In October 2017, World Vision produced a report entitled “The 8 Steps+”, outlining the role of community development organizations in providing holistic wheelchair services. This report was based on lessons learned within the ACCESS Wheelchair program funded by the United States Agency for International Development (USAID). This program brought together technical organizations including Motivation Charitable Trust, United Cerebral Palsy Wheels for Humanity and Motivation Romania Foundation with World Vision. This report built on the World Health Organization (WHO) wheelchair provision 2008 guidelines that outlined 8 steps critical for effective provision. It added steps that World Vision and other organizations working at community level can support to enhance the quality of life for wheelchair users. The revision of the WHO guidelines in 2023 to a four-step approach led World Vision to develop a revised report that reflects our ongoing learning.