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Professionals’ perspectives of prosthetic and orthotic services in Tanzania, Malawi, Sierra Leone and Pakistan

Magnusson, Lina LU (2019) In Prosthetics and Orthotics International
Abstract

Background: Evidence-based recommendations are lacking for prosthetic and orthotic services in low- and lower-middle-income countries. Objectives: The aim of this study was to compare and synthesise findings related to experiences of prosthetic and orthotic service delivery in Tanzania, Malawi, Sierra Leone and Pakistan from the perspective of local professionals. Study design: This is a qualitative inductive study. Methods: A total of 49 associated prosthetists/orthotists and prosthetic/orthotic technicians participated in individual interviews. The second-order concept analysis was applied to the data. Results: Four common themes emerged: low awareness and prioritisation of prosthetic and orthotic services; difficulty managing... (More)

Background: Evidence-based recommendations are lacking for prosthetic and orthotic services in low- and lower-middle-income countries. Objectives: The aim of this study was to compare and synthesise findings related to experiences of prosthetic and orthotic service delivery in Tanzania, Malawi, Sierra Leone and Pakistan from the perspective of local professionals. Study design: This is a qualitative inductive study. Methods: A total of 49 associated prosthetists/orthotists and prosthetic/orthotic technicians participated in individual interviews. The second-order concept analysis was applied to the data. Results: Four common themes emerged: low awareness and prioritisation of prosthetic and orthotic services; difficulty managing specific pathological conditions and problems with materials; limited access to prosthetic and orthotic services; and the need for further education and desire for professional development. A further theme was unique to Sierra Leone: people with disabilities have low social status. Conclusion: Local professionals felt unable to deliver high-quality prosthetic and orthotic services. Prosthetic and orthotic education needs to be adjusted to various countries’ regulations to be recognised as allied health professions. Rehabilitation and prosthetic and orthotic service delivery need to be further integrated in low- and lower-middle-income countries’ regular health systems to increase effective person-centred rehabilitation and to address governments’ low awareness and low prioritisation of prosthetic and orthotic services. Clinical relevance: The results can inform international guidelines and curriculum development for associate prosthetist/orthotist education to better prepare graduates for the clinical scenario and attempts to improve prosthetic and orthotic service delivery programmes in low- and lower-middle-income countries.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Assistive technology, education, low-income countries, prosthetic and orthotic services
in
Prosthetics and Orthotics International
publisher
SAGE Publications Inc.
external identifiers
  • scopus:85070315949
ISSN
0309-3646
DOI
10.1177/0309364619863617
language
English
LU publication?
yes
id
19a0e226-f36a-4586-b951-fad7c6e58da2
date added to LUP
2019-08-23 14:21:04
date last changed
2019-09-11 04:22:28
@article{19a0e226-f36a-4586-b951-fad7c6e58da2,
  abstract     = {<p>Background: Evidence-based recommendations are lacking for prosthetic and orthotic services in low- and lower-middle-income countries. Objectives: The aim of this study was to compare and synthesise findings related to experiences of prosthetic and orthotic service delivery in Tanzania, Malawi, Sierra Leone and Pakistan from the perspective of local professionals. Study design: This is a qualitative inductive study. Methods: A total of 49 associated prosthetists/orthotists and prosthetic/orthotic technicians participated in individual interviews. The second-order concept analysis was applied to the data. Results: Four common themes emerged: low awareness and prioritisation of prosthetic and orthotic services; difficulty managing specific pathological conditions and problems with materials; limited access to prosthetic and orthotic services; and the need for further education and desire for professional development. A further theme was unique to Sierra Leone: people with disabilities have low social status. Conclusion: Local professionals felt unable to deliver high-quality prosthetic and orthotic services. Prosthetic and orthotic education needs to be adjusted to various countries’ regulations to be recognised as allied health professions. Rehabilitation and prosthetic and orthotic service delivery need to be further integrated in low- and lower-middle-income countries’ regular health systems to increase effective person-centred rehabilitation and to address governments’ low awareness and low prioritisation of prosthetic and orthotic services. Clinical relevance: The results can inform international guidelines and curriculum development for associate prosthetist/orthotist education to better prepare graduates for the clinical scenario and attempts to improve prosthetic and orthotic service delivery programmes in low- and lower-middle-income countries.</p>},
  author       = {Magnusson, Lina},
  issn         = {0309-3646},
  keyword      = {Assistive technology,education,low-income countries,prosthetic and orthotic services},
  language     = {eng},
  month        = {07},
  publisher    = {SAGE Publications Inc.},
  series       = {Prosthetics and Orthotics International},
  title        = {Professionals’ perspectives of prosthetic and orthotic services in Tanzania, Malawi, Sierra Leone and Pakistan},
  url          = {http://dx.doi.org/10.1177/0309364619863617},
  year         = {2019},
}