The Wheelchair Project Case Study: Scaling Wheelchair Distribution Effectively in Southeast Asia Assitive Technology Provision In Southeast Asia

Main Article Content

Joseph David Tell

Abstract

Many people affected by disability require assistive devices, particularly mobility aids, in order to live independently and fully integrate into their communities. Throughout the world, numerous methods have been implemented in facilitating the provision of these devices to people affected by disabilities. This case study intends use the Rajanagarindra Institute of Child Development Wheelchair Project, located in Chiang Mai, Thailand, to evaluate the viability and efficacy of mobility-provision programs which adapt wheelchairs and other assistive devices not originally intended for the end user. Programs which must “retro-adapt” equipment, like the Wheelchair Project, rely heavily on medical and mechanical expertise to identify the recipients’ needs and safely modify the device accordingly. By examining the distribution statistics from the Wheelchair Project over its 20 years of operation and the needs of the disability community reported by the National Statistics Office of Thailand alongside a cost-benefit analysis of the declared value provided versus operational cost, this case-study systematically details the scope and financial viability of this approach. While not without constraints, this model succeeds in effectively capitalizing on available resources (both in regard to physical equipment as well as professional expertise) to meet the needs of those affected by disabilities in Thailand and Southeast Asia. Although still limited in size and reach, the Wheelchair Project demonstrably shows its viability and the potential this approach presents given the right circumstances.

Downloads

Download data is not yet available.

Article Details

How to Cite
Tell, J. D. (2021). The Wheelchair Project Case Study: Scaling Wheelchair Distribution Effectively in Southeast Asia: Assitive Technology Provision In Southeast Asia. nternational ournal of hild evelopment and ental ealth, 9(1), 55-63. etrieved from https://he01.tci-thaijo.org/index.php/cdmh/article/view/244263
Section
Original Articles

References

Barks, L. (2004). Therapeutic Positioning, Wheelchair Seating, and Pulmonary Function of Children with Cerebral Palsy: A Research Synthesis. Rehabilitation Nursing, 29(5), 146–153. doi: 10.1002/j.2048-7940.2004.tb00337.x
Bickenbach, J. (2011). The World Report on Disability. Disability & Society, 26(5), 655–658. doi: 10.1080/09687599.2011.589198
Bray, N., Noyes, J., Edwards, R. T., & Harris, N. (2014). Wheelchair interventions, services and provision for disabled children: a mixed-method systematic review and conceptual framework. BMC Health Services Research, 14(1). doi: 10.1186/1472-6963-14-309
Disability Inclusion Overview. (n.d.). Retrieved from https://www.worldbank.org/en/topic/disability
Fasciglione, M. (2017). Article 20 [Personal Mobility]. The United Nations Convention on the Rights of Persons with Disabilities, 375–385. doi: 10.1007/978-3-319-43790-3_24
Glumac, L. K., Pennington, S. L., Sweeney, J. K., & Leavitt, R. L. (2009). Guatemalan Caregivers’ Perceptions of Receiving and Using Wheelchairs Donated for Their Children. Pediatric Physical Therapy, 21(2), 167–175. doi: 10.1097/pep.0b013e3181a34a2b
Harris, A., Pinnington, L. L., & Ward, C. D. (2005). Evaluating the Impact of Mobility-Related Assistive Technology on the Lives of Disabled People: A Review of Outcome Measures. British Journal of Occupational Therapy, 68(12), 553–558. doi: 10.1177/030802260506801204
János, F.-B., Arie, R., & Ayelet, G. (2018). Art.19 Living Independently and Being Included in the Community. The UN Convention on the Rights of Persons with Disabilities. doi: 10.1093/law/9780198810667.003.0020
Khasnabis, C., & Mines, K. (2013). Wheelchair service training package: Intermediate level. Geneva: World Health Organization (WHO).
Ploeg, H. P. V. D., Beek, A. J. V. D., Luc H V Van Der Woude, & Mechelen, W. V. (2004). Physical Activity for People with a Disability. Sports Medicine, 34(10), 639–649. doi: 10.2165/00007256-200434100-00002
Rochat, P. (1992). Self-Sitting and Reaching in 5- to 8-Month-Old Infants: The Impact of Posture and Its Development on Early Eye-Hand Coordination. Journal of Motor Behavior, 24(2), 210–220. doi: 10.1080/00222895.1992.9941616
Rousseau-Harrison, K., & Rochette, A. (2012). Impacts of wheelchair acquisition on children from a person-occupation-environment interactional perspective. Disability and Rehabilitation: Assistive Technology, 8(1), 1–10. doi: 10.3109/17483107.2012.670867
Shore, S. (2017). The long-term impact of wheelchair delivery on the lives of people with disabilities in three countries of the world. African Journal of Disability, 6. doi: 10.4102/ajod.v6i0.344
Sumner, E., Oconnell, C., & Macalpine, B. (2017). Wheelchair donation in a low-resources setting: Utilization, challenges and benefits of wheelchairs provided through a specialized seating programme in Haiti. Journal of Rehabilitation Medicine, 49(2), 178–184. doi: 10.2340/16501977-2186
Thailand National Statistics Office. The 2017 Disability Survey, The 2017 Disability Survey (n.d.)
Thailand National Statistics Office. The 2012 Disability Survey, The 2012 Disability Survey (n.d.)
Toro, M. L., Eke, C., & Pearlman, J. (2015). The impact of the World Health Organization 8-steps in wheelchair service provision in wheelchair users in a less resourced setting: a cohort study in Indonesia. BMC Health Services Research, 16(1). doi: 10.1186/s12913-016-1268-y