Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines
Background: The World Health Organisation recommends that services accompany wheelchair distribution. This study examined the relationship of wheelchair service provision in Kenya and the Philippines and wheelchair-use–related outcomes. Method: We surveyed 852 adult basic manual wheelchair users. Pa...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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AOSIS
2017-10-01
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| Series: | African Journal of Disability |
| Subjects: | |
| Online Access: | https://ajod.org/index.php/ajod/article/view/318 |
| _version_ | 1811291971511123968 |
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| author | Eva S. Bazant Elizabeth J. Himelfarb Hurwitz Brenda N. Onguti Emma K. Williams Jamie H. Noon Cheryl A. Xavier Ferdiliza D.S. Garcia Anthony Gichangi Mohammed Gabbow Peter Musakhi R. Lee Kirby |
| author_facet | Eva S. Bazant Elizabeth J. Himelfarb Hurwitz Brenda N. Onguti Emma K. Williams Jamie H. Noon Cheryl A. Xavier Ferdiliza D.S. Garcia Anthony Gichangi Mohammed Gabbow Peter Musakhi R. Lee Kirby |
| author_sort | Eva S. Bazant |
| collection | DOAJ |
| description | Background: The World Health Organisation recommends that services accompany wheelchair distribution. This study examined the relationship of wheelchair service provision in Kenya and the Philippines and wheelchair-use–related outcomes.
Method: We surveyed 852 adult basic manual wheelchair users. Participants who had received services and those who had not were sought in equal numbers from wheelchair-distribution entities. Outcomes assessed were daily wheelchair use, falls, unassisted outdoor use and performance of activities of daily living (ADL). Descriptive, bivariate and multivariable regression model results are presented.
Results: Conditions that led to the need for a basic wheelchair were mainly spinal cord injury, polio/post-polio, and congenital conditions. Most Kenyans reported high daily wheelchair use (60%) and ADL performance (80%), while these practices were less frequent in the Philippine sample (42% and 74%, respectively). Having the wheelchair fit assessed while the user propelled the wheelchair was associated with greater odds of high ADL performance in Kenya (odds ratio [OR] 2.8, 95% confidence interval [CI] 1.6, 5.1) and the Philippines (OR 2.8, 95% CI 1.8, 4.5). Wheelchair-related training was associated with high ADL performance in Kenya (OR 3.2, 95% CI 1.3, 8.4). In the Philippines, training was associated with greater odds of high versus no daily wheelchair use but also odds of serious versus no falls (OR 2.5, 95% CI 1.4, 4.5).
Conclusion: Select services that were associated with some better wheelchair use outcomes and should be emphasised in service delivery. Service providers should be aware that increased mobility may lead to serious falls. |
| first_indexed | 2024-04-13T04:37:25Z |
| format | Article |
| id | doaj.art-012ac7508d3b4a4690db96bfe570b10e |
| institution | Directory Open Access Journal |
| issn | 2223-9170 2226-7220 |
| language | English |
| last_indexed | 2024-04-13T04:37:25Z |
| publishDate | 2017-10-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Disability |
| spelling | doaj.art-012ac7508d3b4a4690db96bfe570b10e2022-12-22T03:02:07ZengAOSISAfrican Journal of Disability2223-91702226-72202017-10-0160e1e1410.4102/ajod.v6i0.318134Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the PhilippinesEva S. Bazant0Elizabeth J. Himelfarb Hurwitz1Brenda N. Onguti2Emma K. Williams3Jamie H. Noon4Cheryl A. Xavier5Ferdiliza D.S. Garcia6Anthony Gichangi7Mohammed Gabbow8Peter Musakhi9R. Lee Kirby10Jhpiego, BaltimoreJhpiego, BaltimoreJhpiego, NairobiJhpiego, BaltimoreNoon Design, CerrillosPrivate Sector, MataleCollege of Allied Medical Professions, University of the Philippines, ManilaJhpiego, NairobiNational Council for Persons With Disabilities, Government of KenyaMinistry of East African Community (EAC), Labour and Social Protection, Government of KenyaDivision of Physical Medicine & Rehabilitation, Dalhousie UniversityBackground: The World Health Organisation recommends that services accompany wheelchair distribution. This study examined the relationship of wheelchair service provision in Kenya and the Philippines and wheelchair-use–related outcomes. Method: We surveyed 852 adult basic manual wheelchair users. Participants who had received services and those who had not were sought in equal numbers from wheelchair-distribution entities. Outcomes assessed were daily wheelchair use, falls, unassisted outdoor use and performance of activities of daily living (ADL). Descriptive, bivariate and multivariable regression model results are presented. Results: Conditions that led to the need for a basic wheelchair were mainly spinal cord injury, polio/post-polio, and congenital conditions. Most Kenyans reported high daily wheelchair use (60%) and ADL performance (80%), while these practices were less frequent in the Philippine sample (42% and 74%, respectively). Having the wheelchair fit assessed while the user propelled the wheelchair was associated with greater odds of high ADL performance in Kenya (odds ratio [OR] 2.8, 95% confidence interval [CI] 1.6, 5.1) and the Philippines (OR 2.8, 95% CI 1.8, 4.5). Wheelchair-related training was associated with high ADL performance in Kenya (OR 3.2, 95% CI 1.3, 8.4). In the Philippines, training was associated with greater odds of high versus no daily wheelchair use but also odds of serious versus no falls (OR 2.5, 95% CI 1.4, 4.5). Conclusion: Select services that were associated with some better wheelchair use outcomes and should be emphasised in service delivery. Service providers should be aware that increased mobility may lead to serious falls.https://ajod.org/index.php/ajod/article/view/318Wheelchairswheelchair servicestrainingwheelchair useoutcomeswheelchair usersless-resourced settingsKenyaSub-Saharan AfricaPhilippinesAsiaAdultBasic wheelchairs |
| spellingShingle | Eva S. Bazant Elizabeth J. Himelfarb Hurwitz Brenda N. Onguti Emma K. Williams Jamie H. Noon Cheryl A. Xavier Ferdiliza D.S. Garcia Anthony Gichangi Mohammed Gabbow Peter Musakhi R. Lee Kirby Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines African Journal of Disability Wheelchairs wheelchair services training wheelchair use outcomes wheelchair users less-resourced settings Kenya Sub-Saharan Africa Philippines Asia Adult Basic wheelchairs |
| title | Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines |
| title_full | Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines |
| title_fullStr | Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines |
| title_full_unstemmed | Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines |
| title_short | Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines |
| title_sort | wheelchair services and use outcomes a cross sectional survey in kenya and the philippines |
| topic | Wheelchairs wheelchair services training wheelchair use outcomes wheelchair users less-resourced settings Kenya Sub-Saharan Africa Philippines Asia Adult Basic wheelchairs |
| url | https://ajod.org/index.php/ajod/article/view/318 |
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