Outcome measures tools were administered through personal interviews. Data was compared at various points in time: at baseline, wheelchair delivery, and 3- and 6-months after wheelchair delivery.Ī consecutive sampling method was used for ethical considerations to select participants from the waiting lists of the partner wheelchair service provider organizations in El Salvador. This study used a within-subject longitudinal design to compare outcomes before and after wheelchair provision following the WHO's 8-steps. The purpose of this study was to investigate the impact of the World Health Organization's guidelines for manual provision in less-resourced settings (WHO 8-steps), on the socioeconomic status, quality of life, health, wheelchair skills, and caregiver burden of wheelchair users in El Salvador. For people who have a mobility impairment, access to a WC is an important step towards independence and participation. Studies suggest that only 17% and 37% of WC users have access to appropriate WCs and assistive technology devices. There is a significant global unmet need for appropriate wheelchairs worldwide. This research-based evidence is necessary to drive policy and wheelchair provision programs in LMICs toward more effective interventions that maximize benefits for wheelchair users. More research on the benefits of providing wheelchairs following the WHO 8-Steps approach is needed. Wheelchair provision according to the WHO 8-steps has the potential to improve outcomes for wheelchair users including increased quality of life, decreased poverty likelihood, and increased health-related to wheelchair use.
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