Growth is the progressive increase in the size of a kid or parts of a child. Development is a term of progressive acquisition of different types of skills, abilities those are as following head support, speaking, learning, expressing the feelings and relating with other people. Growth and development are go together but at involves in different rates. Importance of the child growth and development The assessment of growth and development is very helpful in finding out the state of Child health and nutrition of a child . Normal growth of a child and development indicate a good state of health and nutrition of a child. Abnormal growth or growth failure is a symptom of illness or disease. so the measurement of growth is an essential component of the physical examination. Some of the Factors affecting growth and development are as following Each child’s path or pattern of growth and development is differ compared to one to another it will be based on genetic and environmental