{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T20:58:32Z","timestamp":1788296312827,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,12,13]],"date-time":"2017-12-13T00:00:00Z","timestamp":1513123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007334","name":"Ministry of Health and Family Welfare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007334","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child"],"published-print":{"date-parts":[[2018,1]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Child Development Centres (CDCs) have been established within government medical college tertiary hospitals across Bangladesh. Services entail a parent\u2013professional partnership in a child and family friendly environment with a focus on assessment, diagnosis, and management of a range of neurodevelopmental disorders in children and adolescents 0\u201316\u00a0years of age. Services are provided by a multidisciplinary team of professionals (child health physician, child psychologist, and developmental therapist) who emphasize quality of services over the numbers of children seen.<\/jats:p><\/jats:sec>Methods<\/jats:title>In 2008, Dhaka Shishu (Children's) Hospital was given the mandate by the government to conceptualize, train, and monitor CDCs nationwide. Here, we describe the rationale and processes for the establishment of the national network of CDCs and discuss lessons learned on scaling up early childhood development services in a low resource setting.<\/jats:p><\/jats:sec>Results<\/jats:title>Fifteen CDCs were established in major government hospitals across Bangladesh and have recorded 208,866 patient visits. The majority (79%) of children were from the lowest and middle\u2010income families, and about one third (30%) were <\u00a02\u00a0years of age at first presentation. Two thirds of children seen in follow\u2010up demonstrated improvements in functional skills since their first visit, 77% in their adaptive behaviour (i.e., activities of daily living) and 70% in cognitive functions.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>CDCs are expanding coverage for child neurodevelopment services across Bangladesh through a tiered system of home\u2010based screening, community\u2010 and clinic\u2010based functional assessment, and CDC\u2010based diagnosis, support, and referral. Vulnerable populations\u2014the lowest income groups and younger children\u2014comprised the majority of patients, among whom there is high unmet need for psychological services that is being met for the first time. Innovative human resource development, including a 3\u2010month training for the multidisciplinary teams, enabled wide coverage for assessment and diagnosis of a range of neurodevelopmental problems. Demand for services is growing, especially among non\u2010government and private hospitals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.12530","type":"journal-article","created":{"date-parts":[[2017,12,13]],"date-time":"2017-12-13T07:15:39Z","timestamp":1513149339000},"page":"19-30","source":"Crossref","is-referenced-by-count":17,"title":["Scaling up child development centres in Bangladesh"],"prefix":"10.1111","volume":"44","author":[{"given":"N. Z.","family":"Khan","sequence":"first","affiliation":[{"name":"Department of Pediatric Neuroscience, Dhaka Shishu Hospital Bangladesh Institute of Child Health Dhaka Bangladesh"},{"name":"National Coordinator's Office for \u201cEstablishment of Shishu Bikash Kendra in Government Hospitals\u201d Ministry of Health and Family Welfare Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Sultana","sequence":"additional","affiliation":[{"name":"National Coordinator's Office for \u201cEstablishment of Shishu Bikash Kendra in Government Hospitals\u201d Ministry of Health and Family Welfare Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"National Coordinator's Office for \u201cEstablishment of Shishu Bikash Kendra in Government Hospitals\u201d Ministry of Health and Family Welfare Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. B.","family":"Shilpi","sequence":"additional","affiliation":[{"name":"National Coordinator's Office for \u201cEstablishment of Shishu Bikash Kendra in Government Hospitals\u201d Ministry of Health and Family Welfare Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Sultana","sequence":"additional","affiliation":[{"name":"National Coordinator's Office for \u201cEstablishment of Shishu Bikash Kendra in Government Hospitals\u201d Ministry of Health and Family Welfare Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7522-5824","authenticated-orcid":false,"given":"G. L.","family":"Darmstadt","sequence":"additional","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics Stanford University School of Medicine Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,13]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Bangladesh Protibondhi Foundation(2015)Shishu Shurokkha Shikkha Shohayika (Child Protection Educational Assistance; 3 booklets). Save the Children Bangladesh."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3329\/bjch.v39i1.28352"},{"key":"e_1_2_6_4_1","unstructured":"Child Development Centre Apollo Hospital Dhaka. Available at:http:\/\/www.apollodhaka.com\/child\u2010development\u2010centre\/"},{"key":"e_1_2_6_5_1","unstructured":"GOB website(n.d.).Shishu Bikash Kendra. 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Hospital Services Management Directorate General of Health Services Ministry of Health and Family Welfare Government of Bangladesh."},{"key":"e_1_2_6_18_1","unstructured":"Operational Plan 2016\u20102021. \u201cEstablishment ofShishu Bikash Kendrain Secondary and Tertiary Hospitals\u201d. Operational Plan 2016\u20132021. Hospital Services Management Directorate General of Health Services Ministry of Health and Family Welfare Government of Bangladesh."},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12025"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31698-1"},{"key":"e_1_2_6_21_1","unstructured":"Survey(2013)Survey of Autism and Neurodevelopmental Disorders in Bangladesh. Directorate General of Health Services Ministry of Health and Family Welfare Government of Bangladesh. 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