Users’ satisfaction and experiences in using assistive devices distributed by a rehabilitation centre in Bangladesh: a cross-sectional study

Abstract

Purpose

This study aimed to understand Bangladeshi users’ satisfaction with their assistive devices, including (a) device characteristics, e.g., size, weight, safety, ease of use, comfort, and effectiveness, and (b) availability of parts and repair services. We also described how frequently individuals with disabilities living in the community used assistive devices in their daily activities and how the use of assistive devices promoted individuals’ wellbeing.

Method

We conducted a cross-sectional survey with assistive device users or their guardians (if under 18) in Bangladesh about their experience and satisfaction with their assistive device 6 months after receiving it. The research team developed a survey questionnaire consisting of both closed and open-ended questions. All data were collected via telephone interviews. We employed descriptive statistics to analyse quantitative data and inductive analysis for the qualitative data.

Results

We found that out of the 376 participants, nearly 95% used assistive devices on a regular basis, and their satisfaction with the devices was high. Participants reported that assistive devices improved mobility, independence, and wellbeing of persons with disabilities. A few participants (6.4%) reported that their devices were damaged. Some participants identified concerns with their assistive devices, including (i) inappropriate size of ankle-foot orthoses, manual self-propelled wheelchairs, and prostheses, (ii) back slabs (a type of brace) being too short, and (iii) walking frames being too large. Several participants noted pain and discomfort when they used their assistive device. Additionally, some participants stated that environmental factors (e.g., muddy roads) contributed to the disrepair of their assistive devices. Finally, participants recounted that repair services were limited in rural areas of Bangladesh.

Conclusion

These findings indicate that the provision of assistive devices requires accommodating individuals’ needs and ensuring appropriate environments in which to function. The results support the need for follow-up services after distributing assistive devices. Further research could explore the impact of assistive devices on the family quality of life of persons with disabilities.

IMPLICATIONS FOR REHABILITATION

• It is essential for rehabilitation professionals to conduct follow-up services after distributing assistive devices among persons with disabilities.

• There is a need for the government of Bangladesh to revisit the Rights and Protection of Persons with Disability Act of 2013 and provide further clarity about their commitment to the provision of assistive devices and associated services (e.g., repair services) and its subsequent implementation.

• Policymakers in Bangladesh must be proactive to translate policy commitments into practice, as it relates to building an accessible environment for people using assistive devices. Further, government efforts are needed to educate policy implementers in all relevant ministries so that all responsible bodies are fully familiar with their national and international commitments regarding the rights of persons with disabilities.

• Future research could (i) include user’s satisfaction with the service delivery process and (ii) measure the impact of assistive devices on family quality of life of persons with disabilities.

Keywords:

• Assistive device
• accessibility
• disability
• follow-up service
• low-and middle-income country
• satisfaction

Acknowledgments

We would like to thank Dr. Djenana Jalovcic for the creation of the initial survey as well as for her leadership with the AHEAD project at CRP. We also want to express our gratitude to Ms. Nayma Nazneen and Mr. Lino Simon Penheiro for conducting telephone interviews. Moreover, we are thankful to Mr. Mohammad Morshedul Quadir for his support in conducting this study. Finally, we are grateful to the study participants for sharing their experiences.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The assistive devices distribution and satisfaction data collection were supported by the Government of Canada, Global Affairs Canada under Grant number S-065642.