Children with special needs in institutional care require focused and individualized attention due to a variety of physical, cognitive, and medical conditions. Observations from several homes across the country reveal children living with Down Syndrome, cerebral palsy, developmental delays, delayed motor and mental milestones, macrocephaly, microcephaly, and spasticity. Many children face visual impairments, ranging from partial to complete blindness, and ocular conditions such as retinal disease or squint. Hearing impairments, including partial or severe hearing loss, as well as children who are deaf-mute, are also common.

Several children require medical supervision for congenital or chronic conditions such as heart defects, cleft palate, obstructive hydrocephalus, Lumbal Meningomyelocele, thalassemia, congenital Talipes, and arthrogryposis. Some are HIV-positive or have other serious health concerns, while others were born prematurely, underweight, or with delayed development.

Message

Providing appropriate care involves continuous medical intervention, physiotherapy, speech and occupational therapy, special education, nutritional support, and psychosocial care. Institutional caregivers must adopt individualized care plans to ensure these children reach their fullest potential, remain healthy, and are prepared for integration into family-based or foster care whenever possible.

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Dr. Jagannath Pati

Dr. Jagannath Pati is a distinguished child protection expert and public policy leader with over 25 years of experience in strengthening India’s child welfare ecosystem. A former Director (Programme) at CARA and Registrar at NCPCR, he has led transformative initiatives in adoption, foster care, and digital governance, including the pioneering CARINGS platform. His work focuses on family-based care, ethical practices, and child rights. A Senior Fulbright–Nehru Fellow and author of Every Child Deserves a Loving Family, he continues to shape policy, research, and practice for vulnerable children in India and beyond.

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