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Updated: Dec 9, 2025

Subjective Refraction Test Using a Smartphone for Vision Screening
Published on: October 18, 2024
A glimpse into smartphone screen reader use among blind teenagers in rural Nepal
Prakash Sankhi1, Frode Eika Sandnes1
1Department of Computer Science, Oslo Metropolitan University, Oslo, Norway.
Purpose:
Access to appropriate assistive technology is a challenge worldwide and especially in low GDP-per-capita countries. Nepal is one example of a country with several coinciding challenges: some claim having a high rate of blindness in the general population, a low-GDP-per capita and some studies claim it has a low literacy rate, especially in rural areas. Without appropriate assistive technology, some disabled youth may not get full access to education.
Methods:
To gain insight into assistive technology use in rural Nepal, five blind teenagers in a mixed secondary school with disabled and non-disabled students in rural Nepal were interviewed about their daily smartphone use.
Results:
The results show that all the participants used screen readers on donated smartphones. None of the participants had received formal training in using smartphone screen readers and therefore lacked knowledge about basic and essential operational aspects of the devices as well as misguided expectations about the technology.
Conclusions:
One implication of the findings is that smartphone accessibility features training material needs to be made easily available to schools and all disabled youth worldwide, as smartphones are increasingly becoming available in low-income remote regions with low literacy rates. The built-in accessibility features of smartphones promise disabled youth a non-stigmatizing platform for social participation and access to the information society.Implications for RehabilitationThe built-in accessibility features of smartphones provide disabled youth a non-stigmatizing practical platform for social participation and access to education.Training material on how to use smartphone accessibility features needs to be made easily available to schools and all disabled youth worldwide.
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