Impact of structured wheelchair services on satisfaction and function of wheelchair users in Zimbabwe

African Journal of Disability

 
 
Field Value
 
Title Impact of structured wheelchair services on satisfaction and function of wheelchair users in Zimbabwe
 
Creator Visagie, Surona Mlambo, Tecla van der Veen, Judith Nhunzv, Clement Tigere, Deborah Scheffler, Elsje
 
Subject Rehabilitation Wheelchair; service delivery; function; satisfaction
Description Background: Providing wheelchairs without comprehensive support services might be detrimental to user satisfaction and function.Objectives: This paper compares wheelchair user satisfaction and function before and after implementation of comprehensive wheelchair services, based on the World Health Organization guidelines on wheelchair service provision in less resourced settings, in Zimbabwe.Method: A pre- and post-test study with a qualitative component was done. Quantitative data were collected with the Quebec User Evaluation of Satisfaction with Assistive Technology for adults and children and the ‘Functioning Every day with a Wheelchair Questionnaire’. Data were collected from 55 consecutively sampled wheelchair users, who received a new wheelchair in the study period. Qualitative data were collected through two audio recorded focus groups and two case studies and are presented through narrative examples.Results: The proportion of adult users who were satisfied significantly increased for all wheelchair and service delivery aspects (p = 0.001 - 0.008), except follow-up (p = 0.128). The same was true for children’s post-test ratings on all variables assessed (p = 0.001 - 0.04), except training in the use of the device (p = 0.052). The biggest improvement in satisfaction figures were for comfort needs (44.3%), indoor mobility (43.2%), outdoor mobility (37.2%), safe and efficient, independent operation (33.5%) and transport (31.4%). The qualitative data illustrated user satisfaction with wheelchair features and services.Conclusion: The wheelchair service programme resulted in significant positive changes in user satisfaction with the wheelchair, wheelchair services and function. It is recommended that the Zimbabwean government and partner organisations continue to support and develop wheelchair services along these guidelines.Keywords: Wheelchair; service delivery; function; satisfaction
 
Publisher AOSIS
 
Contributor USAID
Date 2016-06-10
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Pre test post test
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/ajod.v5i1.222
 
Source African Journal of Disability; Vol 5, No 1 (2016); 11 pages 2226-7220 2223-9170
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/222/437 https://ajod.org/index.php/ajod/article/view/222/439 https://ajod.org/index.php/ajod/article/view/222/438 https://ajod.org/index.php/ajod/article/view/222/423
 
Coverage Zimbabwe — Adults of both genders
Rights Copyright (c) 2016 Surona Visagie, Tecla Mlambo, Judith van der Veen, Clement Nhunzv, Deborah Tigere, Elsje Scheffler https://creativecommons.org/licenses/by/4.0
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