Table 3.1Description of a two-tier wheelchair service approach

CharacteristicsKey functions
Wheelchair service centreCentre-based.
Facilities (possibly shared with existing health or rehabilitation services): clinical and user training facilities; workshop facilities.
Staff: dedicated wheelchair service centre personnel trained to meet the needs of all users.
Wheelchair service delivery for all users.
Community outreach; linking with community-based wheelchair services and referral networks.
Training, support and supervision of community-based wheelchair services and personnel.
Education of referral sources.
Linking with education, employment and other key development sectors.
Community-based wheelchair servicesCentre-based, with some wheelchair service delivery carried out entirely in the community.
Facilities (shared with other community health and rehabilitation programmes): access to clinic, user training facilities, basic workshop facilities.
Staff: community health and rehabilitation workers trained in basic wheelchair service delivery, supervised and supported by wheelchair service centre personnel.
Wheelchair service delivery for users requiring basic wheelchairs without custom modifications or postural support components.
Identification of users with complex needs, and referral to wheelchair service centre.
Where appropriate, support of users with more complex needs for follow-up, maintenance and repair in the community.
Support of accessibility, including adaptation of user's environment such as wider doors and ramps.


Cover of Guidelines on the Provision of Manual Wheelchairs in Less Resourced Settings
Guidelines on the Provision of Manual Wheelchairs in Less Resourced Settings.
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