id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
cpoj-31371	Lemaire, Edward D; Supan, Terry J; Ortiz, Marlo	GLOBAL STANDARDS FOR PROSTHETICS AND ORTHOTICS	2018	6	.pdf	application/pdf	2885	133	31	FOR PROSTHETICS AND ORTHOTICS Volume 1, Issue 2, Article No.3, October 2018 Policy • Absence of policies and national plans for prosthetics and orthotics, rehabilitation, and assistive technology in most countries • Lack of awareness and understanding about the role, purpose, and benefits of prosthetics and orthotics services • Limited funding, with services frequently not included in national health and social insurance systems • Limited data on needs for these services, making it difficult to understand the practical and financial requirements of providing such services for all Products • Limited availability of appropriate products in many countries • High price of high-quality prostheses and orthoses o Even low-cost alternatives may be perceived as expensive, particularly in low- and middle- income countries • Lack of national product standards in many countries, often resulting in devices that do not meet acceptable safety standards • Limited evidence of the effectiveness and cost– effectiveness of products, technologies, and working methods Personnel • Lack of qualified personnel, reducing the quality and quantity of services • Available personnel are usually found in large cities • Limited access to schools and training opportunities for prosthetics and orthotics Provision of Services • Unequal service provision, with services are frequently available only in capital and other large cities and not to poor, isolated populations in rural areas • Services for the poor are usually provided by charities and some Government institutions, which may offer poor quality products, while rich populations are frequently served by private clinics • Prosthetics and orthotics services are frequently perceived as an expense rather than an investment POLICY (15 STANDARDS) While the principles in these broad agreements can be applied to people who would benefit from assistive technology, specific service standards are required to operationalize the CRPD and WHO objectives.	cache/cpoj-31371.pdf	txt/cpoj-31371.txt