DOI: https://doi.org/10.53350/pjmhs22168518 ORIGINAL ARTICLE 518 P J M H S Vol. 16, No. 08, August 2022 Perspective of Parental Satisfaction with Academia of Children with Down Syndrome and Intellectual Disability MAHAM ASHRAF 1 , MUHAMMAD AZZAM KHAN 2 , BAREERA SAEED 3 , SABA AZIZ 4 , FAHAD MASOOD 5 , MUHAMMAD AHMED 6 , ARSLAN SALEEM CHUGTAI 7 1 Speech Language Pathologist, Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, The University of Lahore. 2 Lecturer, Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, The University of Lahore. 3 Senior Lecturer, Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, The University of Lahore. 4 Lecturer, Avicenna Medical College & Dental Hospital, Lahore. 5 Senior Lecturer, Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, The University of Lahore. 6 Assistant Professor, Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, The University of Lahore. 7 Senior Lecturer Biostat, Shalamar School of Allied Health Sciences, Lahore. Correspondence to: Maham Ashraf ABSTRACT Background: Down syndrome is the disorder in which physical, mental, and functional deformity is present due to trisomy twenty one, the existence of three chromosomes instead of two normal chromosomes in human genome. Children who have intellectual disability they have neurodevelopmental deficit regards to limited in intellectual operation and adaptive behaviors. One of the safeguards variables as a favorable adaptability to a challenging conditions, like managing a handicapped kid, is marital satisfaction. Higher levels of marital happiness are linked to reduce depression levels, less parenting stress, and better parental planning (Kersh, Hedvat, Hauser-Cram, & Warfield, 2006) Objective(s): To find out parental satisfaction with academia of Down syndrome and Intellectual disability in Pakistan. Methodology: A standardized tool PSCDDI is used and data were collected from special education school of Lahore and Gujranwala city. Data were collected from 385 parents of down syndrome and intellectual disable child parents through questionnaire which were provided to parents and take their opinion. After data collected we analyze the data and concluded the results. Results: In this study we find out that parents are unsatisfied to academic performance of their child most of child and most of the parents are not sure and disagree. Down syndrome child are 38.9% and 60.9% child were intellectual disable and they are all in pre to 3 rd grade. Most of the child were in the age range of 5- 8 years. The parents of DS and ID child have non- Consaginous marriage is 53.6% and 46.4% are Consaginous marriage. Conclusion(s): The overall study of parental satisfaction towards the developmental disability of their children shows unsatisfaction. . In Pakistan parents who have their children with disability faced many challenges in society. Keyword: Down syndrome, intellectual disability, parental satisfaction, academia INTRODUCTION Down syndrome is the disorder in which physical, mental, and functional deformity is present due to trisomy twenty one, the existence of three chromosomes instead of two normal chromosomes in human genome(1). In the previous years, DS were center of attentiveness. Down syndrome is the gene- transmitted disease in which prominent facial features as well as several level of comprehension disability are shown. Individual of Down syndrome have numbers of congenital abnormalities. There are three kinds of trisomy 21, Free trisomy 21, mosaic trisomy 21, and Robertsonian translocation trisomy 21. There are tests available before and after birth which are very often use for diagnosis of different disorders having same causes. For good prognosis it is important that clinical diagnosis as early as possible(2). Down syndrome is the most common chromosomopathy characterized by the regular presence of intellectual disabilities at various levels report that it is frequently accompanied with organ system and linguistic issues(3). Children who have intellectual disability they have neurodevelopmental deficit regards to limited in intellectual operation and adaptive behaviors. These abnormalities arise and evident ago 18 years, and it is related to significant counting of associated co exist issues having mental health for example depression and anxiety, neurodevelopmental for example ASD and ADHD and also neurological for example infantile CP and different medical states. Intellectual functioning is commonly said intelligence and involve broad level of mental tasks like capacity of logical and reasoning and practical intelligence like problem solving capacity in education, spoken communication and vise versa. It evident and show their own into ability, behaviors and thinking and feelings. Particularly intellectual functioning is definable as the worldwide ability which give permission to understand reality and link with it. Intellectual functioning is generally calculated by the intelligence quotient (IQ), that mean a total result get from systematize testing (IQ test ) start for judge human intelligence. These abnormalities shows as deficiency in social and mental and daily tasks. Social abilities having individual abilities, social duties, self respect, sensible, innocence, change in social issues, and capacity to obey laws of society and follow the rules. Mental abilities include the ability to know time, money matters and language(4). One of the safeguards variables as a favorable adaptability to a challenging conditions, like managing a handicapped kid, is marital satisfaction. Higher levels of marital happiness are linked to reduce depression levels, less parenting stress, and better parental planning (Kersh, Hedvat, Hauser-Cram, & Warfield, 2006) (1). Down syndrome was linked to the lowest levels of behavior problems and the greatest levels of mother well-being(5). The issue of providing better support for intellectually disabled children so that they can attend mainstream education has received a lot of attention in recent years all across the world(6). Literacy is a necessary skill in today's culture. Literacy skills are especially crucial for people with intellectual disabilities (ID), who have considerable difficulties in both cognitive Adaptive and functional behavior (APA, 2013; Schalock et al., 2010) (7). Special education services are required for children with special needs who have developmental needs (tuna grahita) in accordance with the Law of the Republic of Indonesia concerning the National Education System No. 2 of 1989 (in article 11 paragraph 4 and article 38) and reaffirmed in the RI Law concerning the National Education System No. 20 of 2003 (in article 3 paragraph 1), Special education is defined as "education for students who have a level of difficulty," according to this definition (Bandi, 2006: 55)(8). The current study focused on the skills, knowledge, and attitudes that instructors need to teach children with moderate and severe intellectual impairments in inclusive and special education settings. Qualitative content analysis was performed to categorize these abilities, knowledge, and attitudes based on investigative group conversations with teachers and principals(9). Parents of children with learning problems confront a variety