Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
Global Cooperation on Assistive Technology
What is GATE and Why now?
Chapal Khasnabis
Global Cooperation on Assistive Technology
health system & services
20 Century 21 Century
1950 2000 2050
Global Cooperation on Assistive Technology
20 Century 21 Century
1950 2000 2050
Global Cooperation on Assistive Technology
20 Century 21 Century
1950 2000 2050
Health Intervention
Preventive curative
Promotive Rehabilitative
Preventive Promotive
Curative Rehabilitative
Assistive Palliative
Global Cooperation on Assistive Technology
0 10 20 30 40 50 60 70 80 90 100 100+
10
20
30
40
50
6
0
70
8
0
90
1
00
Age
Func
tioni
ngGradual functional
decline is inevitable
Susceptibility to NCDs
also increases with age
Global Cooperation on Assistive Technology
0 10 20 30 40 50 60 70 80 90 100 100+
10
20
30
40
50
6
0
70
8
0
90
1
00
Age
Func
tioni
ng
Uni-
morbidity
-50
Multi-
morbidity
50+
health service delivery
Global Cooperation on Assistive Technology
0 10 20 30 40 50 60 70 80 90 100 100+
10
20
30
40
50
6
0
70
8
0
90
1
00
Age
Func
tioni
ng
Assistive
care and
Technology
Global Cooperation on Assistive Technology
Global Cooperation on Assistive Technology
Assistive Technology (AT)a priority area of the health technology
50+
90+
80+
Global Cooperation on Assistive Technology
AT integral part of UHC
V
A
C
C
I
N
E
S
M
E
D
I
C
I
N
E
S
M
E
D
I
C
A
L
D
E
V
I
C
E
S
A
S
S
I
S
T
I
V
E
P
R
O
D
U
C
T
S
Essential
Medicines & health products
HEALTH TECHNOLOGY
Global Cooperation on Assistive Technology
Why WHO is talking about AT now?Need is changing and increasing
Global Cooperation on Assistive Technology
Gap between LMIC & HIC is reducing
More age more assistive products – multi-morbidity
14/35
Global Cooperation on Assistive Technology
Access to assistive technology: Gap is increasing
Global Cooperation on Assistive Technology
Why GATE?
Only 1 in 10
Global Cooperation on Assistive Technology
Global Cooperation on Assistive Technology
Hearing aid an example
Manufacturer
DistributorRetailer
DoctorAudiologist
Technician
User
25
30
35
40
45
50
1000$
5000$
Global Cooperation on Assistive Technology
AT needs innovation
• Does everyone need to go to the specialist?
• Does everyone require a high-end product?
• Can we have less layers between products &
users?
• Can we have new range of products?
• Can we learn from other sectors?
• Can we make better use of ICT?
Global Cooperation on Assistive Technology
Why GATE initiative should be a global priority?
2 billion older
people by 2050
Global Cooperation on Assistive Technology
Assistive Products: Cane to assistive robots
Global Cooperation on Assistive Technology
What is GATE
A multi-stakeholder global platform to solve a global issue:
Improving access to AT to ensure well-being for all at all ages
Global Cooperation on Assistive Technology
GATE: Getting the stakeholders together
Global Cooperation on Assistive Technology
GATE: 4 actions
2. Priority Assistive Products
(APL)
3. AT Training
(ATP)
4. Provision
(Single-window
1APP)
1. Policy
(Research & advocacy)
Global Cooperation on Assistive Technology
Action1. Policy – advocacy & research
• Whitepaper on AT
research scenario
• Commissioning research
• Scoping exercise
• Cost-effectiveness
• Analyzing CRPD reporting
on AT
• Developing policy guide
Global Cooperation on Assistive Technology
Developing a List of 50 Priority Assistive
Products
• Systematic review
•Delphi study
•Global survey
https://extranet.who.int/dataform/355553/
•Consensus meeting
https://extranet.who.int/dataform/355553/
Global Cooperation on Assistive Technology
Global SurveySelect 50 most essentials among 100
Global Cooperation on Assistive Technology
Global Cooperation on Assistive Technology
ATP
For Generalists
For Specialists
Global Cooperation on Assistive Technology
Uniting the fragmented sector to address multi-morbidity
Prosthesis
Assistive
Robots
Orthosis
Wheel-
chairs
Hearing
aid
Eye
glasses
Mobi-
lity
devices
Low
Vision
Aids
Cognitive
devices
Commun
-ication
devices
Diagn-
osis
Global Cooperation on Assistive Technology
Rest for Referral
20-30 APL items for PHC/Community level
Global Cooperation on Assistive Technology
Universal access to AT for all at all ages