الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
There are an estimated 200 million children in the world who have a
disability, and the bulk of these children live in low and middle income countries.
Living in these countries places children at risk for disability due to poverty
related health factors, such as anemia and malnutrition. world health organization
has launched Gap action program on mental health which aims for detection and
early intervention to worldwide infant disabilities .the program listed many tests
for developmental screening for both high income countries and low income
countries.
Developmental screening is the process of identifying children who may
have a developmental problem or a delay in one or more domains of development,
or who are at risk of developmental problems in the future. Comprehensive
developmental screening should include consideration of the child‟s physical,
cognitive, language, and social-emotional development and risk factors in the
child‟s background.
Screening provides a quick snapshot of a child‟s health and developmental
status and indicates whether further evaluation is needed to identify potential
difficulties that might necessitate interventions or special education services.
Among fourteen tools listed for low income countries we selected Baroda
screening tool to apply in shebin elkom Menoufia Governerate .The Baroda
Development Screening Test was developed by Phatak and Khuranato assess
motor and mental development of infants in Baroda, India. The tool can be used
for children aged 0 to 30 month(s). It is based on the Bayley Scales of Infant
Development and is composed of 54 items (22 focus on motor and 32 on mental
development) appendices (1, 2). selected items were those found to be simple to
administer not requiring special training, experience, and equipment. The Baroda
Development Screening Test is described as a simple and quick tool that can be
applied by health workers in a door-to-door survey. Its specificity was 65% and
sensitivity 95% when tested in Pune, India, comparing the assessment by health
workers with that by fully-trained testers.
The aim of our work was Establishment of a chart which represents normal
variation of different milestones for Shebin Elkom City infants’ (0-30) months,
which help for early detection of developmental delay.
The focus on this group of age has two main reasons
Children below the age of 3 years have more frequent contacts with health
facilities, an important opportunity for identification. Children at such young age
are more responsive to intervention
Our study is a Cross sectional study of 800 normal infants in Shebin
Elkom Menoufia Governorate (The city and the rural area surround) up to the age
of 30 months. The ages grouped month-wise for the first 12 months ,three
monthly for the next three months and six monthly for the next 12 months ;the
sample of each age group 50 infants.
The age of the infant is calculated by submit the birth date from the current
date and dividing the days over 30 to give the age by months, each age group
included all the infants up to 30 day (example: infant his age 5months and one day included in 6 month age group).