What Is Child Development Screening and Assessment?

Baby assessed by doctor during development screening at Singapore GP clinic.

Child development screening (CDS) in Singapore is a preventive healthcare measure that monitors a child’s progress across key areas such as motor skills, cognitive ability, language, and social-emotional development. It helps identify potential concerns early and allows for timely referrals for further evaluation and intervention if needed.

Screenings are typically conducted during routine health visits and follow the National Childhood Immunisation Schedule (NCIS). At Central Clinic, we provide child development screenings and vaccinations for children recommended under NCIS.

When Are Child Development Screenings Conducted in Singapore?

Child development screenings follow 7 recommended age-based touchpoints, which can be coordinated with scheduled childhood vaccinations. These touchpoints are:

Age NCIS Vaccination CDS Touchpoint CDS Age Range
At Birth Bacillus Calmette-Guérin (BCG) (Single Dose)
Hepatitis B (Dose 1)
- -
4 Weeks - Touchpoint 1 4-8 weeks
2 Months 6-in-1 Vaccine (Dose 1) - -
3 Months - Touchpoint 2 3-5 months
4 Months 5-in-1 Vaccine (Dose 2)
Pneumococcal (PCV) (Dose 1)
5 Months - - -
6 Months 6-in-1 Vaccine (Dose 3)
Pneumococcal (PCV) (Dose 2)
Touchpoints 3 6–12 months
12 Months Measles, Mumps, & Rubella (MMR) (Dose 1)
Varicella (Dose 1)
Pneumococcal (PCV) (Booster 1)
Touchpoints 4
15 Months MMR + Varicella (Dose 2) - 15-22 months
18 Months 5-in-1 Vaccine (Booster 1) Touchpoints 5
30 Months - Touchpoints 6 24-36 months
48 Months - Touchpoints 7 48-60 months

What Happens During a Development Screening?

Doctor assessing child's vision during developmental screening in Singapore GP clinic.

During a developmental screening, the doctor assesses your child’s development, growth, and behaviour to ensure they are progressing appropriately for their age. This typically includes:

  1. Assessing developmental milestones in four key domains: gross motor, fine motor, language, and personal-social skills, using standardised checklists from the Child Health Booklet.
  2. Conducting a physical examination to identify any medical concerns, such as jaundice, congenital conditions, or hip dysplasia.
  3. Monitoring physical growth, recording your child’s weight, height, and head circumference.
  4. Checking hearing and sensory responses, and arrange referrals if any concerns or abnormal results are identified.
  5. Discussing with you the completed developmental and safety checklists, addressing any concerns you may have, and offering guidance on topics such as nutrition, sleep, home safety, and early learning.

For preterm infants, corrected age is used for screening and growth monitoring up to 24 months.

Preparing for a Development Screening

Parent filling child health booklet checklist before development screening at GP clinic.

Before each developmental screening or vaccination visit, remember to:

  1. Complete the developmental checklist in the Child Health Booklet that corresponds to your child’s age.
  2. Fill in the child safety checklist, which helps identify potential risks in your child’s environment.
  3. Note and share any concerns with the doctor, especially if your child is not meeting expected milestones or if you have observed changes in behaviour.

What Should You Do if There Are Developmental Concerns?

If a developmental concern is identified, your doctor may either schedule a follow-up review or refer your child to a specialist, depending on the nature and severity of the issue. Referrals may include:

  • A paediatrician for growth issues, motor milestone regression, or signs like hypertonia or hypotonia.
  • A developmental specialist for concerns across multiple domains, language delays, or autism red flags.
  • An ear, nose and throat (ENT) specialist or an ophthalmologist if your child shows little response to sound or visual stimuli.

In some cases, referrals are made to the Child Developmental Programme (CDP) at public hospitals.

Are Developmental Screenings Subsidised in Singapore?

Yes, developmental screenings are fully subsidised for Singapore Citizen children when conducted at CHAS GP clinics and polyclinics.

Central Clinic is CHAS-accredited, which means your child is eligible to receive these subsidies for both developmental screenings and nationally recommended vaccinations. Please remember to bring your child’s Health Booklet and relevant identification documents to the visit.

Child Development Screening Price

Service Price
Child Development Assessment & Screening $0 / Fully subsidised for Singaporean Child

Book Child Development Screening Appointment