Accessing Prosthetic and Rehabilitation Services After Lower Limb Amputation in Cambodia: A Qualitative Study of Service Users and Families

Purpose While research has improved understanding of prosthetic use in Cambodia, little is known about how individuals with lower limb amputation and their families experience access to prosthetic and rehabilitation services. This qualitative study explores these experiences to inform equitable and contextually appropriate service provision. Methods A qualitative study was conducted using semi-structured interviews with adult lower-limb prosthetic users and their family members attending prosthetic and rehabilitation services provided by a Non-Governmental Organisation. The study design and research materials were co-produced with the Cambodian partner research team to ensure cultural appropriateness, accessibility, and acceptability. Data were analysed inductively using reflexive thematic analysis. Results Three overarching thematic categories were identified, each comprising three themes: (1) heavy reliance on a well-functioning prosthesis, (2) accessing and using prosthetic and rehabilitation services, and (3) sources of support and impacts on quality of life. Participants described prosthetic devices as essential to mobility, independence, and social participation, while also highlighting challenges related to device durability and fit, travel and financial constraints, service continuity, and the central role of family support in enabling ongoing prosthetic use. Conclusions Prosthetic and rehabilitation services are critical to supporting life after lower limb amputation in Cambodia; however, their effectiveness is shaped by the availability of durable, well-fitting devices and services that actively address structural, social, and cultural barriers to access. Service models that are responsive, culturally sensitive, and community-oriented are required to support sustained prosthetic use holistically and to inform the future development of data-driven approaches to improving service accessibility.