There is a growing global population of people with disabilities, with an estimated 110 to 190 million adults experiencing significant functional challenges. Prosthetic and orthotic services play a crucial role in restoring mobility, which is essential for accessing basic rights, improving quality of life, and reducing economic vulnerability. However, many barriers exist—especially in less-resourced regions like Africa—such as a lack of trained professionals, limited services, and financial constraints. The Ecole Nationale des Auxiliaires Médicaux of Lomé (ENAM), the only French-speaking prosthetics and orthotics training institution in Africa, has graduated over 234 professionals since 1977, helping to meet this critical need across several countries. A recent study evaluating ENAM graduates in Benin and Togo found that their impact on clients, families, and communities is overwhelmingly positive, improving service availability and quality despite challenging economic conditions. The study highlights the importance of continuing education and calls for further efforts to strengthen prosthetic and orthotic services in the region through coordinated national strategies and professional development.
Prosthetics and orthotics impact assessment: West Africa: Togo and Benin
