Users’ Satisfaction with Wheeled Mobility Assistive in Kinshasa and Goma, Democratic Republic of Congo

Authors

  • Mabanza M. M. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Kinshasa
  • Biwata M. B. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Kinshasa
  • Lofuta O. V. P. Rehabilitation and Physiotherapy, Faculty Motor Skill Science, Free University Brussells
  • Nzinga L. A-M Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Kinshasa
  • Tshongo K. H. Institut Supérieur d’Etudes Médicales, Goma 
  • Ntsambi EG Department of Surgery, Faculty of Medicine, University of Kinshasa
  • Buhendwa R. A. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Kinshasa
  • Nkakudulu B. K. H. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Kinshasa

DOI:

https://doi.org/10.71637/tnhj.v25i3.1180

Keywords:

Users’ satisfaction, Wheeled mobility assistive devices, Wheelchair, Democratic Republic of Congo

Abstract

Background: Wheeled mobility assistive devices greatly assist individuals with disabilities. In the Democratic Republic of Congo (DRC), a country in armed conflict, no study has been conducted to describe the satisfaction with mobility assistive devices in adults with chronic spinal cord injuries (ACSCI). The aim of this study was to describe the level of satisfaction related to adult with spinal cord injury use of wheeled mobility assistive devices.

Methods: This descriptive cross-sectional study involves 126 ACSCI in Goma and Kinshasa between January 2020 and June 2021. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0) was used to assess the intrinsic qualities and services of wheeled mobility assistive devices. Statistical analysis included the chi-squared test or Fisher’s exact test with post-hoc Bonferroni correction.

Results: Overall, participants reported being moderately satisfied with intrinsic qualities. Notably, they expressed high satisfaction with solidity (32.5%, p= 0.003) and general satisfaction with efficacy (48.3%, p= 0.036). However, there was notable dissatisfaction with dimensions and weight (equality: 33.3%, p < 0.001). Regarding services, adult with spinal cord injury participants demonstrated a significant level of dissatisfaction with the cost (54.8%, p < 0.001).

Conclusion: The study highlights significant disparities in the provision and use of WMADs among ACSCIs. While users were generally moderate in their satisfaction with the intrinsic qualities of the devices, they were not satisfied with the service-related aspects. To address these issues, a user-centred national strategy is essential to ensure equitable access to affordable, locally appropriate mobility aids supported by qualified professionals.          

Downloads

Download data is not yet available.

References

1. WHO WH. Priority Assistive Products List: Improving access to assistive technology for everyone, everywhere [Internet]. World Health Organization; 2016 [cited 2024 Feb 1]. Available from: https://apps.who.int/iris/bitstream/handle/10665/207694/WHO?sequence=2

2. Rushton PW, Miller WC, Mortenson WB, Garden J. Satisfaction with participation using a manual wheelchair among individuals with spinal cord injury. Spinal Cord. 2010 Sep;48(9):691–6.

3. Visagie S, Mlambo T, van der Veen J, Nhunzvi C, Tigere D, Scheffler E. Impact of structured wheelchair services on satisfaction and function of wheelchair users in Zimbabwe. Afr J Disabil. 2016;5(1):222.

4. Wheelchair provision guidelines - World Health Organization - Google Books.

5. Flemmer CL, Flemmer RC. A review of manual wheelchairs. Disability and Rehabilitation: Assistive Technology. 2016 Apr 2;11(3):177–87.

6. WHO WH. Joint position paper on the provision of mobility devices in less-resourced settings: a step towards implementation of the Convention on the Rights of Persons with Disabilities (CRPD) related to personal mobility. 2011 [cited 2024 Feb 1]; Available from: https://apps.who.int/iris/bitstream/handle/10665/44780/9789241502887_eng.pdf

7. Borg J, Lindström A, Larsson S. Assistive technology in developing countries: a review from the perspective of the Convention on the Rights of Persons with Disabilities. Prosthet Orthot Int. 2011 Mar;35(1):20–9.

8. Borg J, Östergren PO. Users’ perspectives on the provision of assistive technologies in Bangladesh: awareness, providers, costs and barriers. Disabil Rehabil Assist Technol. 2015 Jul;10(4):301–8.

9. Gowran RJ, Clifford A, Gallagher A, McKee J, O’Regan B, McKay EA. Wheelchair and seating assistive technology provision: a gateway to freedom. Disabil Rehabil. 2022 Feb;44(3):370–81.

10. Visagie S, Eide AH, Mannan H, Schneider M, Swartz L, Mji G, et al. A description of assistive technology sources, services and outcomes of use in a number of African settings. Disabil Rehabil Assist Technol. 2017 Oct;12(7):705–12.

11. Convention relative aux droits des personnes handicapées - Google Search [Internet]. [cited 2024 Feb 8]. Available from: https://www.google.com/search?q=Convention+relative+aux+droits+des+personnes+handicap

12. Borg J, Lindström A, Larsson S. Assistive technology in developing countries: national and international responsibilities to implement the Convention on the Rights of Persons with Disabilities. Lancet. 2009 Nov 28;374(9704):1863–5.

13. Sheldon S, Jacobs NA. ISPO consensus conference on wheelchairs for developing countries: Conclusions and recommendations. Prosthetics & Orthotics International. 2007 Jun;31(2):217–23.

14. Demers L, Weiss-Lambrou R, Ska B. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0): an overview and recent progress. Technology and Disability. 2002;14(3):101–5.

15. Schlindwen S. dw.com. 2016 [cited 2025 Jul 14]. New mobility for people living with disability in DRC – DW – 08/26/2016. Available from: https://www.dw.com/en/new-mobility-for-people-living-with-disability-in-drc/a-19507340

16. Anonymous. Church Donates Wheelchairs and Other Mobility Aids in Kinshasa, DR Congo, pdf - Google Search [Internet]. [cited 2024 Feb 8]. Available from: https://www.google.com/search?q=Church+Donates+Wheelchairs+and+Other+Mobility+Aids+in+Kinshasa

17. Worldometer [Internet]. [cited 2025 Jul 13]. DR Congo Population (2025). Available from: http://www.worldometers.info/world-population/democratic-republic-of-the-congo-population/

18. loi organique personne avec handicap, RDC, pdf - Google Search [Internet]. [cited 2024 Feb 8]. Available from: https://www.google.com/search?q=loi+organique+personne+avec+handicap%2C+RDC

19. Shore SL. Use of an economical wheelchair in India and Peru: impact on health and function. Med Sci Monit. 2008 Dec;14(12):PH71-79.

20. Pratiwi AB, Setiyaningsih H, Mahardya R, Hafidz F, Puspandari DA. The economic impacts of wheelchair use: Evidence from Central Java, Indonesia. Journal of Community Empowerment for Health. 2019;2(2):190–7.

21. Wolf N, Maseko L, Franzsen D, de Witt PA. Wheelchair prescription after spinal cord injury: satisfaction and functional mobility. South African Journal of Occupational Therapy. 2022;52(1):68–77.

22. Burns AS, O’Connell C. The challenge of spinal cord injury care in the developing world. The Journal of Spinal Cord Medicine. 2012 Jan;35(1):3–8.

23. Lelo FN TM. Pauvreté urbaine à Kinshasa. Cordaid. La Haye: Cordaid; 2004. 167 p.

24. Shore S, Juillerat S. The impact of a low cost wheelchair on the quality of life of the disabled in the developing world. Med Sci Monit. 2012 Sep;18(9):CR533-542.

25. de Serres-Lafontaine A, Labbé D, Batcho CS, Norris L, Best KL. Social participation of individuals with spinal injury using wheelchairs in rural Tanzania after peer training and entrepreneurial skills training. Afr J Disabil. 2023;12:975.

26. Mukherjee G, Samanta A. Wheelchair charity: a useless benevolence in community-based rehabilitation. Disabil Rehabil. 2005 May 20;27(10):591–6.

27. Musenyente Elijah and Eron Lawrence. Access to wheelchair maintenance-services in Uganda: Maximizing user’s functioning, safety and prolonged wheelchair duration. JEE [Internet]. 2017 Nov 17 [cited 2025 Jun 15]; Available from: https://www.zeetarz.com/wp-content/uploads/2017/12/Access-to-wheelchair-maintenance-services-in-Uganda-Maximizing-user%E2%80%99s-functioning-safety-and-prolonged-wheelchair-duration.pdf

28. Kamaraj DC, Bray N, Rispin K, Kankipati P, Pearlman J, Borg J. A conceptual framework to assess effectiveness in wheelchair provision. Afr J Disabil. 2017;6:355.

29. Visagie S, Duffield S, Unger M. Exploring the impact of wheelchair design on user function in a rural South African setting. Afr J Disabil. 2015;4(1):171.

30. Banda-Chalwe M, Nitz JC, de Jonge D. Impact of inaccessible spaces on community participation of people with mobility limitations in Zambia. Afr J Disabil. 2014;3(1):33.

31. Amosun S, Ndosi A, Buchanan H. Locally manufactured wheelchairs in Tanzania–are users satisfied? African health sciences. 2016;16(4):1174–81.

32. Pearlman et al. Lower-limb prostheses and wheelchairs in low-income countries [An Overview] [Internet]. Pearlman et al. [cited 2025 Jul 4]. Available from: https://ieeexplore.ieee.org/abstract/document/4469636

33. Eide AH AH, Øderud T. Assistive Technology in Low-Income Countries. In: Disability and international development towards inclusive global health [Internet]. Springer. New York; 2024. p. 149–60. Available from: https://www.researchgate.net

34. Williams E, Hurwitz E, Obaga I, Onguti B, Rivera A, Sy TRL, et al. Perspectives of basic wheelchair users on improving their access to wheelchair services in Kenya and Philippines: a qualitative study. BMC Int Health Hum Rights. 2017 Dec;17(1):22.

Downloads

Published

2025-10-13

Issue

Section

Original Articles

How to Cite

Users’ Satisfaction with Wheeled Mobility Assistive in Kinshasa and Goma, Democratic Republic of Congo. (2025). The Nigerian Health Journal, 25(3), 1258 – 1267. https://doi.org/10.71637/tnhj.v25i3.1180

Similar Articles

1-10 of 28

You may also start an advanced similarity search for this article.