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Improving access to Assistive Technology

Assistive technology enables and promotes inclusion and participation, especially of persons with disability, aging populations, and people with non-communicable diseases. The primary purpose of assistive products is to maintain or improve an individual’s functioning and independence, thereby promoting their well-being. WHO estimates that today 2.5 billion people need one or more assistive products. With a global ageing population and a rise in noncommunicable diseases, this number will rise beyond 3.5 billion by 2050, with many older people needing two or more products as they age. However, in some settings access to assistive products can be as low as 3%.

WHO coordinates the Global Cooperation on Assistive Technology (GATE) as a step towards realizing the Sustainable Development Goals, the Convention on the Rights of Persons with Disabilities, and implementing the resolution WHA71.8 on assistive technology. The GATE initiative has the goal to support countries in addressing challenges and improving access to assistive products within their context.

To achieve this, the GATE initiative is focusing on five interlinked areas (5P): people, policy, products, provision, and personnel.

5 P

People

In all interventions, involving users—and their families—is crucial to fully realize the vision and mission of WHO’s GATE initiative. A user-centred approach is critical to make sure that users’ needs are addressed when developing policies and provision services. Services should not just be physically accessible but also culturally appropriate and tailored to users’ needs. WHO not only promotes a user-centred approach but also works closely with users and user groups.

 

Policy

WHO is developing tools to support countries in developing national policies and programmes to ensure everyone can access assistive products everywhere. The toolkit helps countries collect data to inform decisions for policy and programme design, raise awareness of the need and impact of assistive technology, and galvanize political support and resources for assistive technology. It will also include guidance on the implementation of the Priority Assistive Products List, minimum standards, appropriate training, and service provision. In addition, in 202 WHO published a policy brief to highlight key challenges in ensuring equitable access to assistive technology and provide concrete actions to improve access.

Graphic showing the five interlinked areas of assistive technology (5P) people-centred: policy, products, personnel and provision

Products

In May 2016, WHO launched the Priority Assistive Products List (APL), which includes a list of a minimum of 50 products selected based on widespread need and impact on people’s lives. The APL encourages countries to develop a list of national priority products and is a guide to enhance production, procurement, and service provision, develop reimbursement policies, and shape markets. In 2021 WHO has created the Assistive Products Specifications (APS) a guidebook with specs for 26 prioritized assistive products that describes the minimum quality requirements for manufacturing, to ensure countries get a supply of good quality and affordable assistive products for all who need them.

Provision

WHO is developing guidance on innovative models of service provision, including good-practice examples from across the globe. Fundamental components include the integration of assistive products service provision into the health system and a network of specialist referral centres connected to the primary health care infrastructure. This would enable most people to access assistive products for all their functional needs from a single point and would support universal access and early intervention.

Personnel

WHO is developing a Training in Assistive Products on the provision of a range of simple assistive products selected from the APL; including assessment and prescription, fitting and user training, follow-up, maintenance, and repairs. The package will support countries in building the capacity of their community and primary level workforce to provide simple assistive products.

Publications

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Policy brief: Access to assistive technology

The need for assistive technology is rising rapidly with global ageing and increasing prevalence of noncommunicable diseases. Yet, assistive technology...

Assistive product specifications and how to use them

This document was developed by the World Health Organization (WHO) to guide the procurement of assistive products. It is intended primarily for procurement...

Global priority research agenda for improving access to high-quality affordable assistive technology

The World Health Organization (WHO) estimates that more than one billion people are in need of one or more assistive products. The majority of these are...

Priority assistive products list

 To improve access to high-quality, affordable assistive products in all countries, the World Health Organization (WHO) is introducing the Priority...

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