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Living as a person using a lower-limb prosthesis in Nepal

Järnhammer, Anna; Andersson, Beatrice; Wagle, Prakash Raj and Magnusson, Lina LU (2017) In Disability and Rehabilitation p.1-8
Abstract

Purpose: The purpose of this study is to explore experiences of persons in Nepal using lower-limb prostheses, in relation to specific articles in the Convention on the Rights of Persons with Disabilities that consider mobility, education, health, rehabilitation, and work and employment. Method: Qualitative interviews were conducted with 16 persons using lower limb prostheses. Content analysis was applied to the data. Results: Six themes emerged: The lower-limb prosthesis is essential for mobility and daily life; Limited mobility in challenging terrain and request for reduced pain when using prosthesis; Difficulties in finding and sustaining employment emphasized the importance of vocational training; Appreciation of comprehensive... (More)

Purpose: The purpose of this study is to explore experiences of persons in Nepal using lower-limb prostheses, in relation to specific articles in the Convention on the Rights of Persons with Disabilities that consider mobility, education, health, rehabilitation, and work and employment. Method: Qualitative interviews were conducted with 16 persons using lower limb prostheses. Content analysis was applied to the data. Results: Six themes emerged: The lower-limb prosthesis is essential for mobility and daily life; Limited mobility in challenging terrain and request for reduced pain when using prosthesis; Difficulties in finding and sustaining employment emphasized the importance of vocational training; Appreciation of comprehensive rehabilitation together with other persons with amputations, but covering related costs is a struggle; Satisfied with health care, but concerned that it creates debt and dependence upon others; and finally, Limited ability creates negative self-image and varied attitudes in other people. Conclusion: Persons with lower-limb amputations were restricted by poverty and wanted increased independence. Rehabilitation and prosthetic services in Nepal need to increase proportionally as they contribute to enabling those persons to a better daily life. Prostheses were essential but more advanced technology was requested. Access to education and vocational training has the potential to improve the socio-economic status of those with lower-limb amputations due lack of employment not requiring physical effort. Implications for rehabilitationTo increase access for persons with lower-limb amputations in Nepal to rehabilitation services, these services need to increase proportionally, and the policy for financial compensation to enable those persons to afford transportation to the rehabilitation center should be implemented.The design and manufacture of the low-cost polypropylene technology for prostheses used in Nepal needs to be improved, directed towards increasing the ability to ambulate on uneven surfaces and hilly terrain, and the ability to walk long distances.Adjustments of employment for persons with physical disabilities in Nepal have the potential to strengthen their socio-economic status.Vocational training programs and educational opportunities for persons with physical disabilities have the potential to improve income-generating employment and need to increase proportionally in Nepal.The policies developed in accordance with the Convention on the Rights of Persons with Disabilities need to be further implemented to decrease existing barriers to access to general health care and rehabilitation and prosthetic services for persons with disabilities in Nepal.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Convention on the Rights of Persons with Disabilities, Persons with amputations, rehabilitation
in
Disability and Rehabilitation
pages
8 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85015804958
  • pmid:28320228
ISSN
0963-8288
DOI
10.1080/09638288.2017.1300331
language
English
LU publication?
yes
id
afa35e52-5c79-45d9-9d28-be775eb7159c
date added to LUP
2017-04-23 14:43:43
date last changed
2017-09-14 13:54:34
@article{afa35e52-5c79-45d9-9d28-be775eb7159c,
  abstract     = {<p>Purpose: The purpose of this study is to explore experiences of persons in Nepal using lower-limb prostheses, in relation to specific articles in the Convention on the Rights of Persons with Disabilities that consider mobility, education, health, rehabilitation, and work and employment. Method: Qualitative interviews were conducted with 16 persons using lower limb prostheses. Content analysis was applied to the data. Results: Six themes emerged: The lower-limb prosthesis is essential for mobility and daily life; Limited mobility in challenging terrain and request for reduced pain when using prosthesis; Difficulties in finding and sustaining employment emphasized the importance of vocational training; Appreciation of comprehensive rehabilitation together with other persons with amputations, but covering related costs is a struggle; Satisfied with health care, but concerned that it creates debt and dependence upon others; and finally, Limited ability creates negative self-image and varied attitudes in other people. Conclusion: Persons with lower-limb amputations were restricted by poverty and wanted increased independence. Rehabilitation and prosthetic services in Nepal need to increase proportionally as they contribute to enabling those persons to a better daily life. Prostheses were essential but more advanced technology was requested. Access to education and vocational training has the potential to improve the socio-economic status of those with lower-limb amputations due lack of employment not requiring physical effort. Implications for rehabilitationTo increase access for persons with lower-limb amputations in Nepal to rehabilitation services, these services need to increase proportionally, and the policy for financial compensation to enable those persons to afford transportation to the rehabilitation center should be implemented.The design and manufacture of the low-cost polypropylene technology for prostheses used in Nepal needs to be improved, directed towards increasing the ability to ambulate on uneven surfaces and hilly terrain, and the ability to walk long distances.Adjustments of employment for persons with physical disabilities in Nepal have the potential to strengthen their socio-economic status.Vocational training programs and educational opportunities for persons with physical disabilities have the potential to improve income-generating employment and need to increase proportionally in Nepal.The policies developed in accordance with the Convention on the Rights of Persons with Disabilities need to be further implemented to decrease existing barriers to access to general health care and rehabilitation and prosthetic services for persons with disabilities in Nepal.</p>},
  author       = {Järnhammer, Anna and Andersson, Beatrice and Wagle, Prakash Raj and Magnusson, Lina},
  issn         = {0963-8288},
  keyword      = {Convention on the Rights of Persons with Disabilities,Persons with amputations,rehabilitation},
  language     = {eng},
  month        = {03},
  pages        = {1--8},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {Living as a person using a lower-limb prosthesis in Nepal},
  url          = {http://dx.doi.org/10.1080/09638288.2017.1300331},
  year         = {2017},
}