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Inclusive design and accessibility of the built environment in Freetown - an Inclusive Infrastructure Case Study from Sierra Leone

PATRICK, Michaela
MULDOWNEY, A
TURAY, A
KOROMA, B
McKINNON, I
October 2023

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Showcasing findings and recommendations for infrastructure, the built environment and urban development in Freetown, Sierra Leone, the case study provides actions towards creating a more accessible and inclusive city. Building a picture of the current state of inclusive design and accessibility of the built environment, the report sets out the potential for inclusive design to address existing barriers to inclusion for persons with disabilities.  

 

Research conducted in Sierra Leone included interviews, co-design workshops and photo diaries, with 15 stakeholders and 20 persons with disabilities living and working in the city.

 

Inclusive Infrastructure is a sub-programme of UK aid funded AT2030, testing ‘what works’ to improve access to life-changing Assistive Technology (AT) for all. The research demonstrates how access to AT is dependent on an enabling and inclusively designed built environment. The Sierra Leone case study is the fifth of six that help build a global picture of the current state of inclusion and accessibility in our cities through engaging local stakeholders and communities. 

 

Seeking information about assistive technology: Exploring current practices, challenges, and the need for smarter systems

DANEMAYER, Jamie
HOLLOWAY, Cathy
CHO, Youngjun
BERTHOUZE, Nadia
SINGH, Aneesha
BHOT, William
DIXON, Ollie
GROBELNIK, Marko
SHAWE-TAYLOR, John
September 2023

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Assistive technology (AT) information networks are insular among stakeholder groups, causing unequal access to information. Participants often cited fragmented international marketplaces as a barrier and valued info-sharing across industries. Current searches produce biased results in marketplaces influenced by commercial interests and high-income contexts. Smart features could facilitate searching, update centralised data sources, and disseminate information more inclusively.

 

International Journal of Human - Computer Studies, Volume 177, September 2023, 103078

https://doi.org/10.1016/j.ijhcs.2023.103078

Embedding vital life skills into education to increase access to life opportunities

DONNELLY, Pete (Wheelchair Skills College)
September 2023

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A short talk given in the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

Difficulties experienced by children who are wheelchair users, both in use of the wheelchair and also in wider society are briefly described. The set up, and some of the associated issues in the set up,  of an organisation to teach wheelchair skills and life skills to wheelchair users is outlined. 

 

An introduction is given by Dr Tigmanshu Bhatnagar entitled "Innovation: are ecosystems ready to scale for success?"

How Koalaa is aiming to create sustainable access to prosthetics globally

MARSHALL, Niall (Koalaa)
September 2023

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A short talk given in the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

The start up, development and potential progress of a technology company manufacturing upper limb prosthetics is outlined. Pilot projects were set up and that in Sierra Leone is briefly described. It began with developing a network, listening to users comments, redeveloping the product and representing it to users. The challenges of the next step into larger scale manufactuing and supply, following positive outcomes from pilot projects round the world, are outlined. 

Evolution of inclusive design

MacKINNON, Iain
PATRICK, Michaela
September 2023

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A short talk given in the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023

 

A short account of the development of the knowledge around inclusive design starting with the London Olympic and Paralympic 2020 Games in East London and the growth of that knowledge with the growth of the GDI hub.

The intersectionality of inclusive design and effects of climate change are explored. The importance of inclusive design in future building in cities is emphasised.

Assistive Technology: what’s missing and why aren’t we there already?

BOTHELO, Fernando (UNICEF)
September 2023

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A short talk given in the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023

 

The importance of making accessibility a reality by default is highlighted in the context of business development. Long and short term economics are talked about. Internships and flexibility in job descriptions are highlighted. 

What next for disability innovation; assistive tech build in as the new standard of tech accessibility for all?

GOMPERTZ, Nick
September 2023

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A short talk given in the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

The story of the progress in the development and of issues with the roll out of Earswitch is briefly outlined. The particular advantages for people with communication difficulties owing to cerebral palsy, motor neurone disease and locked in syndrome and also the advantages for the general population are highlighted.  Work is being carried out on eye tracking. Difficulties in transitioning to market are discussed.

Can cities be inclusive?

PATRICK, Michaela
ARRUBLA PALACIO, Maria Clara
VASUDEVAN, D
JAMIL, Fuad
CHOUDHARY, Utsav
NARANGEREL, Tamirkhuu
September 2023

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5 short talks covering disability inclusivity in cities with speakers from Colombia, Indian, Indonsia and Mongolia. Part of the Disability Innovation Summit: Inclusive Interactions summit of 13 Sep 2023 held by the Global Disability Hub.

Disability Innovation Summit: Inclusive Interactions

GLOBAL DISABILITY INNOVATION HUB
September 2023

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Disability Innovation Summit: Inclusive Interactions [13th & 14th Sept 2023]. Bringing together global experts and new voices to share big ideas and ask the question: What next for disability innovation?

DAY 1: Sharing big ideas and powerful insights

Disability innovation today...the good, the bad, the untold

Inclusive infrastructure: can cities be inclusive?
Innovation: are ecosystems ready to scale for success?
Participation and leadership: No tech about us, without us
What fails: and what's not needed. Disability dongles, failure or learning curve
What works: and why

DAY 2: Exploring a new horizon

Disability innovation tomorrow...what next

Disability justice: a disability innovation ambition or contradiction?
Para sport: a vehicle for community level social change?
Systems Strengthening, Disability innovation and Finance: is it possible to create the mechanisms for change?
Future tech: revolutionary solutions and AI – the new face of disability inclusion?

My entrepreneurial journey: as a young person with cerebral palsy

SMITH, Lizzie
September 2023

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A short talk given in the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

The development of a company who creates children’s picture books to aid the delivery of complex disability and illness-related news to young children (0-5 years old) is outlined. The personal experiences from which the resources were developed are described (the author and company owner has cerebral palsy and has degrees in fine art and pyschology).

Inclusive innovation [at Google]

PATNOE, Christopher
September 2023

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Presented at the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

A short talk highlighting Inclusive Innovation at Google.

 

Topics highlighted in the approach taken are: AI; "nothing about us without us"; get started on one thing; this is a process.

Products briefly outlined are: automated captions; real time captions (Google Meet) in 14 languages; interlanguage translation (14 languages); on the phone, live transcribe (80 languages); the ability of the phone to inform deaf people of sounds e.g. laughter, appliances going off; and phone live captioning. 

What fails: and what's not needed, Disability Dongles

HOLLOWAY, Catherine
LANDRE, Anna
September 2023

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Presented at the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

A discussion concerning disability dongles (expensive technical solutions to disability problems without sufficient design input from disabled people - examples include a stair climbing wheelchair and an exoskeleton). Setting up networks of disabled people to input requirements, contextualisation of issues (for example the lack of repair facilities for wheelchairs especially in the global south), telemedicine, and the difficulties in appropriate funding for appropriate projects are discussed.

  

What works

AUSTIN, Vicki
McKINNON, Anne
BELL, Diane
September 2023

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Presented at the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

Outcomes of the first 5 years of the AT2030 project are summarised including: 15 AT country capacity surveys; 11 new assistive technologies; 31 AT ventures brought to sustainability and 70 journal papers. Funding thus far and for the future is also discussed.

Work to supply hearing aids to those with hearing loss in the global south, particularly in South Africa is outlined. Areas highlighted include: work with suppliers; work to ignite innovation and provide products at scale; work with UNICEF and the procurement catalogue; work with HEARX to provide screening and aid fine tuning via a phone app to enable community health AT service.

Questions from the audience highlight issues surrounding acquiring AT in the emergency/humanitarian setting  

How disabled people are leading innovation and systems change in the UK

KANODIA, Kush
September 2023

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The most important part of innovation in systems change is the lived experience.

The successful campaign to eliminate car park charges for people with disabilities at NHS hospitals in the UK is outlined. (Charges from over 200 hospitals are now dismissed).

The ongoing campaign to exempt all people with disabilities who are "Blue badge" holders from charges associated with ULEZ (ultra low emission zones) or the equivalent in cities in the UK is also described. The importance of integrating climate action and disability rights is highlighted.  

Disability justice and stigma – Pathways to change

PUNEET, Singhal
September 2023

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Presented at the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

A short talk highlighting disability intersectionality, from personal experience of multiple unseen disabilities, poverty, marginalisation and abuse.

The work of the Global Network of Young Persons with Disabilities is highlighted.

Beyond Barriers: Journeying from Exclusion to Inclusion with R2D2 and NCAHT-IITM

SRINIVASAN, Sujatha
September 2023

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Presented at the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

Challenges in the development and bringing to market of functional, affordable, high quality AT devices are outlined. The development of the manual standing wheelchair and the lessons learnt in taking it from prototype to market (using the GRID model) are introduced. The challenges of affordability and of awareness of AT including by professionals is highlighted. The work of the National Centre for Assistive Health Technologies (NCAHT at AIIMS, New Delhi) including experience zones of architectural barriers where people can try wheelchars on different surfaces and realise that disability is imposed by the environment is briefly described. Wheelchair skills training and community outings are part of the centre. Other topics mentioned include: the need to normalise disability; the need for collaborations; funders; scalability; fragmented markets and the need to access global markets 

Learning opportunities for blind students - numeracy, logical thinking and accessible artifacts

PODDAR, Roshni
September 2023

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Presented at the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023

 

The development of SEEDS (Scalable Educational Experiment with Digital Empowerment) by a collaboration of Microsoft Research India, Vision Empower and the Centre of Accessibility in the Global South, IIIT Bangalore, is described. India has over 240,00 children with visual impairment. The system uses feature phones rather than smart phones, IVR (Interactive Voice Response) - to enable the child to be rung back and HEXIS for braille. The use, piloting and challenges of the system are briefly outlined.

The start-up model for disability innovation in Africa

CHIIRA, Bernard
September 2023

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Presented at the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

Innovate Now and innovation drivers, the role of innovators, the innovation ecosystem, and access to funders are introduced.

Breaking communication barrier in Ghana using Google’s Project Relate App

AYOKA, Gifty
September 2023

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Presented at the Disability Innovation Summit: Inclusive Interactions conference organised by the GDI hub on 13 Sept 2023.

 

A short presentation highlighting the difficulties of people with communication difficulties and the role and importance of speach and language therapists and of Google's Project Relate app. The app leverages machine learning to aid individuals with non standard speach in real time. The importance of local language and cultural diversity is stressed.  

Local innovation and production ecosystem building in Nepal

OLDFREY, Ben
BAJRACHARYA, Amit Ratna
GURUNG, Ganga
LAL SHRESTHA, Pratisthil
CHANDRA THAPA, Ram
September 2023

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A series of short talks concerned with local innovation and production of AT devices in Nepal given by representatives of members of the associated ecosystem. A short history of the projects is presented. The devastating earthquake in 2015 and COVID both demonstrated the necessity for local innovation, production, repair and maintenance of AT. Three workstreams are ongoing: codesigning for individual needs; manual wheelchairs; and repair and spare part production. The need to develop local OT services in Nepal, particularly of bespoke provision, codesigning with the user to ensure achievable goals with a developed therapeutic intervention plan, is highlighted. Innovative AT associated with the knee joint and a diabetic foot and also a temperature monitoring device are shown and problems with local product validation are highlighted.  Ram Chandra Thapa (founder of Zener Technologies) describes the use of 3D printing in emergency engineering situations. He briefly describes his current project concerning wheelchairs, outlining associated difficulties, the local production ecosystem and the assessment of which parts are the most important for maintenance needs. The need for training and also finance to take a product from innovation to production are mentionned.

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