Making a Case for Provision of Assistive Technology through Healthcare System: Using Evidence to Decision (EtD) Framework Approach

Abstract

be inclusive, responsive, and equitable, catering to all individuals irrespective of their functional status or disabilities. In this context, the provision of Assistive Technology (AT) — encompassing assistive products, services, and systems that enable individuals with functional impairments to live independently and participate fully in society — is an indispensable component of health system strengthening. However, despite its proven potential to transform lives, assistive technology remains underprioritized in most healthcare systems globally, particularly in low- and middle-income countries (LMICs) such as India.

The WHO’s Global Report on Assistive Technology (2022) estimated that more than 2.5 billion people require at least one form of assistive product, yet only one in ten has access. This massive unmet need translates not only into compromised quality of life and increased dependency but also into preventable health complications, reduced productivity, and loss of economic potential. To bridge this gap, there is an urgent need for a robust decision-making framework that integrates evidence with policy action. The Evidence to Decision (EtD) Framework offers such a structured pathway — one that links scientific evidence with context-specific policy choices, ensuring that health systems can make transparent, fair, and evidence-informed decisions about the inclusion and financing of assistive technology.