Abstract

The SARS COVID-19 pandemic emerged in 2019 and has impacted people everywhere. Disparities in impact and outcomes are becoming apparent for individuals and communities which go beyond the trajectory of the disease itself, influenced by the strength and weaknesses of systems of universal health care, and the actions of civil society and government. This article is one of a series exploring COVID-19-related experiences of assistive technology (AT) users across the globe and implications for AT systems strengthening. AT such as mobility products, braille devices, and information communication technologies are key enablers of functioning, necessary to the achievement of the UN Sustainable Development Goals and enshrined in the Convention on the Rights of Persons with Disabilities. Reporting on a survey of 73 AT users across six global regions, we demonstrate that minority groups already living with health inequities are unduly impacted. An AT ecosystem analysis was conducted using the WHO GATE 5P framework, that is, people, products, personnel, provision and policy. AT users and families call for inclusive pandemic responses which encompass their needs across the lifespan, from very young to very old. We offer specific recommendations for future action to strengthen access to AT across public policy and civil society in pandemic preparedness and response.

Highlights

  • This research investigates the impact of a pandemic catastrophe upon users of assistive technology (AT)

  • Before COVID-19, all respondents described lives enabled by AT and related supports

  • The experiences of AT users during the COVID-19 pandemic fell under three broad themes of being excluded from pandemic responses; AT services not seen as essential by governments and underlying weakness of AT systems (AT product and service challenges, and ways to strengthen AT systems)

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Summary

Introduction

This research investigates the impact of a pandemic catastrophe upon users of assistive technology (AT). AT is an umbrella term which refers to assistive products and the related systems and services for their safe and effective use [1]. AT such as prosthetics, hearing aids, and communication devices enable independence and participation where functioning is affected by illness, disability or the impacts of ageing, and where environments present barriers [2,3]. Inaccessible environments and workplaces, poor access to education and healthcare can contribute to the experience of disadvantage [3,7,8,9]. AT users are likely to be disadvantaged through the impacts of COVID-19 and require tailored policy responses [10,11]

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