ESTABLISHMENT OF SHISHU BIKASH KENDRA (Child Development Center)
in Secondary and Tertiary Hospitals Under HPNSDP - HSM (FY 2011-2016)

INTRODUCTION

  • Bangladesh has made significant progress in reducing under 5 child mortality rates. However,  numbers of children with Neuro-developmental Disorders (NDDs). NDDs comprise children with a range of impairments and disabilities related to a range of functions with or without underlying disease pathology or disorders.  The functional paradigm is adapted from WHO (WHO, 2001) (ref 1) (fig 1)

  • Prevalence of NDDs are rising, almost in inverse proportion to under 5 child mortality rates (fig 2).

  • To address the needs of children with NDDs, since 2008 (ref 2, 3) Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare (MOHFW), Government of Bangladesh (GOB) has established multidisciplinary Child Development Centers (bangla: Shishu Bikash Kendras) across the country in government hospitals. 15 SBKs are fully operational till date.

  • Increasing numbers of children with NDDs are benefitting from the service which emphasizes on follow-up visits, with functional improvements in motor, vision, hearing, speech language communication, cognition, and behavioral domains, and comprehensive management of seizure disorders; and  special emphasis on activities of daily living  (ADL) . Professionals work closely with the family to optimize every child’s developmental potential, improve their quality of life,  and prevent disability.