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Manual Wheelchairs - World Health Organization

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34 I guIdelInes on the provIsIon of manual wheelchaIrs In less resourced settIngs<br />

1.9.7 Users, families and caregivers<br />

Users and their groups are at the centre of developing and implementing wheelchair provision<br />

(Fig.1.13). They can help ensure that wheelchair services meet their needs effectively.<br />

Fig. 1.13. Users group<br />

The role of users includes:<br />

• participating in the planning, implementation, management and evaluation of wheelchair<br />

provision;<br />

• participating in the development and testing of wheelchair designs;<br />

• working within wheelchair services in clinical, technical and training roles; and<br />

• supporting and training new users.<br />

Some users permanently rely on members of their family to assist with day-to-day activities of<br />

living, while others may be more independent. Where a family member or caregiver is responsible<br />

for assisting a user on a daily basis, such as a parent of a child with cerebral palsy, he or she should<br />

also be involved in all the roles listed above for users.<br />

Family groups for parents, siblings and other relatives of children with disabilities are encouraged<br />

to undertake the activities listed under in Section 1.9.6.<br />

Box 1.4. Wheelchair user at policy and implementation level in Uganda<br />

In Uganda, a wheelchair provision stakeholders’ meeting was held in 2004, hosted by the Ministry of <strong>Health</strong> and<br />

sponsored by the norwegian Association for the Disabled. This allowed users, disabled people’s organizations,<br />

producers, government departments and donors to contribute their perspectives on the current situation of wheelchair<br />

provision, to agree on long-term goals, and to plan how to achieve them. The meeting led to the appointment of a<br />

wheelchair user as Wheelchair Project Officer within the Ministry of <strong>Health</strong>. This person’s own experience has enriched<br />

the process of wheelchair service development in the country by bringing a user’s perspective to the policy and<br />

implementation level.

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