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Childhood Developmental Screening (CDS) is conducted as part of preventive care for all children, with the aim of identifying children at risk of developmental delay for early intervention.
There are seven recommended touchpoints spread across the first 6 years. Each screening visit includes a combination of growth monitoring, physical examination and developmental check on the four domains: personal-social, fine motor, gross motor and language. These screenings are typically conducted together with the recommended childhood vaccinations.
The recommended touchpoints for CDS and National Childhood Immunisation Schedule (NCIS) vaccination visits are listed in Figure 1 below.
Figure 1: Recommended touch points for CDS and NCIS vaccination visits:
FOOTNOTES:• D1, D2, D3: Dose 1, Dose 2, Dose 3• B1, B2: Booster 1, Booster 2• 10-11, 12-13, 13-14 years: Primary 5, Secondary 1, Secondary 2 (Tdap, IPV, HPV (for females) and MMR (as catch-up) vaccines are provided as part of Health Promotion Board'sschool-based vaccination programme)• MMR: Only the dose 2 is recommended to be given as part of the MMRV vaccine• Hep B: Doses 2 and 3 are recommended to be given as part of the 6-in-1 vaccine at 2 and 6 months, respectively• Please visit Primary Care Pages (www.primarycarepages.sg) for the NCIS.• 1 Clinicians may wish to conduct the CDS together with vaccinations at 3 months old for children starting on 5-in-1 (DTaP/IPV/Hib) schedule, and at 4 months for children starting onthe 6-in-1 schedule.
Please refer to MOH Circular 183/2020 Guidance on childhood developmental screening for more information.
Full Subsidies for Childhood Development Screening:
To improve the affordability and accessibility of child health services in the community, Singaporean children will receive full subsidy for the seven childhood developmental screening milestones at all CHAS GPs with effect from 1st November 2020. A child who is a Singapore Citizen (SC) is eligible for up to one subsidised CDS visit for each milestone within the specific age ranges in Figure 1. MOH will be providing subsidies of $40 for each CDS visit to fully offset the screening charges for the child.
Please refer to MOH FCM No. 41/2020 Extension of Subsidies for Nationally Recommended Vaccinations and Childhood Developmental Screening (CDS) at All Community Health Assist Scheme (CHAS) GP Clinics for more information.