Development Planning Unit & GDI Hub WHO Global Collaborating Centre for AT, University College London, London WC1E 6BT, UK.
UCLIC Engineering & GDI Hub WHO Global Collaborating Centre for AT, University College London, London WC1E 6BT, UK.
Int J Environ Res Public Health. 2021 May 22;18(11):5547. doi: 10.3390/ijerph18115547.
The importance of assistive technology (AT) is gaining recognition, with the World Health Organisation (WHO) set to publish a Global Report in 2022. Yet little is understood about access for the poorest, or the potential of AT to enable this group to participate in the activities of citizenship; both formal and informal. The aim of this qualitative study was to explore AT as mediator of participation in citizenship for persons with disabilities who live in two informal settlements in Freetown, Sierra Leone (SL). The paper presents evidence from 16 participant and 5 stakeholder interviews; 5 focus groups and 4 events; combining this with the findings of a house-to-house AT survey; and two national studies-a country capacity assessment and an informal markets deep-dive. Despite citizenship activities being valued, a lack of AT was consistently reported and hindered participation. Stigma was also found to be a major barrier. AT access for the poorest must be addressed if citizenship participation for persons with disabilities is a genuine global intention and disability justice is to become a reality.
辅助技术(AT)的重要性越来越受到认可,世界卫生组织(WHO)将于 2022 年发布一份全球报告。然而,对于最贫困人群的辅助技术获取情况,以及辅助技术使这一群体参与正式和非正式公民活动的潜力,人们知之甚少。本定性研究的目的是探索辅助技术作为中介,促进居住在塞拉利昂弗里敦两个非正规住区的残疾人参与公民活动。本文从 16 名参与者和 5 名利益攸关方的访谈、5 个焦点小组和 4 个活动中提出了证据;结合辅助技术家访调查以及两项全国性研究(国家能力评估和非正规市场深入研究)的结果。尽管公民活动受到重视,但人们一直报告说缺乏辅助技术,这阻碍了他们的参与。研究还发现,耻辱感也是一个主要障碍。如果残疾人的公民参与是真正的全球意图,并且残疾正义要成为现实,那么必须解决最贫困人群获取辅助技术的问题。