1. Seating and postural support for people with disabilities

2. The United Nations Standard Rules on the Equalization of Opportunities States should ensure the development and supply of support services, including assistive devices for persons with disabilities, to assist them to increase their level of independence in their daily living and to exercise their rights. (Rule 4, UN, 1993) “According to the needs of people with disabilities”

3. The wheelchair is one of the most commonly used assistive devices for mobility for disabled people For many people, an appropriate, well-designed and well-fitted wheelchair is the first step towards inclusion and participation in society.

6. Many kind of wheelchair

7. The WHO Guidelines on Wheelchairs aims for greater access to appropriate wheelchairs by assisting Governments to develop proper systems for wheelchair provision thereby fulfilling their obligation to implement Article 20 of the Convention on the Rights of Persons with Disabilities.

8. When is a wheelchair appropriate [i]?[i] 1 : meets the user’s needs and environmental conditions, [i][i] Guidelines on the provision of manual wheelchairs in less resourced settings WHO 2008

9. 2: provides proper fit and postural support Inappropriate seat [i][i] Guidelines on the provision of manual wheelchairs in less resourced settings WHO 2008 appropriate seat

10. 3: is safe and durable [i][i] Guidelines on the provision of manual wheelchairs in less resourced settings WHO 2008

11. 4: is available and can be accessed, maintained and sustained in the country at the most economical and affordable price. [i][i] Guidelines on the provision of manual wheelchairs in less resourced settings WHO 2008

12. When the need is not met, people with disabilities are isolated and do not have access to the same opportunities as others within their own communities.

13. We need to ensure that the device is appropriate for the user who receives it and that it will not cause additional health complications, pain and suffering or additional expense to the government health services

14. X

15. X

16. Early intervention is of the utmost importance and the most effective way to prevent disabilities

17. Long term health management potential of assistive devices Over 2 years Scoliosis managed in special w/c back support system

18. Long term health management potential of assistive devices Over 4 years Postural deformities + contractures, facilitate normal growth

19. Professional wheelchair service

20. Professional Services All devices are provided through responsible, sustainable wheelchair services which can offer: 1. assessment

21. Professional services 2. Fitting

22. Professional services : 3. Reviews4. Repairs and replacement

23. 5. training, follow-up and maintenance is of the utmost importance

24. The wrong wheelchair can cause discomfort, pain, deformities, pressure sores and other secondary health complications.

25. Special seating