In this proposal, the investigator's aim is to adapt the parent-mediated version of the Early Start Denver Model (P-ESDM) and conduct a pilot study to explore the impact of this adapted intervention on child and caregiver outcomes in an African setting. Importantly, this work aligns with an objective of the Federal Interagency Autism Coordinating Committee Strategic Plan: to support community-based studies that assess the effectiveness of interventions in broader community settings including scalable early intervention programs for implementation in underserved, low-resource, and low-literacy populations (12).