How can I create an accessible PDF using Pages?

I am interested in being able to use Pages (and actually also Keynote) to produce accessible PDF documents, ideally following the PDF/UA standard.
Government agencies require that electronic is created and shared in an accessible fashion.
I know it is possible to create accessible PDF (or well-tagged PDF) in Microsoft Word - but only on Windows unfortunately. I could also use OpenOffice, but to be honestly I find Pages is the more productive tool for me.
Any pointers as to whether and how to create accessible PDF from Pages would be more than welcome....
Olaf

Hi there, I suppose I didn't make myself very clear. I am working for a regional organization for persons with disabilities and we create publications that are accessible to various kinds of disability, i.e. deaf, blind, etc. We convert ordinary reports to accessible text for the benefit of the blind. There are programs/apps that provide sound/voices that will 'read' the text. Acrobat PDF has such a feature called 'Readable PDF', which if composed properly via tagging, etc, will be converted and saved as 'readable PDF'. You can do this using In-Design. But I am also looking at the possibilities for Pages (I like this program a lot because it's easy) but I am not sure if there are tagging features here that will allow be to prepare the report as a 'Readable PDF' file. Thanks!

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