Incontinence is a global health and social care challenge. Effectively containing bladder or bowel leakage is fundamental for people living with incontinence. Disposable absorbent products are widely used, but do not work well for everyone and are neither financially nor environmentally sustainable. Specifically designed washable absorbent products are not widely used. We aimed to understand people's experiences of using or providing washable products in different contexts. We undertook 57 interviews with product-users and/or carers and three focus groups with service providers in India, Papua New Guinea and Romania. Five themes were identified: 1) Usability variation, 2) Impact on lives, 3) Do no harm, 4) Future Use and 5) Scalability. We found that washable products have the potential to improve the lives of many people with long-term continence problems, but the designs tested do not work for everyone. Individual assessment and the opportunity to try out products are important. There is considerable scope for better designs and raising awareness of usage. Opinions on the products are partly shaped by the products used previously and individual financial considerations play a role. Overall, there is a clear demand for washable absorbent continence products, and innovation through co-design is urgently needed.

Keywords: assistive technology; continence products; incontinence; sustainability; Lmics.

失禁是一个全球性的健康和社会护理挑战。有效控制尿失禁或便失泄对于患有失禁的人来说至关重要。一次性吸收产品被广泛使用，但并非对每个人都适用，并且从经济和环境角度来看也不可持续。专门设计的可洗式吸收产品并未得到广泛应用。我们旨在了解人们在不同情境下使用或提供可洗产品的体验。我们在印度、巴布亚新几内亚和罗马尼亚进行了57次个人访谈（与产品使用者及/或护理者）以及三次针对服务提供商的关注小组讨论。我们确定了五个主题：1）可用性的差异，2）对生活的影响力，3）无害化，4）未来的使用情况，5）可扩展性。我们发现，可洗式产品有可能改善许多长期失禁问题患者的日常生活，但经过测试的设计方案并不适合所有人。个人评估和试用产品的机会非常重要。更好的设计有很大的改进空间，并且需要提高人们对使用这些产品的意识。对这些产品的看法部分受到之前使用的同类产品的影响，同时个人的财务考虑也起到了一定作用。总体而言，人们迫切需要可洗式吸收失禁产品，通过共同设计进行创新是当务之急。

关键词：辅助技术；失禁产品；失禁；可持续性；LMICs（低收入和中等收入国家）