Screening for Neurodevelopmental Impairments among less than 2 Years Old Children in a Tertiary Care Hospital in Dhaka city


  • UKM Nazmun Ara Resident Physician, Department of Paediatrics, Dhaka Medical College Hospital, Dhaka
  • M Ekhlasur Rahman Professor & Head, Department of Paediatrics, Dhaka Medical College, Dhaka
  • Naila Zaman Khan Professor, Child Neurology & Development, Bangladesh Institute of Child Health, Dhaka
  • Md Sk Shahid Ullah Assistant Professor, Department of Microbiology, OSD, Director General of Health Services, Dhaka
  • Md. Abdullah Yusuf Assistant Professor, Department of Microbiology, National Institute of Neurosciences & Hospital, Dhaka



Neurodevelopmental Impairments, children, NDIs, cognitive impairment


Background: Neurodevelopmental impairment is an important issue in the context of normal growth of the children.

Objective: The purpose of the present study was to find out the magnitude of neurodevelopmental impairments (NDIs) in young children in a tertiary care hospital

Methodology: This cross sectional study was conducted in the Department of Paediatrics at Dhaka Medical College Hospital (DMCH) from January 2010 to June 2010 for a period of six months. All children with the age of 0 to 2 years irrespective of sex attended at the study place were selected as study population. Children getting developmental therapy, physiotherapy and anticonvulsant or muscle relaxant were excluded from this study. Development Screening Questionnaire (DSQ) was administered to mothers of children from birth to less than two years of age to assess their childs neurodevelopment. Then again neurodevelopmental assessment was done using a validated Rapid Neurodevelopmental Assessment (RNDA) method of evaluations of all children with positive screening results. RNDA was administered to identify the type of impairments and grades of severity. Items are arranged under the developmental parameters like gross motor, fine motor, vision, hearing, speech, cognition, behavior, and seizures for all age groups and for the age 0 to 1 month, additional primitive reflexes are examined along with other parameters.

Result: Among 234 cases NDIs positive was found in 20(8.5%) cases. Among 20 children 16 (80%) were affected by cognitive impairment, 12 (60%) of each were affected by gross motor and behavioral impairment; 11 (55%) were affected by fine motor, 10(50%) speech, 8(40%) hearing, 7 (35%) visual impairment and 7 (35%) had seizure disorder.

Conclusion: In conclusion NDIs are present in the general population of the Bangladesh with a very significant rate of which cognition is the most frequently involved and affected domain.

Journal of National Institute of Neurosciences Bangladesh, 2015;1(2): 57-61


Download data is not yet available.


Nair MK, George B, Padmamohan J, Sunitha RM, Resmi VR , Prasanna GL et al. Developmental delay and disability among under -5 children in a rural ICDS block. Indian Pediatrics 2009 ; 46 (Suppl1)

Perera H, Weerasinghe D, Silva Y, Weliwatta P, Dharmalatha H N. Outcome of early intervention in infants at risk of developmental delay: a pilot study. Sri Lanka Journal of Child Health 2007; 36: 48-52.

Aly Z, Taj F, Ibrahim S. Missed opportunities in surveillance and screening systems to detect developmental delay: A developing country perspective. Brain & development 2010; 32(2):90-7

Khan NZ, Muslima H, Parveen M, Bhattacharya M, Begum N, Chowdhury S et al. Neurodevelopmental outcomes of preterm infants in Bangladesh. Pediatrics 2006; 118(1):280-9

Khan NZ, Muslima H, Begum D, Shilpi AS, Akhtar S, BA et al. Rapid neurodevelopmental assessment: validation of a new tool for functional evaluation of 0 to 24 month old children in Bangladesh. Pediatrics 2010; 125(4): e755e762.

UNICEF. Monitoring Child Disability in Developing Countries: Results From the Multiple indicator Cluster Surveys. New York, NY: United Nations Children's Fund, Division of policy and Practice; University of Wisconsin school of medicine and public health. 2008

Khan NZ, Muslima H, Shilpi AB, Begum D, Akhtar S, Parveen M, Ferdous S, McConachie H, Darmstadt GL. Validation of a homeâ based neurodevelopmental screening tool for under 2â yearâ old children in Bangladesh. Child: care, health and development 2013;39:643-650

Stoltzfus RJ, Mullany L, Black RE. Iron deficiency anaemia. Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors. Vol 1.Geneva: World Health Organization, 2005: 163209

Black MM, Sazawal S, Black RE, Khosla S, Kumar J, Menon V. Cognitive and motor development among small-for-gestational-age infants: Impact of zinc supplementation, birth weight, and caregiving practices. Pediatrics 2004; 113: 1297305

Lind T, Lonnerdal B, Stenlund H, et al. A community-based randomized controlled trial of iron and zinc supplementation in Indonesian infants: interactions between iron and zinc. Am J Clin Nutr 2003; 77: 88390

WHO. World Health Report 2002: reducing risks, promoting healthy life. Geneva: World Health Organization, 2002

WHO. Arsenic contamination in ground water affecting some countries in the South-East Asia Region. (Accessed March 20, 2006)

Oberklaid F, Efron D. Theme: developmental delay identification and management. Australian Family Physician 2005; 34(9):740-742

Glascoe FP. Screening for developmental and behavioral problems. MRDD Research Reviews 2005;11:173179

American Academy of Paediatrics. Infants and Young Children with Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Identifying Screening. Pediatrics 2006; 108(1):192-196

Gottlieb CA, Maenner MJ, Cappa C, Durkin MS. Child disability screening, nutrition, and early learning in 18 countries with low and middle incomes: data from the third round of UNICEF's Multiple Indicator Cluster Survey (200506). Lancet 2009; 374: 183139

Scheffler F, Vogel D, Astern R, Burgess J, Conneally T, Salerno K. Screening for Communication and Cognitive Disorders in Infants and Toddlers: Typical and Atypical Language and Cognitive Development in Preschool-aged Children. Pediatr Nurs 2007; 33(6):473-480

Heijnen E. An innovative approach to assist early childhood development for rural children with disabilities. Asia Pacific disability rehabilitation journal 2000; 11(1)




How to Cite

Ara, U. N., Rahman, M. E., Khan, N. Z., Ullah, M. S. S., & Yusuf, M. A. (2017). Screening for Neurodevelopmental Impairments among less than 2 Years Old Children in a Tertiary Care Hospital in Dhaka city. Journal of National Institute of Neurosciences Bangladesh, 1(2), 57–61.



Original Research Articles