Global developmental delay (GDD) is a delay in two or more developmental domains of gross/fine motor, speech/language, cognition, social/personal and activities of daily living. Poverty, the root cause of the existence of slums or settlement colonies in urban areas has a great impact on almost all aspects of life of the urban poor, especially the all-round development of children. It is observed 2.5% prevalence of developmental delay in the less than 2 year olds of deprived urban settlements, and the risk factors are low birth weight, birth asphyxia, coupled with poor environment of home and lack of awareness of child care services. Management of GDD involves sophisticated and expensive diagnostic and therapeutic measures which is again unaffordable by this class of patients. Here is a case report of a child 2 years 7 months old with GDD born in a urban poor colony, due to lack of awareness of child care services was deprived from treatment. Clinically the child was assessed for all the areas of developmental delay. After analyzing and individualizing the case a totality was framed on the intra uterine life events, observatory symptoms, observed by the physician and the child’s mother. Sanicula 1M covered the totality which was prescribed in infrequent doses, also silica 6x was given. The follow up assessments were done using Gross motor function measures (GMFM) and WHO recommended growth chart. The Gross Motor Function Measure (GMFM) scale has been one of the most chosen to quantify the evolution of patients after the intervention, because it allows evaluating children with CP from 5 months to 16 years. It is a numerical rating scale, in which a higher score implies better gross motor function. WHO growth chart (0-5) years is applied for the assessment of height, weight, head circumstances (cms) assessed in 4 subsequent follow ups, a linear catch up growth observed with homoeopathic medicine.
During the period of treatment from 9th July 2018 to January 2019 the child showed marked improvement in gross motor/fine motor functions, cognition, social and daily activities. The child is still under treatment.