The objective of this population-based study was to assess the use, sources, payers, barriers, need, and unmet need of assistive products (AP) in the population of Iraq using the Rapid Assistive Technology Assessment (rATA) survey. The survey included a representative national sample from six governorates, including 36 cities/districts that cover all the country. In total 12,021 respondents' data were included in the data analysis. A total, of 16.4% of the sample reported use of AP, and 22.8% reported being in need of AP. Children and adolescents (≤17 years), seniors (≥80 years), and people living in rural areas had lower access to APs. The main sources of funding were out-of-pocket (57.6%), followed by friends and family (31.2%), government (10.1%), and NGOs (4.8%). Furthermore, 58%, 27.3% and 12.2% APs were obtained from the private sector, friends and family, and the government, respectively. The main barriers facing people in need to get APs were inability to afford (43.6%), no support (22.3%), unavailability of APs (11.5%), stigma (4.6%), and no time available (3.5%). It is the government's responsibility to provide AP, in addition to suitable environments (sidewalks, transportation, and public buildings) that are friendly to people with wheelchairs and crutches.

Keywords: Iraq; WHO rapid assistive technology assessment; assistive devices; assistive technology; rATA survey.

本项基于人口的研究目的是使用快速辅助技术评估（rATA）调查，来评估伊拉克人口中辅助产品（AP）的使用情况、来源、支付者、障碍、需求和未得到满足的需求。该调查包括来自六个省共36个城市/地区的代表性全国样本数据，在数据分析中共有12,021名受访者的数据被纳入。总共有16.4%的样本报告使用辅助产品，而22.8%的人表示需要辅助产品。儿童和青少年（≤17岁）、老年人（≥80岁）以及居住在农村地区的人群对辅助产品的获取途径较低。主要的资金来源是自费（57.6%），其次是朋友和家人（31.2%），政府（10.1%）和非政府组织（NGO，4.8%）。此外，分别有58%，27.3% 和 12.2% 的辅助产品来自私营部门、朋友和家人以及政府。需要获取辅助产品的人群面临的主要障碍是无法负担（43.6%），缺乏支持（22.3%），辅助产品的不可获得性（11.5%），污名化（4.6%）以及没有时间可用（3.5%）。此外，政府有责任提供辅助产品，并且要确保适合使用轮椅和拐杖的人群的友好环境（人行道、交通设施和公共建筑）。

关键词：伊拉克；世界卫生组织快速辅助技术评估；辅助设备；辅助技术；rATA调查。