Manual Wheelchairs - World Health Organization

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Building the capacity of local personnel to provide training traInIng I 101 To maintain training programmes locally, it is important to develop the capacity of local trainers (6); and in order to train effectively, practical experience in the field is necessary. Some strategies for developing local trainers include the following. • When setting up a training programme, select strong candidates with the potential to become trainers. Train these people in basic wheelchair provision and, after field practice, in more advanced wheelchair provision. After two or three years, these personnel should have the potential to train others in basic wheelchair provision. To assist them in this role, training in “how to deliver training” would be of benefit. • Ensure local trainers continue to practise their skills in the field. This will increase the quality of the training they are able to deliver. In the absence of local trainers, there are international organizations that may assist in providing training (see Annex A). An example of such training is given in Box 4.3. Box 4.3. “Fit for Life” wheelchair prescription training package Motivation has developed a training course aimed at wheelchair service personnel working in less-resourced settings. To enable it to be delivered consistently by different trainers, the course has been documented and “packaged”. The training package includes a student workbook, a trainer’s guide and teaching aids such as poster-size visual aids, assessment methods and card games. Fictitious characters are used throughout the course to provide a range of different case study scenarios to reinforce the trainees’ learning. In the first version of the package, illustrations have been designed to represent a range of Asian nationalities and religions, allowing the course to be used in a wide range of settings in Asia. For settings outside this region, it would be appropriate to adapt the illustrations. The trainer’s guide contains overall information on how to deliver the course, as well as lesson plans for each session. each lesson plan includes the time and materials required for that session and step-bystep instructions on how to teach the session. The development of the course took two years. The training package enables different trainers to deliver the course, and provides a consistent level of training and student assessment. The training package has also been used by other organizations, made possible by the development of the trainer’s guide and teaching aids. 4
102 I guIdelInes on the provIsIon of manual wheelchaIrs In less resourced settIngs Stakeholders and resources Stakeholders involved in planning, implementing and participating in training programmes include: • national government authorities responsible for health and education, and other relevant departments and local authorities; • supporting organizations providing technical input and funding; and • trainers and trainees. Key resources required to implement the training guidelines include: • training packages and training materials; • training facilities, including premises for delivering interactive theoretical training, workshop and clinic facilities for practical sessions, and areas for wheelchair mobility training; • a reliable supply of wheelchairs that meet minimum requirements; • trainers with experience in wheelchair provision; and • users willing to participate in sessions. 4.2 Training requirements This section describes the training requirements for referral network personnel and those directly fulfilling management, clinical, technical and training roles in a wheelchair service. See Section 3.4 for a description of the different roles and Section 4.3 for recommended course content. 4.2.1 Referral networks Basic training for personnel working within referral network organizations (for example health and rehabilitation personnel and volunteers working at community, district or regional level) will increase the effectiveness of a referral network. Ideally, training would provide referral personnel with a combination of: • core knowledge and skills (relevant to all referral personnel regardless of context), including the ability to identify those who would benefit from being referred to a wheelchair service and an understanding of how best to support users in the community; and • local knowledge, including familiarity with the operations of local wheelchair services and an awareness of locally available products. Training for referral network personnel can be delivered in a number of ways. • Wheelchair services can host “referral network training” run by the clinical, technical and possibly training personnel of the service. Such training programmes would help to strengthen the referral network for that service as well as providing an opportunity to strengthen the working relationships between referral and service personnel. • Existing training programmes for health and rehabilitation employees can choose to include basic wheelchair referral for all personnel. This would serve to ensure that all personnel passing through these programmes have a greater awareness of the needs of users, how to refer users, and how to support users in the community. Training should cover the function of a wheelchair service and the value of assessment, prescription, user training and follow-up.
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Manual Wheelchairs - World Health Organization

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