RIWC_PARA_A172 presentation from gate research team at trinity university

GATEGATEMac MacLachlanMac MacLachlan

Malcolm.maclachlan@tcd.ieMalcolm.maclachlan@tcd.ie

GATEGATE What is GATE?What is GATE? What has it done so far?What has it done so far? What does it hope to do?What does it hope to do? What can you do?What can you do?

WHO Global Disability Action PlanWHO Global Disability Action Plan The Action Plan has three objectives:The Action Plan has three objectives: 1. Remove barriers and improve 1. Remove barriers and improve accessaccess to to

health services and programmes;health services and programmes; 2. Strengthen and extend rehabilitation, 2. Strengthen and extend rehabilitation,

habilitation, habilitation, assistive technologyassistive technology, assistance and , assistance and support services, and community-based support services, and community-based rehabilitation;rehabilitation;

3. Strengthen collection of relevant and 3. Strengthen collection of relevant and internationally comparable internationally comparable datadata on disability and on disability and support research on disability and related services.support research on disability and related services.

Opening the GATE – for whom?Opening the GATE – for whom?

People with impairments arising from People with impairments arising from ‘‘Disability’Disability’ Chronic IllnessChronic Illness FrailtyFrailty

By 2050 – estimated to be 2 billion By 2050 – estimated to be 2 billion who could benefit form Assistive who could benefit form Assistive TechnologyTechnology

But, its so expensive! But, its so expensive!

What is it?What is it?

What we want to doWhat we want to do More More people people to have more to have more ATAT of good of good qualityquality based on based on needsneeds, not ability to pay, not ability to pay supplied at supplied at scalescale reliablyreliably supported by supported by skilledskilled people people with with protectionsprotections from vested interests from vested interests supporting supporting inclusioninclusion, participation and rights., participation and rights.

We want to take a systems We want to take a systems approachapproach

GATE StrategyGATE Strategy1. Products: Priority Assistive Products List (APL)

2. 2. Personnel: Comprehensive Assistive Technology Training Programme (ATTP)

3. Provision: Single-window Service Provision model (ATSP)

4. Policy: National Assistive Technology Framework (ATF)

A Global Priority A Global Priority Assistive Products ListAssistive Products List

AmbitiousAmbitious ContentiousContentious Pros & ConsPros & Cons Utilitarian approach Utilitarian approach

The most needed AT to the greatest number of The most needed AT to the greatest number of those who can benefit most from it. those who can benefit most from it.

Utilitarian – not moral argument.Utilitarian – not moral argument. A minimum, not a maximum:A minimum, not a maximum:

Like essential medicines listLike essential medicines list

Assistive Products List (APL)Assistive Products List (APL)You told us! You told us!

Delphi – consensus building between Delphi – consensus building between expertsexperts Delphi 1 & 2: 200 participants 200+>100Delphi 1 & 2: 200 participants 200+>100 Delphi 3 100->50Delphi 3 100->50

Global Survey – in 50+ languages, Global Survey – in 50+ languages, extensive sampling (extensive sampling (not anonymousnot anonymous) ) -> circa 10,000+ respondents.-> circa 10,000+ respondents.

Consensus Conference of StakeholdersConsensus Conference of Stakeholders

Some anticipated outputsSome anticipated outputs The Results of the Delphi/Global The Results of the Delphi/Global

Survey/Consensus Meeting – Survey/Consensus Meeting – A Priority A Priority ListList

Priority Assistive Products Priority Assistive Products Compendium Compendium Volume – a chapter on each APVolume – a chapter on each AP

ForumForum for Debate: Pros & Cons of APL for Debate: Pros & Cons of APL

Next Steps Next Steps – how to – how to

That was the easy bit!That was the easy bit!NextNext How to How to

implement it …?implement it …? PolicyPolicy PersonnelPersonnel ProvisionProvision

Policy DevelopmentPolicy Development

Developing a National Assistive Technology Developing a National Assistive Technology FrameworkFramework

Mary Scholl, MSc Global Health, 2016Mary Scholl, MSc Global Health, 2016Philippines, PDR Laos, South Africa, WHO, Philippines, PDR Laos, South Africa, WHO,

ExpertsExperts Key Components Selection of AT, Affordability, AT Financing, Governance,

Supply Systems, Regulation & Quality Assurance, Rational Use, Research & Innovation, Human Resources, Monitoring & Evaluation

Barriers Conceptual, Capacity, Civil Society, Financing,

Geography, Governance, Human Resources, Rational Use, Supply Systems

Facilitators Civil Society, Country Context, Political Will, Strong

Partner Landscapes

Soon to be published by WHO GATESoon to be published by WHO GATE

GATE GATE It’s open to – and up to – It’s open to – and up to – you!you!

www.who.int/phi/implementation/assistive_technology/phi_gate/en/