Hesperian Health Guides
Appendix A: Child Development Charts
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How to use these child development charts
Children develop in several main areas: physical (body), mental (mind), communication (gesturing or talking), and social (relating to other people). Some skills a child learns include all these areas. For example, when a child reaches her arms up to be held, she is using a:
- physical skill – she holds up her arms.
- mental skill – she recognizes you.
- communication skill – she tells you what she wants.
- social skill – she enjoys being held by you.
The charts below show some of the skills children learn and when most children learn them. You can use the chart to get general information about how children develop and to help you decide what skills the child needs to learn. For a print quality version of these charts, click here.
To help you decide what skills the child needs to learnFind the chart for the age group closest to the child’s age. On the chart, circle the skills your child has. You may find your child does not have some skills that other children his age have. Knowing this can help you decide which activities you want to work on with the child. ![]() In the chart above, a mother has circled the skills her 20-month-old daughter can do. Her child needs activities to help her gain physical and communication skills.
Each part of this circle shows a different area of development. The pictures and words are examples of skills that many babies have when they are 3 months old.
![]() 3
months
old
Communication
Mental
Social
Physical
![]() responds to
familiar voices or faces ![]() reacts to
sudden sounds or movements ![]() recognizes main caregivers
![]() cries when hungry or uncomfortable
![]() can be
comforted by voice or touch ![]() smiles when
played with ![]() is aware of hands
![]() sucks on breast
![]() lifts head up when on belly Babies who cannot do 2 skills in any part of the circle will benefit from activities that help babies develop in that area. But the pictures are only examples of skills. For example, in the Communication part of the circle: you do not have to play the flute! The question to ask yourself is if your baby reacts to a sudden sound.
Keep in mind that a baby will learn best by doing activities that other babies the same age do in your community.
Each part of this circle shows a different area of development. The pictures and words are examples of skills that many babies have when they are 6 months old.
![]() 6
months
old
Communication
Mental
Social
Physical
![]() makes simple
sounds or gestures aaah
![]() turns head toward sounds
or movements ![]() picks up things and puts them
in mouth ![]() plays with toys in different ways
![]() is interested in objects
![]() shows fear
with strangers ![]() makes requests for attention
![]() recognizes several people
![]() rolls from stomach to back
and from back to stomach ![]() sits with
some support ![]() wiggles and kicks arms and legs Babies who cannot do 2 skills in any part of the circle will benefit from activities that help babies develop in that area. But the pictures are only examples of skills. For example, in the Physical part of the circle: your baby does not have to play with a rattle. The question to ask yourself is if your baby wiggles and kicks.
Keep in mind that a baby will learn best by doing activities that other babies the same age do in your community.
Each part of this circle shows a different area of development. The pictures and words are examples of skills that many babies have when they are 12 months old.
![]() 12
months
old
Communication
Mental
Social
Physical
understands simple
words or signs Give it
to me. ![]() ![]() ![]() begins to babble
by joining sounds together, or repeats hand shapes begins to name things
ba-ba
ga-ga wa wa
![]() learns that an object exists even if it is
out of sight ![]() works to solve simple problems
![]() begins to
understand cause and effect ![]() uses
gestures ![]() cries when caregiver leaves
![]() begins to enjoy social
games like peek-a-boo ![]() sits without help
![]() crawls
![]() pulls to standing position
Babies who cannot do 2 skills in any part of the circle will benefit from activities that help babies develop in that area. But the pictures are only examples of skills. For example, in the Social part of the circle: you do not have to play peek-a-boo with your baby. The question to ask yourself is if your baby enjoys social games.
Keep in mind that a baby will learn best by doing activities that other babies the same age do in your community.
Each part of this circle shows a different area of development. The pictures and words are examples of skills that many children have when they are 2 years old.
![]() 2
years
old
Communication
Mental
Social
Physical
uses 2 and
3 word sentences play
ball ![]() papa
papa
![]() ![]() uses
simple words imitates single
words or signs cup
![]() matches
objects ![]() uses objects related to
each other ![]() pays attention to
activities for longer times ![]() plays alongside
other children ![]() imitates caregivers
![]() asks others
when she needs help ![]() stacks large
objects ![]() walks
![]() squats Children who cannot do 2 skills in any part of the circle will benefit from activities that help children develop in that area. But the pictures are only examples of skills. For example, in the Mental part of the circle: your child does not have to be able to play a drum. The question to ask yourself is if your child uses 2 objects together.
Keep in mind that a child will learn best by doing activities that other children the same age do in your community.
Each part of this circle shows a different area of development. The pictures and words are examples of skills that many children have when they are 3 years old.
![]() 3
years
old
Communication
Mental
Social
Physical
![]() Where's
your mouth? ![]() communicates clearly
I want to go
with papa understands most
simple language
![]() fits shapes into
matching holes or spaces ![]() sorts
objects ![]() takes things apart and puts them together
![]() likes to be praised after
doing simple tasks Thank you
for helping ![]() enjoys helping
around the house ![]() is aware of people's feelings
![]() runs, jumps, climbs
![]() uses hand for
more complex tasks ![]() throws a ball Children who cannot do 2 skills in any part of the circle will benefit from activities that help children develop in that area. But the pictures are only examples of skills. For example, in the Social part of the circle: your child does not have to sweep the floor. The question to ask yourself is if your child enjoys helping work with the family.
Keep in mind that a child will learn best by doing activities that other children the same age do in your community.
Each part of this circle shows a different area of development. The pictures and words are examples of skills that many children have when they are 5 years old.
![]() 5
years
old
Communication
Mental
Social
Physical
![]() I fell in
the water ![]() asks many questions
Who is
over there? What are they doing? talks about what
he has done
![]() follows simple
directions ![]() does
simple puzzles ![]() understands
counting ![]() understands rules
![]() plays with other children
![]() I'm sad.
I'm sorry.
expresses
many feelings ![]() copies simple
shapes ![]() easily walks
backwards ![]() hops on one foot
Children who cannot do 2 skills in any part of the circle will benefit from activities that help children develop in that area. But the pictures are only examples of skills. For example, in the Social part of the circle: your child does not have to be listening to a teacher. The question to ask yourself is if your child understands rules like other children do.
Keep in mind that a child will learn best by doing activities that other children the same age do in your community.
This page was updated:25 Oct 2024
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