Diagnostic tool for neuromotor impairment for primary care physician.

Developmental delay refers to children who experience significant variation in the achievement of expected milestones for their actual or adjusted age. Developmental delays are caused by poor birth outcomes, inadequate stimulation, malnutrition, chronic ill health and other organic problems, psychological and familial situations, and other environmental factors. While developmental delay may not be permanent, it can provide a basis for identifying children who may experience a disability [1]. The average global prevalence of moderate and severe disability is about 5% in children aged 0-14 years; it is more common among children in the lowand middleincome countries [2]. As the Millennium development goal era comes to an end, the health policy focus post2015 is widening beyond survival to include wellbeing and human capital, with increasing importance of disability, non-communicable diseases and mental health [3]. Early identification of children with developmental delay or disabilities allows for timely referral for developmental interventions as well as diagnostic evaluations and treatment planning [4]. It also has the potential to provide much needed epidemiological data for development of policies, strategic planning, identification of key interventions, and service provision.