Sustainable and equitable provision of wheelchairs in low- and middle-income countries : an economic assessment of the models for wheelchair provision in Tajikistan

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Ekman, BjörnLund University,Lunds universitet,Socialmedicin och global hälsa,Forskargrupper vid Lunds universitet,Social Medicine and Global Health,Lund University Research Groups (author)

Sustainable and equitable provision of wheelchairs in low- and middle-income countries : an economic assessment of the models for wheelchair provision in Tajikistan

Article/chapterEnglish2021

Publisher, publication year, extent ...

2020-03-31
Informa UK Limited,2021
6 s.

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LIBRIS-ID:oai:lup.lub.lu.se:2ad5c8c3-8dcb-4469-bd55-47e7f0791cfe
https://lup.lub.lu.se/record/2ad5c8c3-8dcb-4469-bd55-47e7f0791cfeURI
https://doi.org/10.1080/17483107.2020.1745909DOI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

Notes

Introduction: Reaching universal coverage of assistive technologies remains a challenge in many low- and middle-income countries. Tajikistan has recently adopted several policies and national strategies to strengthen the rights of people with disabilities and improve the provision of assistive products. However, Tajikistan faces a number of challenges, including ensuring sustainable funding for the provision of wheelchairs in the medium and long term. Methods: This study presents the results of a recent analysis of the economic aspects of the provision of wheelchairs in Tajikistan to inform policy making in other low- and middle-income countries. The study draws on several sources of information, including local cost data, consultations with national and international experts and stakeholders, and reviews of the existing evidence. Results: Countries are advised to adopt an incremental approach to wheelchair provision. In the short term, countries may wish to import wheelchairs to move towards universal coverage. In the medium-to-long term, countries may wish to invest in national capacities for local production. Conclusion: Countries will need to continue implementing strategies to ensure universal access to wheelchairs without the risk of financial hardship for users, regardless of the approach to provision that has been chosen.Implication for Rehabilitation Reaching universal coverage of assistive technologies remains a challenge in many low- and middle-income countries. Countries are advised to adopt an incremental approach to wheelchair provision. The model of wheelchair importation may be a realistic model over the short- to medium-term for many LMICs countries to ensure effective and equitable provision of wheelchairs. In this article, we identify that sufficient funding needs to be allocated to the provision of wheelchairs regardless of the model of provision.

Subject headings and genre

SAMHÄLLSVETENSKAP Ekonomi och näringsliv Nationalekonomi hsv//swe
SOCIAL SCIENCES Economics and Business Economics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
financing
provision
Tajikistan
Wheelchair

Added entries (persons, corporate bodies, meetings, titles ...)

Mishra, SatishWHO Regional Office for Europe (author)
Pupulin, AndreaTajikistan - WHO Country Office (author)
Khasnabis, ChapalWorld Health Organization (WHO) (author)
Allen, MichaelUnited States Agency for International Development (author)
Huber, ManfredWHO Regional Office for Europe (author)
Socialmedicin och global hälsaForskargrupper vid Lunds universitet (creator_code:org_t)

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In:Disability and Rehabilitation: Assistive Technology: Informa UK Limited16:8, s. 865-8701748-31071748-3115

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By the author/editor: Ekman, Björn; Mishra, Satish; Pupulin, Andrea; Khasnabis, Chapa ...; Allen, Michael; Huber, Manfred

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Economics and Bu ...; and Economics

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

Articles in the publication: Disability and R ...

By the university: Lund University

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