If you represent a hospital, NGO, public or private mobility centre and would like to seek our support please fill out the form below so we can have your request on file. Which country are you located in: AlgeriaAngolaBeninBotswanaBurkina FasoBurundiCabo VerdeCameroonCentral African Republic (CAR)ChadComorosDemocratic Republic of the CongoRepublic of the CongoCote d'IvoireDjiboutiEgyptEquatorial GuineaEritreaEswatini (formerly Swaziland)EthiopiaGabonGambiaGhanaGuineaGuinea-BissauKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSouth SudanSudanSwazilandTanzaniaTogoTunisiaUgandaZambiaZimbabwe State / Region: Full name of centre: Address of centre: Name of main contact: Email Address of main contact: Phone number of main contact: WhatsApp number: How many qualified prosthetists work at the centre? How many trained technicians? How many trained physiotherapists? Do you ever use pre-used components in the making of prosthetic legs? YesNo Do you make new sockets at the centre? YesNo Is there an amputee support group in the area, that helps people with emotional trauma? YesNo If Yes - Please provide phone number and email… On average how many prosthetic legs does the unit make per month? How many prosthetic legs could the unit make if components where provided? What costs are incurred for a patient when having a new leg fitted? What costs are incurred by the patient when adjustments or repairs are being made? How are patient details and reports stored? How did you hear about Legs4Africa?