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The primary aim was to explore the perceived barriers that lower limb amputees and service providers face when accessing or providing rehabilitation services. The secondary aim was to describe the lower limb amputations performed in public hospitals in the Western Area of Sierra Leone in 2018. A mixed methodology was employed, involving the collection of amputation data from surgical logbooks and interviews with amputees ( = 1 and group discussion and interviews with service providers ( = 11). Of the 37 primary lower limb amputati