We would like to thank Dr Unni [1] for highlighting his
concerns regarding specific learning disability (SLD) and
bringing such an important yet not so common issue into
limelight. The greatest hurdle lies in identifying these
children so that only the deserving child gets the benefit
if SLD forms part of Disability Act. The developed countries
were early to recognize and quick to act on such issues.
India is a vast multilingual country. It is not possible to
apply any Western tool directly to our children due to
different social and educational structure and the norms
will vary. The SLD battery test developed and validated by
National Institute of Mental Health and Neurosciences
(NIMHANS) [2], does not have proper norms. Moreover the tool
does not cover the cognitive aspect. We need a foolproof
tool to find the prevalence of SLD in public and private
schools. First generation learners should be excluded or
else the prevalence will be high as environment plays an
important factor in the development of the child.
For disability benefit or relaxation in
education board norms, who will certify children with SLD?
This certificate should come from a team of personnel and
should have a uniform system throughout the country. With
similar issues in mind, we have teamed up with psychologist
and special educators for a study to develop a pediatrician-friendly
checklist for SLD to screen children in clinics. Department
of Science and Technology, West Bengal showed interest and
advised us to extend our work to English, Hindi and Bengali
language. We are associated with a project funded by WB
Government entitled "Development of a diagnostic tool for
clinical assessment of specific learning disability and
prevalence of specific learning disability in English, Hindi
and Bengali medium primary school-going children in West
Bengal". The pilot work is ongoing and hopefully, in a
couple of years, will be able to generate a diagnostic tool
with norms appropriate for India. Cognitive development is
conceptualized as one of the important issues to identify
SLD. The problem needs to be addressed at the mass level all
parts of the country. Only then can we come to a unanimous
decision as to the specific tool and intervention.
References
1. Unni JC. Specific learning disability
and the amended "Persons With Disability Act". Indian
Pediatr. 2012;49:445-7.
2. Mogsale V, Patil VD, Patil NM, Mogsale V. Prevalence
of specific learning disabilities among primary school
children in a South Indian city. Indian J Pediatr.
2012;79:342-7.