Developing National Priority Assistive Products Lists: experiences and lessons from six Sub-Saharan African countries

Frederic Seghers, Satish Mishra

Sept. 27, 2025

Academic Research Publications

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Abstract

Purpose: This study examines the experiences and lessons learned from six Sub-Saharan African countries in developing National Priority Assistive Products Lists (APLs) between 2020 and 2024, aiming to provide insights for improving assistive technology (AT) access in low- and middle-income countries (LMICs). Materials and methods: The study employed qualitative descriptive methodology with a multi-faceted approach, including a comprehensive desktop review of documentation and publications, followed by semi-structured interviews and information review with key stakeholders (n = 9) from all six countries. Data analysis involved synthesising information to identify common themes, challenges, and best practices in APL development. Results: Key findings include the importance of multi-stakeholder engagement, challenges in data availability, varied prioritisation frameworks, and the need for local context adaptation. Countries faced common barriers, such as limited funding and regulatory challenges, however also identified facilitators like government leadership and integration with existing health systems. Conclusions: The study highlights the complex nature of developing National APLs and emphasises the importance of inclusive stakeholder engagement, data-driven prioritisation, and integration within broader health system strengthening efforts. These insights can guide other countries in developing and implementing effective APLs, ultimately improving AT access and advancing disability rights.

IMPLICATIONS FOR REHABILITATION

Establishing inclusive Technical Working Groups (TWGs) may prove to be beneficial for effective assistive technology (AT) leadership and coordination, improving access to life-changing AT for persons with disabilities.
Fostering multidisciplinary collaboration and actively engaging organisations of persons with disabilities (OPDs) in AT initiatives ensures user-centred solutions and promotes meaningful participation of persons with disabilities.
Aligning AT efforts with international frameworks like the UN Convention on the Rights of Persons with Disabilities (CRPD) and Sustainable Development Goals (SDGs) ensures a rights-based and equity-focused approach to AT implementation.
Investing in capacity building, knowledge sharing, and awareness raising among stakeholders builds a shared understanding of AT needs and facilitates more effective and sustainable AT programmes.