what is gate and why now?...priority assistive products (apl) 3. at training (atp) 4. provision...

Global Cooperation on Assistive Technology

What is GATE and Why now?

Chapal Khasnabis

[email protected]


health system & services

20 Century 21 Century

1950 2000 2050



1950 2000 2050



1950 2000 2050

Health Intervention

Preventive curative

Promotive Rehabilitative

Preventive Promotive

Curative Rehabilitative

Assistive Palliative


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


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


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


Assistive Technology (AT)a priority area of the health technology

50+

90+

80+


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


Why WHO is talking about AT now?Need is changing and increasing


Gap between LMIC & HIC is reducing

More age more assistive products – multi-morbidity

14/35


Access to assistive technology: Gap is increasing


Why GATE?

Only 1 in 10


Hearing aid an example

Manufacturer

DistributorRetailer

DoctorAudiologist

Technician

User

25

30

35

40

45

50

1000$

5000$


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?


Why GATE initiative should be a global priority?

2 billion older

people by 2050


Assistive Products: Cane to assistive robots


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


GATE: Getting the stakeholders together


GATE: 4 actions

2. Priority Assistive Products

(APL)

3. AT Training

(ATP)

4. Provision

(Single-window

1APP)

1. Policy

(Research & advocacy)


Action1. Policy – advocacy & research

• Whitepaper on AT

research scenario

• Commissioning research

• Scoping exercise

• Cost-effectiveness

• Analyzing CRPD reporting

on AT

• Developing policy guide


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 SurveySelect 50 most essentials among 100


ATP

For Generalists

For Specialists


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


Rest for Referral

20-30 APL items for PHC/Community level


Universal access to AT for all at all ages

what is gate and why now?...priority assistive products (apl) 3. at training (atp) 4. provision...

Documents