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Provision of paediatric wheelchairs in low resource settings: a scoping review
Monique Charbonnet1, Lorraine Sylvester2, Hongwu Wang2
1Doctor of Science in Rehabilitation Program, University of Oklahoma-Health Science Center, Oklahoma City, OK, USA.
Insights
Paediatric wheelchair provision in low-resource settings is inadequate, hindering child development and participation. Improvements in design, services, and child-focused approaches are needed for better outcomes.
Area of Science:
- Rehabilitation Science
- Global Health
- Pediatric Care
Background:
- Inadequate wheelchair provision for children leads to developmental delays, poor health, and reduced participation.
- Providing wheelchairs for children in low-resource settings is challenging due to limited resources.
Purpose of the Study:
- To understand the current state of pediatric wheelchair provision in low-resource settings.
- To identify factors, strategies, and gaps for successful wheelchair provision.
Main Methods:
- Scoping review of literature published after 2010.
- Searched online databases and grey literature.
- Data extracted based on WHO guidelines for wheelchair provision.
Main Results:
- 34 articles analyzed common themes and strategies.
- Pediatric wheelchair provision aspects were mentioned but rarely the focus.
- End-user outcomes were the least represented category.
Conclusions:
- Current pediatric wheelchair provision in low-resource settings is inadequate.
- Recommendations include improving design, production, personnel capacity, and service delivery.
- Child-focused provision and end-user involvement in research are urgently needed.
Purpose:
Inadequate wheelchair provision in children can lead to delays in growth and development, poorer health, and decreased participation. Wheelchair provision for children can be challenging, especially in low-resource settings, due to limited resources. Therefore, the purpose of the scoping review was to gain an understanding of the current state of paediatric wheelchair provision in low resource settings and identify factors, strategies, and gaps that can lead to more successful wheelchair provision.
Methods:
This scoping review used literature published after 2010, related to paediatric wheelchair provision in low resource settings. We searched online databases and grey literature and extracted data based on categories from the World Health Organisation Guidelines to wheelchair provision in low resource settings.
Results:
34 articles were used to identify and analyse common themes and successful strategies related to wheelchair provision for children in low resource settings. Aspects of paediatric wheelchair provision were mentioned in the literature but were rarely the focus. End-user outcomes were the least represented category in the literature.
Conclusion:
Based on the currently available evidence the overall state of a wheelchair for children is inadequate. Improvements in design and production, personnel capacity, and service delivery systems are recommended to promote best practices. The lack of child-focussed wheelchair provision and end-user involvement in the research process urgently needs to be addressed.Implications for RehabilitationIdentify best practiceIdentify gaps in knowledgeDetermine areas of need for future research.
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