PJAHS • Volume 6 Issue 2 2023 • (doi:10.36413/pjahs.0602.010)
60
Special Collection: Short Report
SAKLAY: A Guide to an Assistive Technology Service Delivery Process in the Philippines
Kristel Yamat
1,2
, Jennifer Anne Bondoc
1,5
, Gemiele Elaine Delasas
1,3
, Margarita Anne Lacson
1,4
, Ralph Vincent
Rodriguez
1,5
, Abelardo Apollo David Jr.
1,6,7
1
The Graduate School, University of Santo Tomas, Espana Blvd. Sampaloc, Manila,
2
Play Matters Therapy Center, Lubao
Pampanga,
3
Philippine Children’s Medical Center, Quezon City,
4
COAST Therapy Center, Angeles City,
5
Heart Hospital Hamad
Medical Corporation, Cardiac Rehabilitation Department, Doha, Qatar,
6
Independent Living Learning Centre, Inc., Mandaluyong
City, Metro Manila,
7
Rehabilitation and Empowerment of Adults and Children with Handicap Foundation, Inc., Mandaluyong,
Manila
8
Sandbox Multispecialty Clinic, Taguig City
Correspondence should be addressed to: Abelardo Apollo David Jr.; aidavid@ust.edu.ph
Article Received: December 18, 2022
Article Accepted: January 28, 2023
Article Published: February 15, 2023
Copyright © 2023 David et al. This is an open-access article distributed under the Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Occupational Therapy (OT) can help enhance human performance and well-being through assistive technology (AT). This entails guiding clients
through the AT selection and acquisition process down to helping them integrate these tools’ use as supports to their day-to-day living.
Unfortunately, the AT prescription and acquisition process can be tedious, costly, complicated, and uncoordinated in some countries such as the
Philippines. AT service delivery is an undeveloped area of practice among Filipino occupational therapists due to the lack of local evidence-based
research, practice models, and practical knowledge of the process. Moreover, access to AT is affected by economic factors and by some Filipinos’
negative attitudes towards assistive devices as being a validation of one’s incapacitation. The SAKLAY is a service delivery framework that was
created to offer a practical and systematic guide to Filipino occupational therapists who render AT services for persons with disabilities (PWD) that
takes into account the client’s needs, resources, abilities, and contexts.
Key Words: Occupational Therapy, Assistive Technology, Service Delivery Process, Philippines
INTRODUCTION
Assistive Technology (AT) is a multidisciplinary
intervention that helps people engage in
activities that are important to them through
compensatory methods.
1
These services can help
individuals of varying needs restore or enhance
their level of function. These can be categorized
depending on their application: (1) Mobility, (2)
Vision, (3) Hearing, (4) Positioning, (5)
Communication, (6) Everyday Life, and (7)
Learning.
2
Examples of but not limited to these
are canes, wheelchairs, and prosthetics for
mobility; magnifiers or text-to-speech software
for vision; hearing aids for hearing; cushion or
splint for positioning, communication boards or
speech-generating devices for communication;
dressing aids or simple timers for everyday life;
and lastly, braille or adaptive toys for learning.
Ranging from no to low-tech interventions to
high-tech interventions, these services can allow
people with disabilities (PWD) to participate in
their chosen occupations
3
allowing them to
maintain or improve their level of functioning
and independence, thereby promoting their well-
being.
4
Globally, the World Health Organization (WHO)
states that more than a billion people may need
one or more AT; however, only one out of ten
have access to these.
4
It is estimated that in
developing countries, such as the Philippines,
only 5–15% of people requiring AT have access
to them.
5
For instance, only less than 3% of the
demand for hearing aids is supplied. Estimates