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This qualitative study investigates the current state of Prosthetics and Orthotics (P&O) service delivery within the Ghana Health Service, focusing on the challenges and opportunities for improving care in low-resource settings. Conducted in Kumasi, Ashanti Region, the research employed semi-structured interviews with key stakeholders, including technicians and heads of department at a regional P&O center. The study aimed to assess the existence and application of standard operating procedures (SOPs), the adequacy of infrastructure and materials, and the level of professional training and capacity building among P&O service providers. The findings reveal a significant gap in standardized protocols, reliance on individual expertise for decision-making, infrastructural deficiencies, and a pressing need for professional training. The absence of SOPs and the reliance on ad hoc practices compromise the quality and consistency of P&O services, highlighting a broader issue of resource constraints in low- and middle-income countries (LMICs). Based on the insights gained, the study recommends the development and implementation of SOPs tailored to local contexts, investment in infrastructure and equipment, enhanced training programs for healthcare professionals, and the establishment of public-private partnerships to leverage additional resources. These steps are crucial for improving the accessibility and quality of P&O services, ultimately enhancing the well-being and social integration of individuals with disabilities in Ghana. This research contributes to the limited body of literature on rehabilitation services in LMICs and proposes actionable strategies for healthcare policy and practice improvements in Ghana, with potential applicability to similar contexts globally.


Prosthetics Orthotics Ghana Rehabilitation Service Delivery

Article Details

How to Cite
Kofi Koho, M., & Abebrese, J. . (2024). Enhancing Prosthetics and Orthotics Service Delivery in Ghana: A Call for Standardization, Capacity Building, and Systemic Reform. Convergence Chronicles, 5(2), 15–27.


  1. Afonso, F., Sohst, M., Diogo, C. M. A., Rodrigues, S. S., Ferreira, A., Ribeiro, I., Marques, R., Rego, F. F. C., Sohouli, A., Portugal-Pereira, J., Policarpo, H., Soares, B., Ferreira, B., Fernandes, E. C., Lau, F., & Suleman, A. (2023). Strategies towards a more sustainable aviation: A systematic review. Progress in Aerospace Sciences, 137.
  2. Anaya, J. M., Duarte-Rey, C., Sarmiento-Monroy, J. C., Bardey, D., Castiblanco, J., & Rojas-Villarraga, A. (2016). Personalized medicine. Closing the gap between knowledge and clinical practice. Autoimmunity Reviews, 15(8), 833–842.
  3. Baronio, G., Harran, S., & Signoroni, A. (2016). A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process. Applied Bionics and Biomechanics, 2016.
  4. Bonarrigo, F., Signoroni, A., & Botsch, M. (2014). Deformable registration using patch-wise shape matching. Graphical Models, 76(5), 554–565.
  5. Boyd, L. A., Soangra, R., Mukhar, L., Kling, R., & Grant Beuttler, M. (2023). Stepping Beyond Efficacy: Understanding the User Experience of Wearables for Children with Idiopathic Toe Walking in the Natural Setting. Human Factors in Healthcare, 3.
  6. Chen, R. K., Jin, Y. an, Wensman, J., & Shih, A. (2016). Additive manufacturing of custom orthoses and prostheses-A review. Additive Manufacturing, 12, 77–89.
  7. Curran, B., & Hambrey, R. (1991). The prosthetic treatment of upper limb deficiency. Prosthetics and Orthotics International, 15(2), 82–87.
  8. Esquenazi, A., Leonard, J. A., Meier, R. H., Hicks, J. E., Fisher, S. V., & Nelson, V. S. (1989). Prosthetics. Archives of Physical Medicine and Rehabilitation, 70(5), S206–S209.
  9. Ganesan, S., & Ranganathan, R. (2023). Design and development of customized elbow orthosis using additive manufacturing. Proceedings of the Institution of Mechanical Engineers, Part L: Journal of Materials: Design and Applications, 237(8), 1836–1846.
  10. Hackney, K. J., Daniels, S. R., Paustian-Underdahl, S. C., Perrewé, P. L., Mandeville, A., & Eaton, A. A. (2021). Examining the effects of perceived pregnancy discrimination on mother and baby health. Journal of Applied Psychology, 106(5), 774–783.
  11. Hall, A. M., Ferreira, P. H., Maher, C. G., Latimer, J., & Ferreira, M. L. (2010). The influence of the therapist-patient relationship on treatment outcome in physical rehabilitation: A systematic review. Physical Therapy, 90(8), 1099–1110.
  12. Husnain, A., Rasool, S., Saeed, A., Yousaf Gill, A., & Khawar Hussain, H. (2023). AI’S Healing Touch: Examining Machine Learning’s Transformative Effects On Healthcare. Journal of World Science, 2(10), 1681–1695.
  13. Jarow, J. P. (2018). Personalized reproductive medicine: regulatory considerations. Fertility and Sterility, 109(6), 964–967.
  14. Konrad, C., Jacobs, G., Rasor, R., Riedel, R., Katzwinkel, T., & Siebrecht, J. (2019). Enabling complexity management through merging business process modeling with MBSE. Procedia CIRP, 84, 451–456.
  15. Kuyper, M. A., Breedijk, M., Mulders, A. H. M., Post, M. W. M., & Prevo, A. J. H. (2001). Prosthetic management of children in the Netherlands with upper limb deficiencies. Prosthetics and Orthotics International, 25(3), 228–234.
  16. LeBlanc, M., & LeBlanc, M. (1988). Preliminary assessment of three new designs of prosthetic prehensors for upper limb amputees. Prosthetics and Orthotics International, 12(1), 41–45.
  17. Liu, M., Basu, S., & Kumara, S. (2019). Quantifying manufacturability of component geometries using shape descriptors. Procedia CIRP, 84, 462–467.
  18. Macfarlane, P. A., Nielsen, D. H., Shurr, D. G., Meier, K. G., Clark, R., Kerns, J., Moreno, M., & Ryan, B. (1997). Transfemoral amputee physiological requirements: Comparisons between SACH foot walking and flex-foot walking. Journal of Prosthetics and Orthotics, 9(4), 138–143.
  19. Molenda, P., Jugenheimer, A., Haefner, C., Oechsle, O., & Karat, R. (2019). Methodology for the visualization, analysis and assessment of information processes in manufacturing companies. Procedia CIRP, 84, 5–10.
  20. Paxton, N. C., Nightingale, R. C., & Woodruff, M. A. (2022). Capturing patient anatomy for designing and manufacturing personalized prostheses. Current Opinion in Biotechnology, 73, 282–289.
  21. Pillet, J., & Didierjean-Pillet, A. (2001). Aesthetic hand prosthesis: Gadget or therapy? Presentation of a new classification. Journal of Hand Surgery, 26 B(6), 523–528.
  22. Raichle, K. A., Hanley, M. A., Molton, I., Kadel, N. J., Campbell, K., Phelps, E., Ehde, D., & Smith, D. G. (2008). Prosthesis use in persons with lower- and upper-limb amputation. Journal of Rehabilitation Research and Development, 45(7), 961–972.
  23. Rodrigues da Silva, M., Marques, F., Tavares da Silva, M., & Flores, P. (2023). A new skeletal model for the ankle joint complex. Multibody System Dynamics.
  24. Schuch, C. M. (1988). Modern above-knee fitting practice (A report on the ISPO workshop on above-knee fitting and alignment techniques May 15–19, 1987, Miami, USA). Prosthetics and Orthotics International, 12(2), 77–90.
  25. Shuxian, Z., Wanhua, Z., & Bingheng, L. (2005). 3D reconstruction of the structure of a residual limb for customising the design of a prosthetic socket. Medical Engineering and Physics, 27(1), 67–74.
  26. Smith, K. E., Commean, P. K., Bhatia, G., & Vannier, M. W. (1995). Validation of spiral CT and optical surface scanning for lower limb stump volumetry. Prosthetics and Orthotics International, 19(2), 97–107.
  27. Yan, Q., Dong, H., Su, J., Han, J., Song, B., Wei, Q., & Shi, Y. (2018). A Review of 3D Printing Technology for Medical Applications. Engineering, 4(5), 729–742.
  28. Zinsstag, J., Schelling, E., Waltner-Toews, D., & Tanner, M. (2011). From “one medicine” to “one health” and systemic approaches to health and well-being. Preventive Veterinary Medicine, 101(3–4), 148–156.