Experiences of attitudes in Sierra Leone from the perspective of people with poliomyelitis and amputations using orthotics and prosthetics.
OBJECTIVE
The aim of this study was to describe experiences of attitudes in the society of Sierra Leone from the perspective of individuals with poliomyelitis and people with amputations using orthotic or prosthetic devices.


METHODS
Individual interviews were conducted using open-ended questions. Twelve participants with amputations or polio were included. Content analysis was applied to the data.


RESULTS
The following six themes emerged during data analysis: Experience of negative attitudes; Neglected and respected by family; Traditional beliefs; The importance of assistive devices; People with disability struggle with poverty; and The need for governmental and international support.


CONCLUSIONS
In Sierra Leone, people with disabilities face severe discrimination. They need to be included, recognized, and supported to a greater extent by the society, the community, and the family, as well as by the government and international organizations. Traditional beliefs have a negative impact on people with physical disabilities and are an important cause of discrimination in Sierra Leone. Prosthetic and orthotic devices are vital for people with physical disability and offer increased dignity. Prosthetic and orthotic services need to be accessible and affordable. Poverty affects access to education, employment, and health care for Sierra Leoneans with physical disabilities, forcing them to resort to begging to cover basic living needs. Implications for Rehabilitation In Sierra Leone, traditional beliefs related to disability and public attitudes need to change in order to protect the human rights of people with disabilities. Increased public awareness of disability and implementation of the United Nations Convention on the Rights of Persons with Disabilities (CRPD) at different levels in society is needed. To increase access to prosthetic and orthotic services in Sierra Leone, these services need to be affordable and related costs, such as transport, need to be covered by support. Increased access to education, employment, and financial support could contribute to an improved standard of living for people with physical disabilities. Governmental and international support is needed to decrease attitudinal and environmental barriers for people with disabilities in Sierra Leone.
a Department of Health Sciences, Faculty of Medicine , Lund University , Lund , Sweden.
Emmelie
http://orcid.org/0000-0002-0071-296X
E
Andregård
a Department of Health Sciences, Faculty of Medicine , Lund University , Lund , Sweden.
Lina
http://orcid.org/0000-0003-4216-6255
L
Magnusson
D000328:Adult; D000674:Amputees / Q000534:rehabilitation; D001186:Artificial Limbs; D001290:Attitude; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities / Q000523:psychology; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009989:Orthotic Devices; D011051:Poliomyelitis / Q000453:epidemiology* / Q000534:rehabilitation; D011203:Poverty; D011287:Prejudice; D012807:Sierra Leone / Q000453:epidemiology
Polio; amputation; attitudes; orthotics; prosthetics; traditional beliefs