Standards for P&O Service Provision

The International Society for Prosthetics and Orthotics (ISPO), in partnership with the World Health Organization (WHO) and funded by the United States Agency for International Development (USAID), is developing a new information product in the form of Standards for Prosthetics and Orthotic Service Provision.

It concerns prosthetics and orthotics services for people with physical impairments including ageing populations to maintain or improve their functioning and independence, facilitate participation, and enhance overall well-being. The proposed Standards for Prosthetics and Orthotics Service Provision will support the Member States to implement UN Convention on the Rights for Persons with Disabilities (CRPD) - especially Article 20: Personal Mobility and 26: Habilitation and Rehabilitation - and WHO's Global Disability Action Plan 2014-2021 - especially in realizing objective 2 – to strengthen and extend rehabilitation, habilitation, assistive technology, assistance and support services, and community-based rehabilitation.

The proposed Standards will cover a key sector of assistive technology – prosthetics and orthotics services. It would assist stakeholders with developing, expanding, and improving the quality of prosthetics and orthotics services.

The reviews are now completed and will helped to inform the content of the standards and have been prepared for submission to peer assessed journals for publication by the authors.

SYSTEMATIC REVIEWS NEWS

Two systematic reviews of the literature were conducted to help inform the development of new World Health Organization Standards for Prosthetics and Orthotic Service Provision. The reviews were initiated following a 3 year period of preparation by the World Health Organization (WHO) assisted by the United States Agency for International Development (USAID) and the International Society for Prosthetics and Orthotics (ISPO).

 

Systematic Review 1 addressed Effectiveness and cost effectiveness of prosthetics and orthotics services. This review team was led by Professor Nachi Chockalingam from Staffordshire University, England with significant input from Dr Aoife Healy.

This review was funded by the United States Agency for International Development through the International Society for Prosthetics and Orthotics.

 

Systematic Review 2 addressed Competencies needed to deliver and manage quality prosthetics and orthotics services and Prosthetics and Orthotics Service Delivery (standards and models).

This review team was led by Professor Richard Baker from the University of Salford with significant input from Associate Professor Saeed Forghany and Dr Ebrahim Sadeghi-Demneh from Isfahan University of Medical Sciences, Iran and Dr Karl Landorf from La Trobe University, Australia.

The review team members from the Universities of Salford and La Trobe were funded by the United States Agency for International Development through the International Society for Prosthetics and Orthotics. To facilitate their participation in this international project, the Isfahan University of Medical Sciences funded their review team members time with the World Health Organization supporting costs to attend the standards development group meeting.

 

Both review teams included a wider network of reviewers giving in kind support to this important work stream. Representatives of the review teams joined a meeting of an expert WHO Standards Development Group to present and discuss their preliminary findings in Bangkok, Thailand in November 2015.

The work of publishing the WHO standards will continue for a further 18 months with a publication launch expected by May 2017 at ISPO’s 16th World Congress in Cape Town, South Africa.

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Further information about the work plan for the development of the Standards can be found in the 2015-2017 work plan.