
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- Early Signs of Speech & Language Delay (12–18 Months): https://pinnacleblooms.org/ask/what-are-the-early-signs-of-speech-and-language-delay-in-a-12-to-18-month-old
- Early Signs of Speech and Language Delay at 18–24 Months: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-speech-and-language-delay-in-a-18-to-24-month-old
- Early Signs of Speech and Language Delay in a 2-Year-Old: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-speech-and-language-delay-in-a-2-year-old

### Explore causes & influences
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- Prevalence and Public-Health Burden of Speech and Language Delay in India: https://pinnacleblooms.org/ask/what-is-the-prevalence-and-public-health-burden-of-speech-and-language-delay-among-young-children-in-india

### Understand assessment
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- How Speech and Language Delay Is Assessed in a Young Child: https://pinnacleblooms.org/ask/how-is-speech-and-language-delay-assessed-in-a-young-child
- What does an AbilityScore of 0–100 mean for a child with Speech and Language Delay?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-0-100-mean-for-a-child-with-speech-and-language-delay
- What does an AbilityScore of 100–200 mean for a child with Speech and Language Delay?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-100-200-mean-for-a-child-with-speech-and-language-delay
- What does an AbilityScore of 200–300 mean for a child with Speech and Language Delay?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-200-300-mean-for-a-child-with-speech-and-language-delay
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- What does an AbilityScore of 400–500 mean for a child with Speech and Language Delay?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-400-500-mean-for-a-child-with-speech-and-language-delay
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- What does an AbilityScore of 600–700 mean for a child with Speech and Language Delay?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-600-700-mean-for-a-child-with-speech-and-language-delay
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- Are there successful adults who grew up with Speech and Language Delay?: https://pinnacleblooms.org/ask/are-there-successful-adults-who-grew-up-with-speech-and-language-delay
- Does Speech and Language Delay Get Better or Worse?: https://pinnacleblooms.org/ask/does-speech-and-language-delay-get-better-or-worse-as-a-child-grows
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- How can a counsellor support a child with Speech and Language Delay and their family?: https://pinnacleblooms.org/ask/how-can-a-counsellor-support-a-child-with-speech-and-language-delay-and-their-family
- How can a non-verbal child with Speech and Language Delay communicate?: https://pinnacleblooms.org/ask/how-can-a-non-verbal-child-with-speech-and-language-delay-communicate
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- How can a social worker help a family access services for speech and language delay?: https://pinnacleblooms.org/ask/how-can-a-social-worker-help-a-family-access-services-and-support-for-speech-and-language-delay