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Patients’ Satisfaction with Lower-limb Prosthetic and Orthotic Devices and Service delivery in Sierra Leone and Malawi

Magnusson, Lina LU and Ahlström, Gerd LU (2017) In BMC Health Services Research 17(1).
Abstract

Background: People with disabilities have the right to personal mobility and available and affordable assistive technology, according to the Convention of Rights of Persons with Disabilities. The aims were to investigate similarities and differences between Sierra Leone and Malawi concerning participants’ mobility and satisfaction with their lower-limb prosthetic or orthotic device and related service delivery, and to identify variables associated with patients’ satisfaction with assistive devices and associated services in the entire study group from these two low-income countries. Methods: Questionnaires, including QUEST, were answered by 222 patients in Sierra Leone and Malawi. Results: Eighty-six per cent of assistive devices were... (More)

Background: People with disabilities have the right to personal mobility and available and affordable assistive technology, according to the Convention of Rights of Persons with Disabilities. The aims were to investigate similarities and differences between Sierra Leone and Malawi concerning participants’ mobility and satisfaction with their lower-limb prosthetic or orthotic device and related service delivery, and to identify variables associated with patients’ satisfaction with assistive devices and associated services in the entire study group from these two low-income countries. Methods: Questionnaires, including QUEST, were answered by 222 patients in Sierra Leone and Malawi. Results: Eighty-six per cent of assistive devices were in use, but half needed repair. One third of participants reported pain when using their assistive device. A higher percentage (66%) of participants in Sierra Leone had difficulties or could not walk at all on uneven ground compared with 42% in Malawi. The majority in both countries had difficulties or could not walk at all up and down hills, or on stairs. Participants in both countries were quite satisfied (mean 3.7-3.9 of 5) with their assistive device. Participants were most dissatisfied with: comfort (46%), dimensions (39%), and safety (38%) of their assistive device. In Sierra Leone participants were less satisfied than in Malawi with service delivery (mean 3.7; 4.4, p < .001). Access to repairs and servicing of their assistive device was considered the most important item. In Sierra Leone patients were less satisfied with follow-up services (41%) than patients in Malawi were (22%). The strongest association with satisfaction with assistive device was pain, and for satisfaction with service, country. The general condition of devices and the ability to walk on uneven ground were associated with both satisfaction with assistive devices and service received. Conclusions: Participants reported high levels of use and mobility with their assistive device, in spite of pain and difficulties walking on uneven ground, which were also associated with the level of satisfaction with the assistive device. Access to repairs and follow-up services were the most important to patients, and should be addressed. Country was associated with satisfaction with service, with participants in Sierra Leone significantly less satisfied.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Assistive device, Disability, Low-income countries, Mobility, Orthosis, Prosthesis, QUEST, Satisfaction
in
BMC Health Services Research
volume
17
issue
1
pages
13 pages
publisher
BioMed Central
external identifiers
  • scopus:85010986650
  • wos:000393276800003
ISSN
1472-6963
DOI
10.1186/s12913-017-2044-3
language
English
LU publication?
yes
id
cbfe6558-1642-4b15-abfd-fae09f021220
date added to LUP
2017-02-14 12:15:15
date last changed
2018-01-07 11:49:38
@article{cbfe6558-1642-4b15-abfd-fae09f021220,
  abstract     = {<p>Background: People with disabilities have the right to personal mobility and available and affordable assistive technology, according to the Convention of Rights of Persons with Disabilities. The aims were to investigate similarities and differences between Sierra Leone and Malawi concerning participants’ mobility and satisfaction with their lower-limb prosthetic or orthotic device and related service delivery, and to identify variables associated with patients’ satisfaction with assistive devices and associated services in the entire study group from these two low-income countries. Methods: Questionnaires, including QUEST, were answered by 222 patients in Sierra Leone and Malawi. Results: Eighty-six per cent of assistive devices were in use, but half needed repair. One third of participants reported pain when using their assistive device. A higher percentage (66%) of participants in Sierra Leone had difficulties or could not walk at all on uneven ground compared with 42% in Malawi. The majority in both countries had difficulties or could not walk at all up and down hills, or on stairs. Participants in both countries were quite satisfied (mean 3.7-3.9 of 5) with their assistive device. Participants were most dissatisfied with: comfort (46%), dimensions (39%), and safety (38%) of their assistive device. In Sierra Leone participants were less satisfied than in Malawi with service delivery (mean 3.7; 4.4, p &lt; .001). Access to repairs and servicing of their assistive device was considered the most important item. In Sierra Leone patients were less satisfied with follow-up services (41%) than patients in Malawi were (22%). The strongest association with satisfaction with assistive device was pain, and for satisfaction with service, country. The general condition of devices and the ability to walk on uneven ground were associated with both satisfaction with assistive devices and service received. Conclusions: Participants reported high levels of use and mobility with their assistive device, in spite of pain and difficulties walking on uneven ground, which were also associated with the level of satisfaction with the assistive device. Access to repairs and follow-up services were the most important to patients, and should be addressed. Country was associated with satisfaction with service, with participants in Sierra Leone significantly less satisfied.</p>},
  author       = {Magnusson, Lina and Ahlström, Gerd},
  issn         = {1472-6963},
  keyword      = {Assistive device,Disability,Low-income countries,Mobility,Orthosis,Prosthesis,QUEST,Satisfaction},
  language     = {eng},
  month        = {02},
  number       = {1},
  pages        = {13},
  publisher    = {BioMed Central},
  series       = {BMC Health Services Research},
  title        = {Patients’ Satisfaction with Lower-limb Prosthetic and Orthotic Devices and Service delivery in Sierra Leone and Malawi},
  url          = {http://dx.doi.org/10.1186/s12913-017-2044-3},
  volume       = {17},
  year         = {2017},
}