On average, two in three users in LMICs purchase their AT through the private sector, which goes up to four in five for spectacles. Therefore, people in LMICs heavily rely on out-of-pocket expenditures to access AT. Provision through NGOs, corporate foundations and government initiatives remains limited in reach, with only a small portion of the need for hearing aids being met, and with slightly more, though still limited, provision for prostheses and wheelchairs.