Rehabilitating the disabled rural poor: A case of transfer of medical technology

The transfer of technology to the Third World is often accompanied by a mystique that inhibits the solution of problems faced by the rural poor. An important innovation in medical technology-the so-called ‘Jaipur foot’–illustrates what can be done in the way of rehabilitation work that uses culturally suitable technology and local craftsmen. The experiment required a special mix of organizational and technological inputs. Innovative design was combined with the mobilization of indigenous craftsmanship and the involvement of a voluntary organization. Community support has strengthened the acceptability of technology. Relations between medical personnel and craftsmen benefited the contribution made by both sides. The advantage of local craftsmen over trained limb-makers became apparent. The voluntary body helped the project to avoid bureaucratic obstacles. The very success of the project, however, has produced its own problems, and crucial decisions have to be made about the future of this kind of strategy for a more appropriate technology.