Parents’ perception on early identification for 2-7 years old children with developmental delay

Abstract

Early identification of developmental delays is crucial for improving long-term outcomes in children, yet parental awareness and systemic barriers often hinder timely intervention. This qualitative study explores parents’ perceptions of early identification for children aged 2–7 in Dhaka, Bangladesh, through six in-depth interviews (IDIs) and two focus group discussions (FGDs). Findings reveal significant gaps in parental knowledge, with many attributing delays to natural growth variations or cultural beliefs. Financial constraints, familial pressures, and stigma further delay help-seeking, while systemic barriers like long wait times and limited access to services exacerbate challenges. Educated parents demonstrated proactive engagement, whereas low-income families prioritized immediate survival needs over developmental concerns. Recommendations include community-based awareness programs, mobile screening units, and policy reforms to integrate developmental screening into routine healthcare. By addressing cultural, economic, and structural barriers, stakeholders can enhance early detection and intervention, ensuring equitable support for all children.