Ngomwa Peter Morris Gasten
Malawi Council for the Handicapped, Limbe, Malawi.
Front Public Health. 2019 Jan 29;6:377. doi: 10.3389/fpubh.2018.00377. eCollection 2018.
Assistive technologies are one of the five elements under the Health Component of the World Health Organization CBR Guidelines that Malawi is using to implement the Community Based Inclusive Development (CBID) Programme. The technologies enhance independent living by removing barriers that come due to disability or old age and should, therefore, be prioritized. However, Malawi does not have a straightforward way of providing Assistive Technology. Individuals are considered upon the assessment of their needs whose intervention with respect to assistive products may not be available. This is mostly the case with persons with intellectual disabilities, in which there is very little expertise to work with, in Malawi, although they require assistive products to improve their quality of life just like other persons with disabilities. There are many sectoral policies and laws in Malawi, nonetheless, they do not have a positive input on persons with intellectual disability to access assistive technologies in terms of availability (provision), affordability (cost), and appropriateness (suitability and quality). Therefore, this paper intends to demonstrate the barriers that are faced by persons with intellectual disabilities, examine the policies, and pieces of legislation that would have influenced better access and maps the way on how barriers can be removed to ensure that Assistive Technologies are readily and easily accessed.
辅助技术是世界卫生组织社区康复指南健康组成部分下的五个要素之一,马拉维正在利用这些要素来实施基于社区的包容性发展(CBID)计划。这些技术通过消除因残疾或年老而产生的障碍来促进独立生活,因此应被列为优先事项。然而,马拉维没有一种直接的方式来提供辅助技术。只有在对个人需求进行评估后才会考虑为其提供辅助产品,而这些产品可能无法满足他们的需求。对于智障人士来说,情况大多如此,在马拉维,虽然他们和其他残疾人一样需要辅助产品来提高生活质量,但针对他们的专业知识却非常少。马拉维有许多部门政策和法律,然而,在辅助技术的可获得性(供应)、可承受性(成本)和适用性(适宜性和质量)方面,这些政策和法律并没有对智障人士获取辅助技术产生积极影响。因此,本文旨在揭示智障人士面临的障碍,审视那些本可促进更好获取辅助技术的政策和法律法规,并规划出消除障碍的途径,以确保人们能够便捷地获取辅助技术。