Provide a VTY screenreader (which one?) in the installer itself, as self-configurable as possible, and that can be started on the initial menu with a simple key or key combination.
Add a VTY screenreader (POLA says the same one) to the packages available from the installer so the installed OS can be speech-friendly from the first boot.
Screenreader support in the loader. (Earlier boot stages are probably unfeasible.)
Speech recognition instead of a keyboard (that's a very tough one, maybe untractable - accents, spelling variants, ESL speakers, and I'm probably missing some).
Other color schemes than white-on-blue (installer) or white-on-black (out-of-the-box default for VTYs), both configurable from the installer including for the installed OS.