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<p class="MsoNormal"><b>From:</b> Devpolicy <devpolicy@lists.anu.edu.au> <br>
<b>Sent:</b> Wednesday, September 27, 2023 9:03 AM<br>
<b>To:</b> Setareki Macanawai <Setareki.Macanawai@pacificdisability.org><br>
<b>Subject:</b> Scaling up access to assistive technology in the Pacific<o:p></o:p></p>
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<h2 align="center" style="text-align:center"><a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=b8a63bae42&e=990e2708d4" target="_blank"><span style="color:#BF5000;font-weight:normal;text-decoration:none">Scaling up access
to assistive technology in the Pacific</span></a><o:p></o:p></h2>
<h3 align="center" style="text-align:center"> <o:p></o:p></h3>
<h4 align="center" style="text-align:center">By Lee Brentnall, Almah Kuambu and Ray Mines on Sep 27, 2023 06:00 am<o:p></o:p></h4>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">Having worked in the assistive technology (AT) space in the Pacific for many decades, it was a relief for us to hear AT being highlighted as an important requirement for
disability equity and inclusion at the recent ANU Development Policy Forum.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">AT is a broad term, including assistive products and related services. It is a multifaceted concept that can have significant positive benefits for people and communities.
This blog is written from the perspective of AT service provision, highlighting the importance of scaling up AT service provision and reflecting on possibilities for the Pacific region, in light of the renewed policy ambition towards disability equity and
rights.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">A
<a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=320c88c172&e=990e2708d4">
<span style="color:#BF5000;text-decoration:none">recent Devpolicy blog</span></a>, ‘Beyond a seat at the table: towards disability equity in Asia-Pacific’, discussed the need to focus on the pre-conditions for disability inclusion and equity. As recognised
by the Pacific region’s peak body on disability, the Pacific Disability Forum, access to AT is an important pre-condition to inclusion. Access to AT is also enshrined as a right in the
<a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=5704140357&e=990e2708d4">
<span style="color:#BF5000;text-decoration:none">United Nations Convention on the Rights of Persons with Disabilities</span></a>.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">Many people will require some kind of AT at some point in their lives – AT examples include glasses, hearing aids, walking aids, wheelchairs, prostheses, orthoses and products
to support memory or communication. AT service provision is often organised under the health sector and is a component of universal health coverage. However, it also cuts across many domains, including community-based inclusive development (another pre-condition
for inclusion), education and economic development.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">Providing AT is not simply a matter of handing over a piece of equipment. For example, pre-positioning AT to prepare for a humanitarian response, or donating a container
of products, is not enough when there are such large gaps in access to AT in the Pacific. Sustainable services – with trained personnel, the right products and equipment, equitable policies and integrated referral service networks collaborating with communities
and families – are required first, so communities can adequately respond, receive AT products, provide AT in a safe way, and provide follow-up services over the longer term. Sustainable services may be established across both private and public sector but
should be enabled to work collaboratively.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">We support the recent Devpolicy blog calling for ambition, accountability and well-resourced programs for disability equity and rights. Further, there are several key considerations
specific to AT.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">First, we need to build on previous success and investments. AT is not a new element of Department of Foreign Affairs and Trade (DFAT) development initiatives. There has
already been great impact resulting from Pacific governments prioritising the development of AT and associated rehabilitation services, supported by Australian funding, as this
<a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=9272c07654&e=990e2708d4">
<span style="color:#BF5000;text-decoration:none">video from the Samoa Mobility Device Service</span></a>, this
<a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=888998a4cb&e=990e2708d4">
<span style="color:#BF5000;text-decoration:none">GReAT summit paper</span></a> (p. 208) and this
<a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=335cf27477&e=990e2708d4">
<span style="color:#BF5000;text-decoration:none">DFAT performance report from Tonga</span></a> show. Further, DFAT has previously commissioned relevant studies that can inform the scaling up of AT in the region, such as the
<a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=392ac2b7c2&e=990e2708d4">
<span style="color:#BF5000;text-decoration:none">World Health Organization Western Pacific AT Procurement Study</span></a>. What is new is AT being highlighted as a priority area. Reflecting, learning and building on the strengths of current services and past
initiatives can and should inform the scaling up of access to AT services in the Pacific.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">Second, we need to recognise and reimagine. Recognition of the broad range of AT that people require, and reimagining how development initiatives can effectively support
AT provision, is crucial. This will require genuine, multisector collaboration. We advocate integrating AT not only as a priority area for disability equity, but also recognising it as an enabler of health, education, economic development and gender equality
(to name just a few). It is critical to understand the intersection of disability, gender, climate change and disaster preparedness in the region, and how AT can support inclusion and equity in these areas. This will require development initiatives to look
beyond current ‘silos’ and established ‘systems’ to reimagine how AT can be incorporated in development programming.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">And third, collaboration and integration are key. Collaboration at community, national and regional level is required. At community and national level, facilitating deeper
collaboration between organisations of persons with disabilities, people who use AT (or would use AT if it was available), service providers (many of whom have decades of experience providing AT services), the private sector (particularly pharmacies) and training
institutions, would support the scaling up of AT and equitable AT services. At regional level, scaling up the AT sector requires consideration of AT procurement initiatives.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">The Pacific
<a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=0e407bc5f9&e=990e2708d4">
<span style="color:#BF5000;text-decoration:none">AT Procurement Study</span></a> from 2020 outlines a blueprint and roadmap for a regional AT hub. This would also create opportunities to explore the intersection of disaster preparedness, gender equality and
disability programming. An emerging peak body in the region also warrants support, as the
<a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=39f49e6d59&e=990e2708d4">
<span style="color:#BF5000;text-decoration:none">Pacific Rehabilitation and Assistive Technology Association</span></a> establishes itself; and collaboration between such professional bodies and the peak disability advocacy bodies is also crucial. Further,
regional training initiatives specifically for more complex types of assistive products (such as prostheses and orthoses) will enable development in these areas.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">AT is a critical enabler of many aspects of life for so many people in the Pacific. We very much welcome the current focus and discussion about the importance of DFAT supporting
the pre-conditions to disability inclusion, and look forward with much anticipation as more people have access to AT. AT should no longer be considered as ‘too hard’, but as an integral aspect of sustainable development. It is essential that it is included
as a key focus of DFAT’s upcoming Disability Equity and Rights Strategy.<o:p></o:p></span></p>
<h4><b>About the author/s</b><o:p></o:p></h4>
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<strong><span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">Lee Brentnall</span></strong><span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020"><br>
Lee Brentnall is a PhD candidate at the Department of Pacific Affairs, Australian National University. Her research is focused on equity of access to rehabilitation and assistive technology in the Pacific region.<o:p></o:p></span></p>
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<strong><span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">Almah Kuambu</span></strong><span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020"><br>
Almah Kuambu is Co-chair of the Pacific Rehabilitation and Assistive Technology Association. A long-time (over 30 years) AT user, she is an advocate for better rehabilitation and assistive technology services in Papua New Guinea and across the Pacific.<o:p></o:p></span></p>
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<strong><span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020">Ray Mines</span></strong><span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020"><br>
Ray Mines is a founding member and former director of <a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=1db725f0d9&e=990e2708d4">
<span style="color:#BF5000;text-decoration:none">Motivation Australia</span></a>. He has been delivering assistive technology programs in developing countries for over 25 years.<o:p></o:p></span></p>
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<h3><strong><span style="font-size:13.5pt;line-height:125%;font-family:"Lato",sans-serif">Other recent articles from devpolicy.org</span></strong><o:p></o:p></h3>
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<span style="font-size:10.5pt;line-height:200%;font-family:Merriweather;color:#202020"><a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=92cd8f85a5&e=990e2708d4" target="_blank"><span style="color:#BF5000;text-decoration:none">Jack
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<a href="https://devpolicy.us2.list-manage.com/track/click?u=6ac2f42002877850c37072a5e&id=b5074c6ab8&e=990e2708d4" target="_blank"><span style="color:#BF5000;text-decoration:none">Aid localisation amidst revolution in Myanmar</span></a><o:p></o:p></span></p>
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