World Health Organization, Copenhagen, Denmark.
World Health Organization, Dushanbe, Tajikistan.
Disabil Rehabil Assist Technol. 2021 Nov;16(8):857-864. doi: 10.1080/17483107.2020.1745908. Epub 2020 Apr 2.
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.
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.
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.
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 RehabilitationIncorporating 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.
制定国家辅助器具清单是辅助技术政策的重要组成部分，需要了解总人口需求以及产品成本和效益；在低收入国家，信息并不总是现成的。我们在塔吉克斯坦制定国家辅助器具清单方面的经验为其他国家提供了指导。
200 名残疾人参与了一项关于辅助器具需求、使用经验和获取障碍的自我报告调查；12 个焦点小组，由 100 多名残疾人和老年人参与，讨论了辅助技术。对辅助技术的主要提供者（政府、非政府组织、当地生产商）进行了采访。
这些结果在与政府和其他利益相关者的会议上进行了介绍，会议就国家辅助器具清单上的 30 种辅助器具达成了共识。
我们确定了负责制定辅助器具清单的关键利益相关者，并讨论了做出明智决策所需的数据（总需求、成本效益、未满足的需求、资源、障碍、系统分析），以确定要纳入哪些产品。这项工作可以作为一个案例研究，在预算有限的情况下快速制定辅助器具清单，同时不影响以用户为中心的方法或利益相关者的积极参与。
将康复和辅助技术纳入全民健康覆盖。建立和加强康复网络和伙伴关系，并利用现有资源（利益相关者、知识、政府政策文件）加强康复和辅助技术，特别是在中低收入国家。制定国家辅助器具清单是辅助技术政策的重要组成部分。制定国家辅助器具清单需要了解人口需求以及产品成本和效益；在低收入国家，这些信息并不总是现成的。在本文中，我们确定了负责制定辅助器具清单的关键利益相关者以及做出明智决策所需的数据。我们证明，辅助器具清单的制定可以在短时间内和小预算下完成。
