Child Rehab and Development

Screening

Using the EI® app, children in the communities are screened for delayed development at any location, including Primary Health Centres, Village Sub-Centres, Anganwadi Centres (Integrated Child Development Scheme), Pre-Schools, schools or directly in their homes.

Screening occurs with use of the Trivandrum Development Screening Chart and Washington Group / UNICEF Child Functioning Module within the EI® app. All children screened positive are flagged in the EI app for further follow-up by the implementation teams.

Child Rehab and Development Services

Comprehensive Assessments are performed at baseline and repeated periodically (usually every 6 months) using the EI® app and include:

  • General Assessment by Community Rehabilitation Workers following the International Classification of Function and Disability Model.
  • Environmental Assessment (looking at home and community factors).
  • Physiotherapy Assessment, GMFM (Gross Motor Function Measure) for children with motor impairment.
  • Speech and Language Assessment evaluation tool for children with communication impairment.
  • Special Education Assessment and FACP (Functional Assessment Checklist for Programming) for children with cognitive impairment.
  • WEE-FIM (Pediatric Functional Independence Measure) for all children.

Parent Outcomes including MCSI (Modified Caregiver Strain Index), FES (Family Empowerment Scale), CI (Caregiver-Child Interaction) for all caregivers.

Goals and Therapy Planning:

  • Families identify and set goals for therapy using the COPM (Canadian Occupational Performance Measure).
  • Rehabilitation Specialists work with families to identify child strengths, impairments and goals and create an individualized Early Intervention plan for each child for a set period (typically 6 month period) 

Delivery of Services:

  • Service delivery varies depending on the process flow and set-up of each organization
  • Service delivery models include community / home based, centre based, school based, mobile clinics, tele-rehab or a combination of these
  • Referral to Medical or Surgical Specialists through camps occur to support medical needs of children 
  • Provision of Assistive Devices and Technology (wheelchairs, walkers, postural devices, hearing aids, communication aids, etc.) through assessment and delivery camps are also organized

Community and Parent Supports:

School Enrollment and Inclusion

  • Enabling Inclusion® programs  

Research

See our publication below which highlights how the Enabling Inclusion® program and app improved rehab worker job satisfaction,  child development, program engagement and school enrollment.  

Krishna D, Mutthukarrupan S, Bharathwaj A,  Ponnusamy R, Srinivasan, S, et al.  Rapid-cycle evaluation in an early intervention program for children in South India: optimizing service providers’ quality of work-life, family program engagement and school enrollment. Frontiers in Public Health. (2020).

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