Al-Jumaili Ali Azeez, Eissa Magdy, Zhang Wei, Alameri Alaa Hussein Ali, Bebany Aamr, Sakr Hala, Azeez Ayoob, Mustafa Mohammed Khalil, Raoof Raoof Tariq, Ibrahim Abdulnaser Kamil, Nooruldeen Zinah E, Sadeq Naseem Jaafar, Ali Kinan Hussien, Wehbi Mohamad, Langar Houda
Clinical Pharmacy, University of Baghdad College of Pharmacy, Baghdad, Iraq.
The WHO EMRO Office, World Health Organization, Cairo, Egypt.
Assist Technol. 2025 Sep;37(5):313-321. doi: 10.1080/10400435.2025.2496481. Epub 2025 May 5.
The objective of this population-based study was to assess the use, sources, payers, barriers, need, and unmet need of assistive products (AP) in the population of Iraq using the Rapid Assistive Technology Assessment (rATA) survey. The survey included a representative national sample from six governorates, including 36 cities/districts that cover all the country. In total 12,021 respondents' data were included in the data analysis. A total, of 16.4% of the sample reported use of AP, and 22.8% reported being in need of AP. Children and adolescents (≤17 years), seniors (≥80 years), and people living in rural areas had lower access to APs. The main sources of funding were out-of-pocket (57.6%), followed by friends and family (31.2%), government (10.1%), and NGOs (4.8%). Furthermore, 58%, 27.3% and 12.2% APs were obtained from the private sector, friends and family, and the government, respectively. The main barriers facing people in need to get APs were inability to afford (43.6%), no support (22.3%), unavailability of APs (11.5%), stigma (4.6%), and no time available (3.5%). It is the government's responsibility to provide AP, in addition to suitable environments (sidewalks, transportation, and public buildings) that are friendly to people with wheelchairs and crutches.
这项基于人群的研究旨在通过快速辅助技术评估（rATA）调查，评估伊拉克人群中辅助产品（AP）的使用情况、来源、支付方、障碍、需求和未满足的需求。该调查包括来自六个省份的具有代表性的全国样本，涵盖36个城市/地区，覆盖了整个国家。数据分析共纳入了12,021名受访者的数据。总共有16.4%的样本报告使用了辅助产品，22.8%的样本报告需要辅助产品。儿童和青少年（≤17岁）、老年人（≥80岁）以及农村地区居民获得辅助产品的机会较低。主要资金来源是自掏腰包（57.6%），其次是朋友和家人（31.2%）、政府（10.1%）和非政府组织（4.8%）。此外，分别有58%、27.3%和12.2%的辅助产品来自私营部门、朋友和家人以及政府。有需求的人获取辅助产品面临的主要障碍是无力支付（43.6%）、没有支持（22.3%）、辅助产品不可用（11.5%）、耻辱感（4.6%）和没有时间（3.5%）。除了为使用轮椅和拐杖的人提供友好的合适环境（人行道、交通和公共建筑）外，提供辅助产品是政府的责任。
