. SP 8: Country Capacity

This sub-programme has three elements. Firstly, it brings together the WHO, GDI Hub and Clinton Health Access Initiative (CHAI) to develop, test and learn from Country Capacity Assessments. Secondly it supports countries to develop national action plans. Thirdly it funds investment to support national AT priorities in these countries. Partners: Clinton Health Access Initiative (CHAI), World Health Organisation (WHO), Maynooth University

2 people are conducting research together. One person is writing on a note pad.

Amadu, Sierra Leone. Credit - Angus Stewart

AT need and supply gap

Despite the proven advantages of AT for disabled and older people, their families and society as a whole, there is still a vast and stubborn gap between the need and the supply. Currently only 10% of those who need AT currently have access to it.

A human rights basis for AT established in UN Convention on the Rights of Persons with Disabilities (UNCRPD), is ratified by 181 countries worldwide. The known barriers that a lack of AT brings to the realisation of the Sustainable Development Goals (as well as increased momentum in the disability movement and academia), have helped to show that used appropriately and delivered with the right services and education, in the context of an accessible environment - AT is empowering, cost-effective and vital to meet the growing needs of 21st-century populations.

Evidence-based policymaking

Even though this need globally has been established, many countries lack data and information to make evidence-based policymaking in relation to AT a reality. The WHO World Report on Disability found that barriers to inclusion include amongst others; inadequate policies and standards, and a lack of data and evidence.

Data collection methods

As part of AT2030, WHO have worked with GDI Hub, CHAI and UCL to develop and refine the ATA-C (capacity assessment) and rATA (population data) tools to create a CCA toolkit, designed to enable data collection at both a systems and community level respectively in order to give an overarching view on a national landscape in relation to AT. The tools have now been trialled across a number of countries, including 7 countries in Africa, Mongolia and Indonesia. The process of embarking on and concluding the CCA process has enabled the collection of data, but has also motivated countries to pursue continued progress in the access of assistive technology for disabled people.

Policy makers and stakeholders

The CCA has proven instrumental in raising policymakers and wider stakeholders’ awareness of the need for and the importance of AT - as well as the current gaps in AT provision - aiding decision-makers to understand what their AT priorities are.

Country Investment Fund

The third element is a £1 million Country Investment Fund (CIF), which aims to make direct investments in activities which deliver foundational, strategic, agreed national AT priorities - reaching disabled people directly with access to AT in up to 5 African countries that have completed a CCA. This will build an evidence base - finding out ‘what works’ to get AT to the people that need it around the world.

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