The pediatric hematology and oncology department at the Bangabandhu Sheikh Mujib Medical University (BSMMU) is the largest specialized centre in Bangladesh for the treatment of children with cancer. BSMMU is the location of our program work in the country and is the hub center of a satellite network of hospitals which are being developed to increase their capacity to treat childhood cancer. The department was established in the 1990s and has good diagnostic facilities but limited space to cope with the numbers of new patients every year. It is partly funded by the government and has more than 30 beds specifically for children with cancer but infrastructure such as hygiene facilities has not been developed to suit the needs of the ward. BSMMU is linked through a twinning partnership with both University College London Hospitals (UK) and British Columbia Children's Hospital (Canada). The staff at BSMMU and at the satellite centers receive training and mentoring from the twinning partners through in-country workshops and distance learning.