Bangladesh drug rehab centres fail women, adolescents amid 8.2 mn crisis
Synopsis
Key Takeaways
Bangladesh's drug rehabilitation system is critically under-equipped to serve women and adolescents, with government-run centres offering just 199 beds for an estimated 8.2 million drug-dependent people across the country, according to local media reports published on Wednesday, 26 August. The shortfall is sharpest for vulnerable groups — women and children — who have historically been sidelined in a system built around male patients.
Scale of the Crisis
At the Central Drug Addiction Treatment Centre in Tejgaon, Bangladesh's primary government-run facility, the 124-bed capacity is divided into 90 beds for men, 24 for women, and just 10 for children. Despite an ongoing expansion that will eventually convert the facility into a 250-bed hospital, treatment is currently restricted to 28 adult male patients, leaving women and adolescents with even fewer options in the interim.
In contrast, private facilities across the country hold 6,190 beds — more than 31 times the government capacity — placing quality care out of reach for those who cannot afford it.
Who Is Most at Risk
According to the Department of Narcotics Control (DNC) annual findings, approximately 80 per cent of drug users in Bangladesh fall within the 15 to 30 year age group, making adolescents and young adults disproportionately exposed to addiction and its consequences.
Ariful Haque, a psychologist at Oasis De-addiction and Mental Health Counselling Centre, said peer pressure is the dominant trigger. 'When we ask them why they started, many say friends, seniors or peer groups influenced them,' he said, adding that stress, family crises, curiosity, and weak parental supervision also play significant roles.
What Officials Said
Mohammad Zakir Hossain, Assistant Director for rehabilitation and treatment at the DNC, described the existing government capacity as 'very insufficient' to meet national demand. He noted that the gap between public and private bed availability reflects a structural failure in how addiction care has been prioritised.
Quazi Lutful Kabir, chief consultant at the Tejgaon centre, revealed that the facility operates with just four doctors against 18 sanctioned posts, compounded by shortages of nurses and support staff — a staffing crisis that directly limits the quality and volume of care that can be delivered.
The Relapse Challenge
Even for those who do access treatment, long-term outcomes remain troubling. According to Kabir, approximately 65 per cent of patients relapse after returning to their original environment or peer networks. Only around 35 per cent are able to remain drug-free following treatment.
The DNC annual report has called for addiction to be formally recognised and treated as a chronic disease, with stronger follow-up support systems put in place. Rehabilitation services, it noted, remain inadequate and unevenly distributed, with communities outside major urban centres particularly underserved.
What Needs to Change
Experts and officials alike point to the need for gender-sensitive, age-appropriate rehabilitation infrastructure — a model that currently does not exist at scale in Bangladesh's public health system. The waiting lists, staff shortages, and geographic disparities collectively mean that for most women and adolescents seeking help, treatment remains more aspiration than reality. Whether the Tejgaon expansion and any broader policy reform can close this gap will be closely watched in the months ahead.