Background

Assistive technology is the tool, and often the first step for any next steps to ensure PWDs are equal beneficiaries of, and contributors to any development process. Today only 5–15% of the population in need globally have access to assistive products and the problem is more acute in low- and middle-income countries. It is estimated that more than 90% of children with disabilities in low-income countries lack of access to assistive technology.

Aims

In order to contribute into the reducing of effects from this global challenge, through its Community Based Rehabilitation center in Kiziba refugee camp, Karongi District, Humanity & Inclusion has initiated Appropriate Paper Based Technology to produce postural supportive devices for CWDs using waste paper products.

Method

Selection of fourteen parents and six caregivers who’s their children have cerebral palsy were first done in the first week. An informal training was conducted in Kiziba camp on the concept of making appropriate device for children with cerebral palsy. An ABPT trainer was in charge of evaluation, prescription and supervision of the work. Two children with moderate cerebral palsy were selected to be the model of getting measurements. A ten days training on APBT principles, making glue, boards, getting measurement, cutting and making a specific materiel were done. At the end of the session, groups resembles the measured parts to make a special chair and standing flame. Finally assistive devices were made and given to corresponding children.

Results

Since Humanity & Inclusion (HI) started to provide the APBT postural devices, Children with disabilities in this community have been improved in proper sitting, communication and socialization while attaining home and community inclusion. Parents are able to provide CBR services by fabricating locally made materials (special chair, standing frame etc.) with the support of a rehab professional. These materials have been started to be used in functional rehabilitation services in their respective communities. From the beginning, 6 postural assistive have been made and used in community for mostly mild and moderate CP children in the age ranging from 2 to 14years who could not sit and stand. Some of them were facing loneliness at home and inability to communicate and/or play with others but now they can use the assistive devices given for better sitting, standing and communication with others.

Discussion and Conclusion

A good postural position helped children with disabilities in Kiziba camp for their wellbeing. It has helped in social communication and removing some barriers in activity limitations (Ex: self-eating) thus promoting participation in the community. The Paper Based Technology is an effective and relevant tool that can be used by rehabilitation professionals in Rwanda to make affordable postural assistive devices for children with moderate cerebral palsy in low resourced settings.