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Journal of Science Policy & Governance | Volume 16, Issue 02 | May 27, 2020

Op-Ed: ​Assistive Technologies: Addressing the Divide Between the Developed and Developing World

Stuti Chakraborty 
Christian Medical College, Vellore, Department of Physical Medicine and Rehabilitation, Christian Medical College and Hospital, Ida Scudder Road, Vellore, Tamil Nadu – 632004, India
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https://doi.org/10.38126/JSPG160204
Keywords: assistive technologies; low income countries; lower-middle income countries; high income countries; UNCRPD; people with disabilities
Executive Summary: Assistive technologies are used to enhance the day-to-day functionality of people with disabilities by improving their quality of life and by reducing the impact of disability in their lives. Various socio-economic, cultural, contextual, medical, personal, and family-related factors determine the feasibility and outcomes of using assistive technologies. While various forms of assistive technologies are being widely used for rehabilitation, recreational, or personal purposes around the world many still remain inaccessible and vastly unaffordable in countries around the world. Literature suggests that, when comparing high income countries with low and lower-middle income countries, differences among the longevity, availability, ease of users, affordability and, most importantly, the recognition of the need for an assistive technology, are common, with those measures lagging in low and lower-middle income countries. Certain targeted interventions have been suggested to provide insight into how discrepancies in promoting the use of assistive technologies between developed and developing nations can be minimised with the goal of reducing the global impacts of disability.

I. Introduction

Assistive technologies can be broadly considered as “any item or piece of equipment or product system, whether acquired commercially, off-the-shelf, modified or customised, that is used to increase, maintain or improve functional capabilities of people with disabilities” (Assistive Technology Act 2004; Bausch et al. 2005). In the context of healthcare specifically, the use for assistive technologies is widespread and can also be referred to as health state assistive technology devices. These devices can be either intrinsic or extrinsic. Intrinsic devices are implanted and optimise functioning by replacing a body function of body structure such as cochlear implants, cardiac pacemakers. Extrinsic devices are not implanted and optimise function by augmenting, restoring, or compensating for body function, and structure impairments, such as wheelchairs, glasses, hearing aids, or augmentative and alternative communication devices. Both extrinsic and intrinsic assistive technologies are used extensively to reduce the impact of disability (Bauer et al. 2011).
 
The World Health Organisation (WHO) estimates that there are around one billion people living with disabilities worldwide. Increasing incidences of non-communicable diseases will cause more than two billion people globally to use at least one assistive technology product (World Health Organisation 2018). The World Bank defines a low income country (LIC) as having a gross national income (GNI) per capita of US$1,025 or less, a lower-middle income country (LMIC) as having a GNI per capita between US$1,026-US$3,995, and a high income country (HIC) as having a GNI per capita of US$12,376 or more (Prydz and Wadhwa 2019). Almost 80% of people with disabilities in lower-middle income countries experience difficulty accessing rehabilitative services and could potentially benefit from increased use or availability of assistive technology. However, this estimate cannot be considered comprehensive as it does not include different types of assistive technologies such as wheelchairs or devices aiding in communication and vision, nor does it take into consideration people with disabilities using more than one form of assistive technology (Borg, Lindström, and Larsson 2011; World Health Organisation 2011; Matter et al. 2017; Prydz and Wadhwa 2019).

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References

  1. Assistive Technology Act, 29 U.S.C (2004). Accessed: 16 May 2020. https://www.govtrack.us/congress/bills/108/hr4278/text
  2. Bausch, Margaret E., Joel E. Mittler, Ted S. Hasselbring, and Donald P. Cross. 2005. "The Assistive Technology Act of 2004: What Does It Say and What Does It Mean?." Physical Disabilities: Education and Related Services 23, no. 2: 59-67.
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Stuti Chakraborty is currently an intern at Christian Medical College, Vellore. She is also a country representative for Healthcare Information for All; a country correspondent for YourCommonwealth; a member of the Global Healthcare Workforce Network and a country correspondent for IHP Global. She recently started working with Global Health Mentorships as a content facilitator and has also been a pioneer member for the launch of the India Chapter of Women in Global Health as a Chapter Officer over the last few months. In her work, she advocates for young people's health with a special focus on the rights of people with disabilities. She wishes to pursue research in the field of neurosciences in the near future.
 
Acknowledgements
The author would like to thank Mr. Abhishek Chandramouli who pursued his Bachelor of Technology degree in Computer Science and Engineering from Vellore Institute of Technology, Vellore and is currently doing research at the Massachusetts Institute of Technology Media Lab.
DISCLAIMER: The findings and conclusions published herein are solely attributed to the author and not necessarily endorsed or adopted by the Journal of Science Policy and Governance. Articles are distributed in compliance with copyright and trademark agreements.

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