The Big Story
An Australian program is heightening awareness of CP in Bangladesh
In Bangladesh, most children with cerebral palsy miss early rehabilitation due to staff shortages, high costs and travel challenges. Cerebral Palsy Australia’s SMART CP initiative is delivering care through telehealth and community networks, enabling earlier diagnosis and practical support.
The boy couldn't walk. His limbs curled unnaturally, like dried leaves. But what struck Gulam Khandaker most was not the condition—it was the silence. No one had ever told the mother what cerebral palsy was.
In Bangladesh, half the children with CP receive no treatment. Nothing. By the time help arrives—if it ever does—the brain has long missed the chance to rewire itself. And even for those who get something, the first appointment usually comes at four years old. That’s years too late.
This isn’t about neglect. It’s about access. The numbers are brutal. One physiotherapist for every 106,000 people. In Australia it’s one for every 750. Distance and money strangle what little hope remains.
But a quiet revolution is slowly occurring. Backed by Australia’s Cerebral Palsy Alliance, the SMART CP Model has started rewiring more than just brains—it’s changing systems.
Khandaker and the team at CSF Global have built a network of community informants—teachers, imams, health workers—who identify kids early. Mothers form support groups. And rehab comes via mobile phone.
The change is simple, but profound.
The Briefing
Image courtesy Physical Disability Australia
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In Bangladesh, most children with cerebral palsy miss early rehabilitation due to staff shortages, high costs and travel challenges. The SMART CP initiative delivers care through telehealth and community networks, enabling earlier diagnosis and practical support.
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