The first three years of a child’s life are not a waiting period – they are the most intense phase of brain growth a human being will ever experience. According to India’s Ministry of Women and Child Development, 85% of brain development happens before a child turns six, with the bulk of it packed into those first three years. Yet for millions of children across India, this window passes without adequate stimulation, structured care, or timely support. The Navchetna – National Framework for Early Childhood Stimulation for Children from Birth to Three Years, 2024 is India’s focused policy response to this challenge. Developed by NIPCCD and launched under the Poshan Bhi Padhai Bhi initiative, Navchetna provides a practical, evidence-based guide for the people who matter most in a child’s earliest years: parents, Anganwadi workers, and creche workers.

Table of Contents

What is Navchetna, and why does it matter?

Navchetna – which translates roughly to “new consciousness” or “awakening” – is India’s first dedicated national framework focused exclusively on children from birth to three years. Launched by the Ministry of Women and Child Development, it aims to fill the conceptual and practical gaps that had long existed in how early stimulation was understood and implemented at the grassroots level. While previous programmes addressed nutrition and health, structured developmental stimulation for infants and toddlers remained under-addressed – particularly for families without access to expensive early learning resources.

The framework is aligned with the National Education Policy 2020, which recognizes learning as a continuum starting from birth. It sits alongside its companion document, Aadharshila, which covers children aged three to six – together forming a seamless early childhood development roadmap for India’s Anganwadi system, which currently runs 13.9 lakh centres serving over eight crore children under the age of six.

Navchetna draws its theoretical foundation from the WHO’s Nurturing Care Framework (2018), jointly developed by WHO, UNICEF, and the World Bank. That global framework identifies five components essential to early childhood development: good health, adequate nutrition, safety and security, responsive caregiving, and opportunities for early learning. Navchetna specifically focuses on the last two – responsive caregiving and early learning opportunities – and translates them into actionable guidance for the Indian context.

Empowering the real caregivers: parents, Anganwadi workers, and creche workers

One of Navchetna’s defining features is that it does not target specialists or institutions alone – it is built for the people who are already present in a child’s daily life. The framework is explicitly designed to empower caregivers at home, Anganwadi workers, and creche workers for holistic early stimulation, through responsive caregiving and opportunities for early learning, for the optimal development of children – both body and brain.

The principle of serve and return

At the heart of Navchetna is a concept called serve and return. When a baby babbles, reaches out, or makes eye contact, and the caregiver responds – by smiling back, making a sound, or engaging – this back-and-forth interaction literally builds neural connections in the child’s brain. Research underpinning the Nurturing Care Framework confirms that responsive interactions between caregiver and child are foundational to cognitive, language, and social-emotional development. Navchetna makes this principle concrete and actionable for caregivers who may have no formal training in child development.

Love, talk, play – and positive guidance

The framework organizes caregiver behaviour around three core acts: love, talk, and play, along with positive guidance. These are not abstract values – they are practical orientations that shape how a caregiver interacts with a child throughout the day.

  • Love refers to emotional warmth, physical closeness, and consistent responsiveness – helping the child feel safe and secure.
  • Talk means narrating daily activities, singing, naming objects, and maintaining verbal engagement – even with infants who cannot yet respond in words.
  • Play is the primary vehicle for learning in early childhood. It builds motor skills, cognitive ability, language, and social behaviour simultaneously.
  • Positive guidance means using encouragement and gentle redirection rather than punishment or neglect, shaping behaviour while maintaining the child’s sense of security.

Over 14 lakh Anganwadi staff are being trained to implement this framework, ensuring these principles reach children across urban, rural, and tribal communities alike.

A calendar of stimulating activities: 142 activities, month by month

Navchetna does not leave caregivers to figure out what to do on their own. It comes with a detailed Stimulation Activity Calendar – a month-wise guide covering the period from pregnancy through 36 months of age. Each month includes four recommended activities that are developmentally appropriate and cover four key domains: language development, cognitive development, social-emotional development, and motor and physical development – adding up to a total of 142 stimulating activities across the full calendar.

Age-based and contextually appropriate

The framework groups activities into specific age bands – 0-6 months, 7-12 months, 13-18 months, 19-24 months, and 25-36 months – ensuring that activities match what the child’s brain and body are ready for at each stage. In the first year, for example, activities involve reaching for objects, imitating sounds, exploring different textures, and simple manipulation tasks like putting objects into a container. These are precisely the kinds of sensory and motor experiences that build synaptic connections during the brain’s most plastic period.

Low-cost and indigenous materials

A deliberate and important design choice in Navchetna is its emphasis on materials that are already available in the home. The framework promotes the use of everyday items such as cups, bottles, fabric remnants, and household objects as play materials – consciously moving away from expensive, market-bought toys that are inaccessible to most families. This makes the framework genuinely inclusive, since the quality of a child’s early stimulation does not depend on the family’s purchasing power.

The activity calendar is designed to be used flexibly – caregivers are encouraged to observe their child, adjust activities to suit the child’s interests and available materials, and repeat activities across the month at a comfortable pace. The framework also makes clear that activities can be conducted both within the home and at Anganwadi centres or creches, delivered through home visits, monthly meetings, and community-based events – making reach broad and consistent.

Integration with the Poshan Tracker

Provisions from the framework – including weekly activity schedules, home visit guidance, and assessment tools – are being integrated into the Poshan Tracker mobile application, making it easier for Anganwadi workers and caregivers to access and implement activities digitally. This digital integration also enables real-time monitoring of a child’s developmental progress at scale.

Focus on screening, inclusion, and referral for children with disabilities

Perhaps the most significant aspect of Navchetna from a disability and inclusion standpoint is its explicit and structured focus on children with developmental delays and disabilities – referred to as Divyang children in the framework. This is not a peripheral concern but a core feature embedded throughout the document.

Early identification of developmental delays

The framework provides detailed step-by-step instructions for caregivers and frontline workers on conducting early stimulation activities, and also focuses especially on the screening, inclusion, and referrals of children with disabilities. By engaging children in age-appropriate activities and observing how they respond, caregivers are in a position to notice when a child is not meeting expected developmental milestones. This early identification is critical – the sooner a delay or disability is recognised, the sooner intervention can begin, and the better the long-term outcome.

Research published by the American Academy of Pediatrics highlights that children with developmental disabilities in low- and middle-income countries are significantly less likely to access foundational learning and are far more likely to have never attended school. Early identification and timely support during the birth-to-three window can meaningfully change this trajectory.

Inclusive practices and referral pathways

Navchetna does not stop at identification. The framework provides guidance on adapting activities to suit the child’s individual needs and abilities, ensuring that children with disabilities are not excluded from stimulation activities but included within them, with appropriate modifications. Where a child requires specialist support beyond what the Anganwadi worker can provide, the framework outlines a clear referral procedure – guiding workers on when and how to connect families with appropriate professional assessment and intervention services.

This three-part approach – screen, include, refer – is central to Navchetna’s vision of equity. It reflects an understanding that universal access to early childhood stimulation means addressing the specific barriers faced by children with disabilities, not just designing programmes for typically developing children and hoping they are inclusive enough.

Monitoring and counselling as continuous responsibilities

The framework positions the Anganwadi worker not just as an activity facilitator but as a developmental monitor and family counsellor. The Anganwadi worker is guided to use the framework in two ways: first, in conducting stimulation activities to support a child’s growth, and second, in monitoring children’s development and providing counselling to parents. This dual role is especially important for families of children with disabilities, who often need guidance, reassurance, and practical support to navigate what can be a confusing and isolating experience.

A national commitment to the first three years

Navchetna represents a significant shift in how India’s early childhood care system approaches the birth-to-three period. Rather than treating infancy as a phase defined primarily by nutrition and health check-ups, the framework recognises it as a period of extraordinary cognitive, social, and emotional construction – one that demands intentional, structured, and loving engagement. The framework provides a stepping stone for children’s long-term development, aiming to ensure that all children start their learning journeys on an equal footing – regardless of geography, economic background, or disability status.

By placing responsibility – and capability – in the hands of parents, Anganwadi workers, and creche workers, and by providing them with practical tools like the activity calendar, inclusive guidance, and referral pathways, Navchetna makes the case that quality early stimulation is not a luxury. It is a right, and it is achievable with the resources and relationships that already exist in every community.

What do you think? Given that most developmental milestones in a child’s life are set within the first three years, how can Anganwadi workers be better supported – in terms of training, tools, and community trust – to make frameworks like Navchetna work in the most underserved areas? And for children with disabilities, where early identification is especially time-sensitive, what more can be done to ensure the screening and referral pathways in Navchetna are consistently acted upon at the ground level?

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References
  1. https://www.pib.gov.in/PressReleaseIframePage.aspx?PRID=2013429
  2. https://www.wcd.gov.in/offerings/early-childhood-care-and-education
  3. https://www.worldbank.org/en/news/press-release/2018/05/23/nurturing-care-framework-for-early-childhood-development-launched-at-71st-world-health-assembly
  4. https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/child-health/nurturing-care
  5. https://pwonlyias.com/current-affairs/navchetana-activity-based-curriculum/
  6. https://www.iasexam.com/national-framework-of-early-childhood-stimulation-2024/
  7. https://publications.aap.org/pediatrics/article/151/4/e2022056645/190816/The-Nurturing-Care-Framework-and-Children-With
  8. https://www.iasgyan.in/daily-current-affairs/national-framework-of-early-childhood-stimulation-2024
  9. https://www.spniwcd.wcd.gov.in/early-childhood-care-and-education

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Introduction to Disability

1 Understanding Disability

  1. A Brief Historical Perspective
  2. The Changing Perspectives Towards Disability—From Charity to Human Rights Approach
  3. WHO’s International Classification of Functioning
  4. Who are Children with Disabilities?
  5. Sameness in Differences Accepting Diversity
  6. The Purpose of Focusing on both Differences and Similarities
  7. The Inspiring Life of Srikanth Bolla

2 Types of Disabilities’ Causes and Prevention

  1. Use of Appropriate Language for Persons with Disabilities
  2. Types of Disabilities
  3. Causes and Prevention of Disabilities

3 Rights of Persons with Disabilities Act, 2016

  1. A Brief Overview of the Rights of Persons with Disabilities Act, 2016
  2. Some Definitions and Concepts in RPwD Act, 2016
  3. Rights and Entitlements of Persons with Disabilities as per RPwD Act
  4. Provisions for Education and Empowerment
  5. Provisions for Skill Development and Employment
  6. Special Provisions for Persons with Benchmark Disabilities
  7. Special Provision for Persons with Disabilities with High Support Needs
  8. Certification of Specified Disabilities
  9. Constitution of Central and State Advisory Boards on Disability
  10. Provisions for Special Courts
  11. Offences and Penalties under the Act

4 Early Childhood Care and Education- Policies and Frameworks

  1. Defining Early Childhood Years
  2. Types of Service Provision during Early Childhood Years
  3. Benefits of ECCE Programmes
  4. Sustainable Development Goals (SDGs)
  5. ECCE in India: Some Policies and Legislations
  6. National Education Policy, 2020
  7. NIPUN Bharat, 2021
  8. Vidya Pravesh, 2022
  9. National Curriculum Framework for Foundational Stage (NCF-FS), 2022
  10. NAVCHETNA – National Framework for Early Childhood Stimulation for Children between Birth to Three Years, 2024
  11. ADHARSHILA – National Curriculum for Early Childhood Care and Education for Children from Three to Six Years, 2024
  12. Provisions for Children with Disabilities in ECCE Policies and Frameworks

5 Blindness and Low Vision

  1. Introduction
  2. Structure of the Eye and the Process of Seeing
  3. Meaning and Types of Blindness and Low Vision
  4. Censes and Prevalence of Blindness
  5. Characteristics of Children with Visual Impairment
  6. Common Causes of Visual Impairment
  7. Prevention of Visual Impairment
  8. Prenatal Care and Maternal Health
  9. Early Screening and Eye Examination
  10. Vaccination
  11. Prevent and Treat Retinopathy of Prematurity (RoP)
  12. Nutritional Interventions for Children
  13. Prompt Treatment of Eye Infections and Injuries
  14. Genetic Counseling and Education
  15. Access to Eye Care Services
  16. Prevent and Treat Cerebral Visual Impairment (CVI)
  17. Early Intervention and Rehabilitation
  18. Clinical Assessment of Blindness in Classroom Condition
  19. Testing Visual Acuity
  20. Functional Skills Inventory for the Blind
  21. Functional Vision Assessment

6 Management of Blindness and Low Vision in Classroom

  1. Early Childhood Care and Education
  2. Concept of Expanded Core Curriculum
  3. Preparation and Use of Teaching Learning Material
  4. Assistive Technology for Persons with Visual Impairment
  5. Optical and Non-optical Devices for Children with Low Vision

7 Deafness and Hard of Hearing

  1. Meaning and Definition
  2. Classification and Specific Causes of Hearing Loss
  3. Causes of Hearing Loss
  4. Diagnosing Hearing Loss
  5. Hearing Aids
  6. Prevention of Hearing Loss
  7. Management of Hearing Loss
  8. Early Identification
  9. Early Intervention
  10. Early Childhood Care and Education

8 Speech and Language Disability

  1. Understanding Speech, Language and Communication
  2. Nature of Speech and Language Disability
  3. Speech Disorders: Types and Identification
  4. Language Disorders: Types and Identification
  5. Learning Needs of Children with Speech and Language Disabilities
  6. Strategies to Support Learning of Children with Speech and Language Disabilities

9 Intellectual Disability

  1. Nature of Intellectual Disability
  2. Identification and Characteristics of Persons with Intellectual Disability
  3. Prevalence and Causes
  4. Early Identification and Early Intervention
  5. Some Principles for Working with the Child during Early Childhood Years
  6. Providing Early Stimulation to the Child at Home and in the ECCE Setting

10 Specific Learning Disabilities

  1. Understanding the Definition of SLDs
  2. Types of SLDs and their Characteristics
  3. When can SLDs be Identified?
  4. Causes of SLDs — Possible Factors
  5. Identification and Assessment of SLD
  6. Intervention and Support Strategies

11 Autism Spectrum Disorder

  1. Introduction
  2. Meaning and Features of ASD
  3. Prevalence and Causes
  4. Assessment and Diagnosis
  5. Choosing the Interventions
  6. Classroom Management Strategies for Teachers

12 Mental Illness

  1. Understanding Mental Health and Mental Illness
  2. Symptoms of Mental Illness
  3. Types of Mental Illness
  4. Specific Causes of Mental Illness in Children
  5. Assessment and Diagnosis of Mental Illness
  6. Stigma and Mental Illness in Children
  7. Intervention for Mental Illness
  8. Preventive Measures for Mental Illness in Childhood

13 Locomotor Disabilities

  1. Understanding Locomotor Disabilities
  2. Characteristics/ Behavioural Manifestation of Locomotor Disabilities
  3. Specific Causes and Prevention
  4. Assessment
  5. Interventions

14 Muscular Dystrophy

  1. Introduction
  2. Definition and Nature of Disability
  3. Types of Muscular Dystrophy
  4. Physical Characteristics and Behavioural Manifestation
  5. Causes of Muscular Dystrophy
  6. Assessment and Diagnosis
  7. Prevention of Muscular Dystrophy
  8. Management of Muscular Dystrophy
  9. Educational Implications for Pre-primary and Primary Levels

15 Dwarfism

  1. Introduction
  2. Types of Dwarfism
  3. Causes of Dwarfism
  4. Early identification and Treatment of Dwarfism
  5. Challenges Faced by Individuals with Dwarfism
  6. Management of Dwarfism

16 Individuals Affected By Leprosy

  1. Introduction
  2. Definition and Meaning
  3. Types of Leprosy
  4. Symptoms of Leprosy
  5. Impact of Leprosy
  6. Causes and Prevention
  7. Early Diagnosis, Treatment and Rehabilitation
  8. Coping Mechanisms
  9. Education of Children Affected with Leprosy

17 Acid Attack Victims

  1. Understanding Acid Attack
  2. Causes of Acid Attack
  3. Effects of Acid Attacks
  4. Case Studies of Acid Attacks
  5. Prevention of Acid Attacks
  6. Learning Needs of Students with Acid Attack

18 Cerebral Palsy

  1. Cerebral Palsy Definition and Nature?
  2. Effects of Cerebral Palsy
  3. Types of Cerebral Palsy
  4. Causes of Cerebral Palsy
  5. Screening and Early Detection of Cerebral Palsy
  6. Early Signs of Cerebral Palsy
  7. Early Intervention for a Child with Cerebral Palsy

19 Attention Deficit Hyperactive Disorder

  1. Introduction
  2. Meaning and Features of ADHD
  3. Types of Attention Deficit Hyperactive Disorder
  4. Prevalence of ADHD
  5. Causes of ADHD
  6. Assessment
  7. Interventions

20 Haemophilia

  1. Introduction
  2. Nature of the Disability
  3. Types and Causes of Haemophilia
  4. Severity Levels of Haemophilia
  5. Early Signs and Diagnosis of Haemophilia
  6. Impacts of Haemophilia on the Health and Wellbeing of Individuals
  7. Management of Haemophilia
  8. Managing a Child with Haemophilia at School

21 Sickle Cell Disease

  1. Understanding Sickle Cell Disease
  2. Prevalence in India
  3. Symptoms of Sickle Cell Anaemia
  4. Complications of Sickle Cell Anaemia
  5. Cause of Sickle Cell Disease
  6. Types of Sickle Cell Disease
  7. Impact of Sickle Cell Disease on Wellbeing
  8. Prevention of Sickle Cell Disease
  9. Management of Disease
  10. Accommodation in Schools

22 Thalassemia

  1. Introduction
  2. Nature of Thalassemia
  3. Specific Causes
  4. Prevalence
  5. Symptoms and Characteristics
  6. Impact of Thalassemia
  7. Early Detection and Diagnosis
  8. Treatment and Management
  9. Support Services
  10. Educational Interventions for Students with Thalassemia

23 Parkinson’s Disease

  1. Nature of Parkinson’s Disease
  2. Prevalence of Parkinson’s Disease
  3. Causes of Parkinson’s Disease
  4. Symptoms of Parkinson’s Disease
  5. Identification of Parkinson’s Disease
  6. Impact of Parkinson’s Disease on Wellbeing of Individuals
  7. Management of Parkinson’s Disease

24 Multiple Sclerosis

  1. Understanding the Nature of Multiple Sclerosis
  2. Impact of Multiple Sclerosis on Neurons
  3. Symptoms of Multiple Sclerosis
  4. Causes and Risk Factors for Multiple Sclerosis
  5. Progression of the Disease
  6. Impact on Daily Life
  7. Management and Treatment

25 Multiple Disabilities

  1. Introduction
  2. Multiple Disabilities as per Rights of Persons with Disabilities Act, 2016
  3. Some Facts about Multiple Disabilities
  4. Types of Multiple Disabilities
  5. Causes of Multiple Disabilities
  6. Early Intervention
  7. Individualized Education Plan
  8. Enhancing Functional Skills
  9. Task Analysis
  10. Alternative and Augmentative Communication Systems
  11. Total Communication
  12. Assistive Technological Devices for Children with Multiple Disabilities
  13. Therapy and Rehabilitation
  14. Various Settings for Providing Education to Children with Multiple Disabilities