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In 2016 WHO launched the priority assistive products list (APL) consisting of 50 products and recommended that using this as a reference, countries should develop their own contextually relevant national APLs. This paper describes the development of Malawi's APL. Two hundred and ninety-six persons with disabilities participated in a rapid Assistive Technology Assessment (rATA) survey. Six focus group discussions (FGDs) with people with various types of disabilities were conducted. The rATA questionnaire and FGDs collected data on assistive products (APs) participants used, APs they needed and the challenges they experienced. Data collection was done in six districts spread across the three regions in Malawi. All age groups were included in the survey. Persons with disabilities aged less than 18 participated but went with their guardians. All persons who participated in this study provided consent. Survey and FGDs results were presented at an APL consensus meeting with policymakers, service providers, disabled peoples' organizations and development partners in the disability sector. Based on the results and further discussions, a consensus was reached on the priority APs for Malawi. More than a third of respondents used wheelchairs (32%), followed by auxiliary crutches (25%), walking sticks (13%), reading glasses (11%), prosthesis (10%), elbow crutches (9%) and orthosis (8%). There is also a high demand for products such as pull-up underwear (incontinence products) (79%), hearing aids (70%), reading glasses (59%) and diapers (63%). After intensive discussions during a consensus meeting, an agreement was reached on the 22 priority APs for Malawi. There is a wide range of APs being used by people with different functional limitations in Malawi. There is also a demand for APs that are not readily available. When developing an APL, the list should include products in use, those in demand, and those recommended by service providers. Following the development of the priority assistive products list (APL) by WHO, member states should develop their own contextually based APL. The development of the APL should be based on research evidence. All key stakeholders including persons with disabilities and other functional limitations, government, and development partners should participate in this process. The APL should be part of the national health system or community services. The Department of Disability and Elderly Affairs in the Ministry of Gender, Community Development, being the Government of Malawi line ministry coordinating disability issues participated actively in this study including inviting participants in the stakeholders' validation workshop. [ABSTRACT FROM AUTHOR]

This paper is aiming to present two studies investigating attitudes of older people towards different technologies to break their social isolation and investigating the impacts of Immersive Virtual Reality (IVR) on physical and mental dimensions. The first study, based on focus groups conducted with 23 older people (aged from 65 to 93 years-old) allowed to collect attitudes and opinions of older people about different technologies to help them to break social isolation. The second study, based on an experiment conducted with 42 older people (aged from 63 to 85 years-old) allowed to investigate the impact of a specific Immersive Virtual Reality (IVR) on physical and mental dimensions. The first study confirm that Immersive Virtual Reality (IVR) can be a relevant digital tool for elderly people according to them, i.e. a digital tool perceived as useful, usable and acceptable. The second study demonstrates that use of a specific Immersive Virtual Reality (IVR) system can reduce the perception of social isolation and can have positive impacts on physical dimensions such as the weight and the waist circumference. Theoretical and applied implications are discussed. [ABSTRACT FROM AUTHOR]