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Rapid access to essential assistive technology for internally displaced people in Ukraine (‎AT10)‎: lessons learned report

WHO Regional Office for Europe
January 2024

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The “Rapid access to essential assistive technology for internally displaced people in Ukraine (AT10)” project was a WHO initiative, in partnership with the Ukrainian Ministry of Health, that took place in Ukraine starting in 2022, with funding from ATscale and the Ukraine Humanitarian Fund.

Its aim was to establish rapid service delivery mechanisms to provide 10 products that assist mobility and self-care to support the population with existing or new assistive technology needs. A novel aspect of this project was that the provision of assistive technology was integrated in the emergency response. Service providers were trained to provide the 10 products using the WHO Training in Assistive Products programme.

As of 31 March 2023, in the first phase of the project, 2458 assistive products had been provided by 10 health facilities in five oblasts [regions] in eastern Ukraine, meeting the assistive technology needs of 1485 people affected by the war. Through a process that was well coordinated, timely, acceptable to service users and sensitive to the challenges of the local context, the AT10 project met the assistive technology needs of the population and facilitated rehabilitation, community participation and ultimately community development.

This report describes the lessons learned from this project and outlines recommended actions for future provision of assistive technology as part of the health emergency response.

CRPD jurisprudence on Assistive Technologies through Concluding Observations: An analysis from Global South perspectives

INTERNATIONAL DISABILITY ALLIANCE (IDA)
GLOBAL DISABILITY INNOVATION HUB (GDI)
October 2023

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States parties have several obligations with regard to assistive technologies under the CRPD under Article 4, including undertaking and promotion of research and development of or new technologies, incorporating information and communications technologies, mobility aids, devices and assistive technologies that are suitable for persons with disabilities. It also prioritizes technologies at an affordable cost. States are also to provide accessible information to persons with disabilities about mobility aids, devices, and assistive technologies, including new technologies, as well as other forms of assistance, support services and facilities. This obligation is further elaborated in other Articles of the Convention, which may explain why the CRPD Committee has not focused observations around assistive technology related to this Article

No tech about us, without us

SALELKAR, Amba (IDA)
BANDUDKA, Maryam (GDI hub)
OJOK, Banya (IDA)
September 2023

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Two short talks concerning the centering of assistive technology projects on persons with disabilities and organisation of persons with disabilities (OPD/DPO). The talks are presented by a representative from IDA in India and one from IDA in Uganda. The talks are introduced by Maryam Bandudka of GDI hub. Story telling, the CPRD, communities of practice and advocacy are mentionned

 

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

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. 

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.

Strengthening government systems to empower children via early access to AT

SEGHERS, Fre (Clinton Health Access Initiative (CHAI))
September 2023

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A short talk in the Disability Innovation Summit: Inclusive Interactions conference held by GDI hub on 13 Sep 2023

Work required to shape markets for assistive technology for young children is explored including assessing numbers and types of disability, regulations, and community leaders involvement

AT DIGEST Issue 1, September 2023

INTERNATIONAL DISABILITY ALLIANCE (IDA)
GLOBAL DISABILITY INNOVATION HUB (GDI)
September 2023

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AT Digest is a quarterly publication curated by the International Disability Alliance with the objective of increasing awareness about the possibilities offered by assistive technology as experienced by its users. Additionally, it aims to disseminate information to a broad spectrum of assistive technology stakeholders, such as present and prospective users, manufacturers, and policymakers. Fellows of IDA and GDI’s Assistive Technology User Fellowship Program are the key creators of this publication, as they share their experiences, highlights from project activities, and author insightful, original articles.

 

This issue of the AT Digest is about CRPD jurisprudence on assistive technology. Fellows have collaboratively authored a substantive article titled Evolution of CRPD jurisprudence on Assistive Technologies through Concluding Observations: An analysis from Global South perspectives by analyzing AT related recommendations from IDA`s compilations of CRPD Committee`s concluding observations. 

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?

Innovative data use: can we learn more from what is already available?

DANEMAYER, Jamie
September 2023

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

The use of published datasets on the prevalence of disability is reviewed. The numbers of datasets and their harmonisation is described and the advantages, limitations and opportunities for use are outlined. 

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  

Resisting cooptation of disability justice revolutionary dreams

BROWN, Lydia, X. Z.
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 concerning the disability justice framework. The framework was co-created by a coalition of disabled people, mainly of colour and from the LGBT community in 2005-2006.

Topics discussed include: disability rights, institutions, ableism and the wider meaning of disability justice.  

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 

Catalyzing action for millions more people to access assistive technology in LMICs

BIJLEVELD, Pascal
September 2023

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

 

ATscale has a goal of reaching 500 million more people, mostly in low and middle income countries, with AT by 2030.

This short talk focusses on major fundamential issues found in the first 2 years of operations:

  • Awareness - lack of awareness of AT even amongst health professionals
  • Fragmentation - AT is not a sector and is fragmented in types of AT (vision, hearing, mobility etc), in ministries involved (social welfare, health, education etc), in civil society and in the private sector
  • Expertise - implementation is a challenge. AT needs to be built as a discipline

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.  

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