The main function of the ITER blanket shield block (SB) is to provide nuclear shielding and support the first wall (FW) panel. It needs to accommodate all the components located on the vacuum vessel (in particular the in-vessel coils, blanket manifolds and the diagnostics). The conceptual, preliminary and final design reviews have been completed in the framework of the Blanket Integrated Product Team. The Korean Domestic Agency has successfully completed not only the final design activities, including thermo-hydraulic and thermo-mechanical analyses for SBs #2, #6, #8 and #16, but also the SB full scale prototype (FSP) pre-qualification program prior to issuing of the procurement agreement. SBs #2 and #6 are located at the in-board region of the tokamak. The pressure drop was less than 0.3 MPa and fully satisfied the design criteria. The thermo-mechanical stresses were also allowable even though the peak stresses occurred at nearby radial slit end holes, and their fatigue lives were evaluated over many more than 30 000 cycles. SB #8 is one of the most difficult modules to design, since this module will endure severe thermal loading not only from nuclear heating but also from plasma heat flux at uncovered regions by the FW. In order to resolve this design issue, the neutral beam shine-through module concept was applied to the FW uncovered region and it has been successfully verified as a possible design solution. SB #16 is located at the out-board central region of the tokamak. This module is under much higher nuclear loading than other modules and is covered by an enhanced heat flux FW panel. In the early design stage, many cooling headers on the front region were inserted to mitigate peak stresses near the access hole and radial slit end hole. However, the cooling headers on the front region needed to be removed in order to reduce the risk from cover welding during manufacturing. A few cooling headers now remain after efforts through several iterations to remove them and to optimize the cooling channels. The SB #8 FSP was manufactured and tested in accordance with the pre-qualification program based on the preliminary design, and related R&D activities were implemented to resolve the fabrication issues. This paper provides the current status of the final design and relevant R&D activities of the blanket SB.