• C is correct. WHO GATE framework emphasises selecting assistive technology based on individual functional needs across different life activities.

Other options:

• A is incorrect: While high-tech solutions have value, the GATE framework emphasises matching technology to individual needs rather than maximising technology use.
• B is incorrect: Although ease of use is important, limiting to only simple solutions may not address all functional needs.
• D is incorrect: The GATE framework promotes personalised solutions based on individual assessment, not standardised packages.

• B is correct. The GATE framework is significant in Australia because it highlights the need to increase access to assistive technology for the many people with disability who are not eligible for NDIS funding.

Other options:

• A is incorrect. The framework does not dictate where technology must be produced.
• C is incorrect. While the framework does provide global guidance, the question asks about its significance for Australians with disability.
• D is incorrect. Improving affordability and quality is part of GATE’s aim, but the key issue in Australia is access beyond NDIS eligibility.

Judgment Statement

• Assistive technology can significantly improve health outcomes for Australians experiencing inequities, though systemic access barriers prevent it from reaching its full potential.

Transformative Impact

• For those who can access it, assistive technology substantially transforms health outcomes. The 2 million plus Australians with disability using these technologies experience dramatically improved independence through mobility aids, communication devices, and adaptive tools.
• This directly addresses social determinants of health by enabling workforce participation, education access, and social connection.
• Evidence shows that wheelchair users gain employment opportunities, while speech-generating devices restore communication abilities.
• These improvements result in better mental health, increased income, and enhanced quality of life, demonstrating assistive technology’s capacity to reduce health inequities.

Access Barriers Limiting Effectiveness

• However, the extent remains significantly constrained by inequitable access. With just over 10% of Australians with disability receiving NDIS funding, the remaining 90% must navigate over 100 complex funding sources.
• Rural populations face additional barriers with limited service availability.
• This creates a paradox where those experiencing the greatest inequities often have the least access to these transformative technologies.

Reaffirmation

• Therefore, assistive technology demonstrates high potential but moderate actual impact on reducing health inequities.
• While it proves exceptionally effective for those who access it, systemic barriers prevent widespread benefits.
• The extent of improvement remains significantly limited by access barriers, but could be greatly enhanced if Australia more actively implements WHO GATE framework principles for universal accessibility.

• D is correct. A hearing aid directly enhances communication and social interaction, which fosters participation and inclusion in community life.

Other options:

• A is incorrect. A wheelchair supports independence and mobility, but this relates more to freedom of movement than inclusion.
• B is incorrect. An ergonomic keyboard assists workplace function, which improves learning and working, not inclusion.
• C is incorrect. A button hook helps with daily tasks, reducing reliance on carers, but does not directly enhance participation with others.

• A is correct. Hearing aids that connect to smartphones are a high-tech assistive technology that enhances independence and participation.

Other options:

• B is incorrect. Magnifying sheets are low-tech visual aids.
• C is incorrect. Non-slip grips are simple, low-tech modifications.
• D is incorrect. Large print books are low-tech supports for vision impairment.