Community-based rehabilitation workers’ perspectives of wheelchair provision in Uganda : a qualitative study

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dc.contributor.authorSeymour, Nikolaen_ZA
dc.contributor.authorGeiger, Marthaen_ZA
dc.contributor.authorScheffler, Elsjeen_ZA
dc.date.accessioned2022-09-07T12:34:18Z
dc.date.available2022-09-07T12:34:18Z
dc.date.issued2019-04-24
dc.descriptionCITATION: Seymour, N. Geiger, M. & Scheffler, E. 2019. Community-based rehabilitation workers’ perspectives of wheelchair provision in Uganda: A qualitative study. African Journal of Disability 8. doi:10.4102/ajod.v8i0.432
dc.descriptionThe original publication is available at https://ajod.org/index.php/ajod/index
dc.description.abstractBackground: The challenges of wheelchair provision and use in less resourced settings are the focus of global efforts to enhance wheelchair service delivery. The shortage of professional wheelchair service providers in these settings necessitates the collaboration of multiple stakeholders, including community-based rehabilitation (CBR) workers, whose role needs to be further understood. Objectives: The aim of this study was to determine what CBR workers in three areas of Uganda perceived as (1) the challenges with wheelchair provision and use, (2) the factors contributing to these challenges, (3) the role they themselves can potentially play and (4) what facilitators they need to achieve this. Method: This qualitative study in the transformative paradigm comprised focus group discussions to gather perceptions from 21 CBR workers in three areas of Uganda, each with an operational wheelchair service, participant observations and field notes. Thematic analysis of data was implemented. Results: Community-based rehabilitation workers’ perceptions of challenges were similar while perceived causes of challenges differed as influenced by location, historical and current wheelchair availability and the CBR workers’ roles. Their main responsibilities included assistance in overcoming barriers to access the service, transfer of skills and knowledge related to wheelchairs, follow-up of users for wheelchair-related problem-solving, and user and community empowerment. Conclusion: Community-based rehabilitation workers can contribute in various ways to wheelchair service delivery and inclusion of wheelchair users; however, their capabilities are not consistently applied. Considering the diversity of contextual challenges, CBR workers’ range of responsive approaches, knowledge of networks and ability to work in the community make their input valuable. However, to optimise their contribution, specific planning for their training and financial needs and effective engagement in the wheelchair services delivery system are essential.en_ZA
dc.description.urihttps://ajod.org/index.php/ajod/article/view/432
dc.description.versionPublishers version
dc.format.extent12 pages
dc.identifier.citationSeymour, N. Geiger, M. & Scheffler, E. 2019. Community-based rehabilitation workers’ perspectives of wheelchair provision in Uganda: A qualitative study. African Journal of Disability 8. doi:10.4102/ajod.v8i0.432
dc.identifier.issn2226-7220 (online)
dc.identifier.issn2223-9170 (print)
dc.identifier.otherdoi:10.4102/ajod.v8i0.432
dc.identifier.urihttp://hdl.handle.net/10019.1/125703
dc.language.isoen_ZAen_ZA
dc.publisherAOSIS Publishing
dc.rights.holderAuthors retain copyright
dc.subjectWheelchairsen_ZA
dc.subjectLess resourced settingsen_ZA
dc.subjectCommunity-based rehabilitationen_ZA
dc.subjectWheelchair service provisionen_ZA
dc.subjectService stepsen_ZA
dc.subjectUgandaen_ZA
dc.subjectEmpowermenten_ZA
dc.subjectInclusionen_ZA
dc.subjectAssistive deviceen_ZA
dc.titleCommunity-based rehabilitation workers’ perspectives of wheelchair provision in Uganda : a qualitative studyen_ZA
dc.typeArticleen_ZA
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