Publications

Filter by theme

Filter by research group

Type

Conference Paper

Research Group

Local Productions
Unlocking Sustainable and Resilient Assistive Technology Innovation and Delivery Ecosystems: Personalised Co- creation of Locally Produced Prosthetics

Ben M. Oldfrey, Ram C. Thapa, Ashish Thapa, Bikash Paudel, Amit Bajracharya, Ganga Gurung, Rosemary Gowran, Pratisthit Lal Shrestha, Tigmanshu Bhatnagar, Mark Miodownik, Catherine Holloway

The World Health Organisation (WHO) reports that access to assistive products like prosthetics, wheelchairs, and hearing aids varies significantly by income level. In high-income countries, 64% of people needing these products have access, while only 33% in medium-income countries and 11% in low-income countries do.

Assistive technology (AT) encompasses assistive products (APs) and services necessary for effective use. Globalisation has facilitated the mass production of assistive products but often leads to monopolies that create barriers to local innovation and repair strategies, especially in low-income countries. The AT2030 Programme, led by the Global Disability Innovation Hub in Nepal, aims to enhance localised innovation within the global assistive product system.

In Nepal, official estimates suggest that only 2.2% of the population has a disability, but this figure is likely underestimated. Various organisations are working to provide AT and rehabilitation services, addressing local needs, such as difficult terrain and logistics.

This paper reflects on our journey within the AT2030 project, highlighting the development of a global-local community, interdisciplinary innovation teams in Kathmandu, and preliminary results from two bespoke product development cases, emphasising collaboration between global and local expertise for effective AT solutions.

Download

Unlocking Sustainable and Resilient Assistive Technology Innovation and Delivery Ecosystems: Personalised Co- creation of Locally Produced Prosthetics

Type

Report

Themes

Assistive & Accessible Technology
Repair of Assistive Products in the UK: Wheelchairs. Outcomes of a 1-day workshop exploring this topic from user, community and provision system perspectives

Ben M. Oldfrey, Vikranth H. Nagaraja, Eleanor Crommentuijn-Marsha, Laurence P.J. Kenney

Our recent one-day workshop brought together a diverse group of stakeholders to examine the challenges and opportunities in wheelchair repair services. By engaging multiple perspectives, we gained valuable insights into how improved repair processes can enhance service delivery, empower users, and support sustainability efforts.

Key discussions focused on the urgent need to address data gaps in repair practices, promote user involvement, and shift towards systems that prioritise repair and maintenance. Innovative ideas, such as creating digital profiles for wheelchairs and using AI to predict breakdowns, were explored as ways to streamline repair services and improve user autonomy.

Going forward, collaboration between manufacturers, healthcare providers, and users will be essential to building a more sustainable, user-centred approach to wheelchair repairs.

Read the full report to learn more about the ideas and strategies shared during the workshop.

Download

Repair of Assistive Products in the UK: Wheelchairs. Outcomes of a 1-day workshop exploring this topic from user, community and provision system perspectives

Type

Report

Themes

Assistive & Accessible Technology
Repair of Assistive Products in the UK: Prosthetics & Orthotics. Outcomes of a 1-day workshop exploring this topic from user, community and provision system perspectives

Ben M. Oldfrey a, Vikranth H. Nagaraja b, Arhym Hoonchamlong a, Laurence P.J. Kenney

Our recent one-day workshop brought together a diverse group of stakeholders to explore the critical role of repair in the assistive technology sector. Through a range of perspectives, we uncovered valuable insights into how repair can drive sustainability, improve service delivery, and empower users.

Key discussions centered on the urgent need for a systemic shift toward more repairable and modular designs alongside regulatory changes and innovative frameworks that support efficient repair services. We also highlighted the importance of better data on repair practices and the need for transparency and user engagement.

As we look ahead, the conversation must include all stakeholders, particularly the users themselves. This collaborative approach will be vital to building a more sustainable and repairable future for assistive technology.

Read the full report to learn more about the insights and strategies shared during the workshop.

Download

Repair of Assistive Products in the UK: Prosthetics & Orthotics. Outcomes of a 1-day workshop exploring this topic from user, community and provision system perspectives

Type

Report

Themes

Assistive & Accessible Technology
Assistive Technology Changes Lives: an assessment of AT need and capacity in England

This report was prepared by Global Disability Innovation (GDI) Hub for the Disability Unit in the Cabinet Office His Majesty’s Government (HMG). The report presents findings from a Country Capacity Assessment (CCA) of AT access in England. Findings illustrate a complex state of AT in England. While delivery systems tend to provide quality products that have a strong, positive impact on people’s lives, processes are often slow and stressful for users and providers alike. Startlingly, there is also an AT access gap of 31% of disabled people not having the assistive products they need to flourish, thrive, or even participate in daily life.

The Cabinet Office; 2023

Download

Abstract

Assistive Technology Changes Lives: an assessment of AT need and capacity in England

The aim of this research was to undertake a Country Capacity Assessment (CCA) to inform a more integrated approach to Assistive Technology (AT) provision in England. The results aim to support policymakers in identifying actions to strengthen service delivery to better meet disabled people’s needs, improving outcomes for AT users and reducing inefficiencies in the current approach.

The research was undertaken from November 2022 to March 2023 and led by the Global Disability Innovation (GDI) Hub, which is the World Health Organization (WHO) Global Collaborating Centre on AT access, using WHO tools in the Assistive Technology Assessment (ATA) suite.

Cite

Assistive Technology Changes Lives: an assessment of AT need and capacity in England

Suggested Citation: Austin, V, Patel, D, Danemayer, J, Mattick, K, Landre, A, Smitova, M, Bandukda, M, Healy, A, Chockalingam, N, Bell D, and Holloway, C; Assistive Technology Changes Lives: an assessment of AT need and capacity in England; Cabinet Office, HMG; 2023

Assistive Technology Changes Lives: an assessment of AT need and capacity in England

""

Type

Conference Paper

Themes

Assistive & Accessible Technology
Culture and Participation
The Social Network: How People with Visual Impairment use Mobile Phones in Kibera, Kenya

Giulia Barbareschi, Catherine Holloway, Katherine Arnold, Grace Magomere, Wycliffe Ambeyi Wetende, Gabriel Ngare, Joyce Olenja

We present the findings of a case study of mobile technology use by People with Visual Impairment (VIPs) in Kibera, an informal settlement in Nairobi. We used contextual interviews, ethnographic observations and a co-design workshop to explore how VIPs use mobile phones in their daily lives, and how this use influences the social infrastructure of VIPs. Our findings suggest that mobile technology supports and shapes the creation of social infrastructure. However, this is only made possible through the existing support networks of the VIPs, which are mediated through four types of interaction: direct, supported, dependent and restricted.

CHI '20: Proceedings of the 2020 CHI Conference; 2020

Visit publisher

Abstract

The Social Network: How People with Visual Impairment use Mobile Phones in Kibera, Kenya

Living in an informal settlement with a visual impairment can be very challenging resulting in social exclusion. Mobile phones have been shown to be hugely beneficial to people with sight loss in formal and high-income settings. However, little is known about whether these results hold true for people with visual impairment (VIPs) in informal settlements. We present the findings of a case study of mobile technology use by VIPs in Kibera, an informal settlement in Nairobi. We used contextual interviews, ethnographic observations and a co-design workshop to explore how VIPs use mobile phones in their daily lives, and how this use influences the social infrastructure of VIPs. Our findings suggest that mobile technology supports and shapes the creation of social infrastructure. However, this is only made possible through the existing support networks of the VIPs, which are mediated through four types of interaction: direct, supported, dependent and restricted.

Cite

The Social Network: How People with Visual Impairment use Mobile Phones in Kibera, Kenya

Giulia Barbareschi, Catherine Holloway, Katherine Arnold, Grace Magomere, Wycliffe Ambeyi Wetende, Gabriel Ngare, and Joyce Olenja. 2020. The Social Network: How People with Visual Impairment use Mobile Phones in Kibera, Kenya. In Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems (CHI '20). Association for Computing Machinery, New York, NY, USA, 1–15. https://doi.org/10.1145/331383...

The Social Network: How People with Visual Impairment use Mobile Phones in Kibera, Kenya

Type

Conference Paper
Disability design and innovation in computing research in low resource settings

Dafne Zuleima Morgado-Ramirez, Giulia Barbareschi, Maggie Kate Donovan-Hall, Mohammad Sobuh, Nida' Elayyan, Brenda T Nakandi, Robert Tamale Ssekitoleko, joyce Olenja, Grace Nyachomba Magomere, Sibylle Daymond, Jake Honeywill, Ian Harris, Nancy Mbugua, Laurence Kenney, Catherine Holloway

80% of people with disabilities worldwide live in low resourced settings, rural areas, informal settlements and in multidimensional poverty. ICT4D leverages technological innovations to deliver programs for international development. But very few do so with a focus on and involving people with disabilities in low resource settings. Also, most studies largely focus on publishing the results of the research with a focus on the positive stories and not the learnings and recommendations regarding research processes.

ASSETS '20: Proceedings of the 22nd International ACM SIGACCESS Conference on Computers and Accessibility; 2020

Visit publisher

Abstract

Disability design and innovation in computing research in low resource settings

80% of people with disabilities worldwide live in low resourced settings, rural areas, informal settlements and in multidimensional poverty. ICT4D leverages technological innovations to deliver programs for international development. But very few do so with a focus on and involving people with disabilities in low resource settings. Also, most studies largely focus on publishing the results of the research with a focus on the positive stories and not the learnings and recommendations regarding research processes. In short, researchers rarely examine what was challenging in the process of collaboration. We present reflections from the field across four studies. Our contributions are: (1) an overview of past work in computing with a focus on disability in low resource settings and (2) learnings and recommendations from four collaborative projects in Uganda, Jordan and Kenya over the last two years, that are relevant for future HCI studies in low resource settings with communities with disabilities. We do this through a lens of Disability Interaction and ICT4D.

Cite

Disability design and innovation in computing research in low resource settings

Dafne Zuleima Morgado-Ramirez, Giulia Barbareschi, Maggie Kate Donovan-Hall, Mohammad Sobuh, Nida' Elayyan, Brenda T Nakandi, Robert Tamale Ssekitoleko, joyce Olenja, Grace Nyachomba Magomere, Sibylle Daymond, Jake Honeywill, Ian Harris, Nancy Mbugua, Laurence Kenney, and Catherine Holloway. 2020. Disability design and innovation in computing research in low resource settings. In Proceedings of the 22nd International ACM SIGACCESS Conference on Computers and Accessibility (ASSETS '20). Association for Computing Machinery, New York, NY, USA, Article 11, 1–7. https://doi.org/10.1145/337362...

Disability design and innovation in computing research in low resource settings