Learn the Signs. Act Early. WIC Developmental Monitoring Project


Improve early identification of children with developmental disabilities, so that children and families can get the services and support they need.


A CDC program offering parent-friendly milestone checklists that make developmental monitoring of children, up to 5 years, both practical and easy.


Help state WIC clinics replicate the CDC’s developmental monitoring program model through English and Spanish virtual tools and training.

Good nutrition is important for the healthy development of a child’s mind and body. Children’s growth is monitored by checking their weight and height, while their development is tracked by looking for developmental milestones — how they play, learn, speak, act and move for their age.

Learn the Signs. Act Early. (LTSAE) is an evidence-informed program developed by the Centers for Disease Control and Prevention (CDC) that aims to increase both parent-engaged developmental monitoring of all children’s development and early action on possible concerns.

In 2018, ASPHN began helping states replicate LTSAE’s WIC model into their state’s WIC clinics. Between 2020 and 2022, ASPHN developed and worked with Technical Assistance states to test and provide feedback on virtual tools for promoting developmental monitoring within WIC. We also created a campaign to promote the products to additional states. Some of these include online milestone checklists, a child development training for WIC staff, online participant education modules (WICHealth.org, WIC-ed.com, and WICSmart), developmental milestone content on the WICShopper App, and social media posts, which are all available below.

During Year 5 (July 2022-August 2023), ASPHN will be working with 3 states (New Hampshire, New Jersey, and Rhode Island) to provide funding and technical assistance in order to implement developmental monitoring into a few clinics in each state.

Check out our WIC Developmental Monitoring Project Newsletters for the goings on and latest developments!

2023  |  2022  |  2021  | 2020  |  2019

Participating States

The WIC Developmental Monitoring Project consists of 3 Intensive (funded) States and 20 Technical Assistance (TA) state WIC programs participating in Year 5. ASPHN’s Intensive States include: New Hampshire, New Jersey and Rhode Island. The Technical Assistance States include:

Arkansas, Delaware, Georgia, Hawaii, Iowa, Indiana, Louisiana, Massachusetts, Maine, Maryland, Montana, Nevada, North Dakota, Ohio, Puerto Rico, South Carolina, Texas, Utah, Wisconsin and West Virginia

Educational Resources For Developmental Monitoring in WIC

ASPHN has created and compiled several educational resources for WIC staff on the various aspect of Learn the Signs. Act Early.


These English and Spanish online learning modules introduce the CDC’s free resources to WIC staff in order to engage and educate families about their children’s development. In the course, WIC staff learn about developmental milestones, why monitoring children’s development is important, how to empower parents, and how to support families through referrals for screenings and other services.

English Spanish


Developmental Milestones online education modules for WIC participants have been developed by a task force created by ASPHN. They are available in both English and Spanish on WIChealth.org, WICSmart, WIC-ed.com and ONE by Nutrition Matters. If your state uses one of these online education platforms, simply contact them to see a preview and have it added.

Promotional Flyer


ASPHN partnered with JPMA (WICShopper) to create developmental milestones educational content for WIC participants. JPMA has developed a Developmental Milestones Button and Banner. Any state that uses WICShopper can add these. Contact JPMA to see a preview and have it added. Information includes:

  • What developmental milestones are
  • How to download CDC’s FREE Milestone Tracker App
  • What to do when there is a concern
  • Positive parenting tips, and more.

Implementation Resources for the DM Program in WIC


CDC’s online milestone checklists are available on the “Learn the Signs. Act Early.” website. WIC staff can encourage WIC participants to fill out the online checklist prior to their next appointment and email it to your WIC clinic, where you can then review it with them.



This presentation offers an overview of Learn the Signs. Act Early. including how and why the program was established, where you can find and use the resources, and how you can incorporate it into your WIC clinics.

Power Point


These 2021 sample social media posts and accompanying graphics are designed to promote developmental monitoring in WIC.

Sample Posts


ASPHN HOLDS MONTHLY WEBINARS to provide technical assistance to the Learn the Signs. Act Early participating states.

  • Every month on the 4th Wednesday at 11AM ET

This resource is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of cooperative agreement number NU38OT000279-02. The specific project funded through this cooperative agreement “Replication of the “Learn the Signs. Act Early.” WIC Model” totals $250,000 with 100 percent funded by the National Center on Birth Defects and Developmental Disabilities/CDC/HHS. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement by, CDC/HHS, or the U.S. Government.

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