National priority assistive product list development in low resource countries: lessons learned from Tajikistan

Research output: Contribution to journalArticle

Abstract

Introduction: Developing a national assistive products list is an important part of an assistive technology policy and requires knowledge of total population need, and product costs and benefits; information is not always readily available in low-income countries. Our experience in Tajikistan of developing a national assistive products list provides guidance for others. Methods: Two hundred people with disabilities participated in a survey on self-reported need for assistive products, user experiences and barriers to access; 12 focus groups, of over 100 people with disabilities and older adults, conducted discussions on assistive technology. Major providers of assistive technology (government, nongovernmental organizations, local producers) were interviewed. Results: These results were presented at a meeting with government and other stakeholders, which led to a consensus on 30 assistive products for the national assistive products list. Conclusion: We identified the essential stakeholders responsible for developing the assistive products list, and discussed the data needed (total need, cost-effectiveness, unmet need, resources, barriers, system analysis) to make an informed decision on which products to include. This work can be used as a case study for developing an assistive products list quickly on a small budget without compromising on a user-centred approach or active participation of stakeholders.Implications for Rehabilitation Incorporating rehabilitation and assistive technology in universal health coverage. Establishing and strengthening networks and partnerships in rehabilitation and building on existing resources (stakeholders, knowledge, government policy documents) to strengthen rehabilitation and assistive technology particularly in low- and middle-income countries. Developing a national assistive products list is an important part of an assistive technology policy. Creating a national assistive products list requires knowledge of population need, and product costs and benefits; information that is not always readily available in low-income countries. In this article, we identify the essential stakeholders responsible for developing the assistive products list and the data needed for informed decisions. We demonstrate that developing an assistive products list can be carried out quickly and on a small budget.

Details

Authors
  • Satish Mishra
  • Andrea Pupulin
  • Björn Ekman
  • Chapal Khasnabis
  • Michael Allen
  • Manfred Huber
Organisations
External organisations
  • United States Agency for International Development
  • WHO Regional Office for Europe
  • Tajikistan - WHO Country Office
  • World Health Organization (WHO)
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Public Health, Global Health, Social Medicine and Epidemiology
  • Production Engineering, Human Work Science and Ergonomics

Keywords

  • Assistive technology, cost–benefit analysis, disabled persons, low-income countries, self-help devices, Tajikistan
Original languageEnglish
JournalDisability and Rehabilitation: Assistive Technology
Publication statusE-pub ahead of print - 2020 Apr 2
Publication categoryResearch
Peer-reviewedYes