Evert-Jan Hoogerwerf & Luc de Witte

1. Evert-Jan Hoogerwerf & Luc de Witte

2. WHO Global Disability Action Plan
The Action Plan has three objectives:
 1. Remove barriers and improve
access to health services and
programmes;
 2. Strengthen and extend
rehabilitation, habilitation, assistive
technology, assistance and support
services, and community-based
rehabilitation;
 3. Strengthen collection of relevant
and internationally comparable data
on disability and support research
on disability and related services.

3. Opening the GATE
 By 2050 – estimated to be 2 billion who
could benefit form Assistive Technology
 But, its so expensive!

4. What we want to do
 More people globally
 to have more AT
 of good quality
 based on needs, not ability to pay
 supplied at scale
 reliably
 supported by skilled people
 with protections from vested interests
 supporting inclusion, participation and rights.

6. GATE Strategy
1. Products: Priority Assistive
Products List (APL)
2. Personnel: Comprehensive
Assistive Technology Training
Programme (ATTP)
3. Provision: Single-window
Service Provision model (ATSP)
4. Policy: National Assistive
Technology Framework (ATF)

7. What has been the role of
AAATE in GATE so far?
 AAATE has endorsed GATE during a side meeting of the GA of the
UN in 2013, leading a colalition of global AT organisations.
 AAATE has participated in the GATE meeting in Geneva in 2014 with
an opening statement.
 AAATE has participated in several other international GATE events
(US, China)
 AAATE has critically commented on the Priority list of AT products
 Several AAATE members are part of the different working groups
 AAATE has taken the initiative to develop the research agenda and
hosted a meeting in Budapest 2015.

8. A list of Global Priority Assistive
Products
 Ambitious
 Pros & Cons
 Utilitarian approach
 The most needed AT to the greatest number of
those who can benefit most from it.
 A minimum, not a maximum:
 Like essential medicines list

9. Assistive Products List (APL)
 Delphi – consensus building between experts
 Delphi 1 & 2: 200 participants 200+>100
 Delphi 3 100->50
 Global Survey – in 50 languages, extensive
sampling (not anonymous) -> prioritizing
products
 Consensus Conference of Stakeholders
 What are the 50 priority products?
 How to provide them – next step

11. Debate on the PAP list
Advantages of having such a list
-Important driver for change
-Helpful for countries starting with building up an AT
infrastructure – Countries will have to respond!
-It will help developing markets
Disadvantages of having such a list
-It enhances a medica approach (culturally a step back)
-It «undermines» the need of expert advice
-It might be taken as an unmutable «standard»
-By prioritising products it prioritises needs
-It might introduce rigidness in Service delivery systems

13. Method