Lessons learnt from assistive technology ecosystem strengthening programmes in 12 low- and middle-income countries

Area of Science:

• Global Health
• Health Systems Strengthening
• Assistive Technology Policy

Background:

• Increasing access to assistive technology (AT) globally requires strategic planning and learning.
• ATscale invested in twelve low- and middle-income countries in 2023 to bolster AT ecosystems.
• Focus areas included data collection, policy development, and capacity building.

Purpose of the Study:

• To critically evaluate lessons learned from whole-of-country AT program investments.
• To assess the impact of ATscale's short-term program investments.
• To identify common themes in achievements, challenges, and sustainability.

Main Methods:

• A case study approach was employed across twelve countries.
• Methods included a desktop review of program documentation.
• Semi-structured interviews were conducted with diverse stakeholder groups.

Main Results:

• Programmes successfully strengthened AT ecosystems when contextually tailored.
• Key achievements included new AT legislation, improved data collection, and enhanced stakeholder coordination.
• Challenges involved bureaucracy, political instability, and short program durations; sustainability depends on funding and engagement.

Conclusions:

• Investments are beneficial for nascent AT ecosystems, validating the ATscale Theory of Change.
• Learnings from these programs inform future AT program guidance.
• Continued in-country engagement and funding are crucial for long-term sustainability.