{"title":"Occupational therapists' perceived ability to facilitate reasonable accommodations in the workplace for employees with major depressive disorders.","authors":"Mpho S Ramano, Tania Buys, Carla Kotzé","doi":"10.4102/ajod.v15i0.1924","DOIUrl":"10.4102/ajod.v15i0.1924","url":null,"abstract":"<p><strong>Background: </strong>Employees with major depressive disorder who return to work after sick leave may exhibit residual symptoms and functional limitations, which might require reasonable accommodation. In accordance with disability legislation, these employees have the right to request reasonable accommodations, and the employer must consider these requests, allowing the employee to continue fulfilling work requirements. There is a lack of research concerning the occupational therapist's role and successes in supporting reasonable accommodation for employees with major depressive disorders.</p><p><strong>Objectives: </strong>This article aims to explore and describe occupational therapists' perceived ability to facilitate reasonable workplace accommodations for employees with major depressive disorders.</p><p><strong>Method: </strong>An exploratory descriptive design was utilised, in which seven participants were interviewed individually. The authors adopted a social constructivism paradigm to understand the world in which occupational therapists live and work. An inductive analysis was carried out to formulate the themes.</p><p><strong>Results: </strong>Two themes were identified from the participants' views: (1) the dynamic process of reasonable accommodation and (2) the competencies of occupational therapists.</p><p><strong>Conclusion: </strong>Occupational therapists should lead the dynamic process of reasonable accommodation. To do this effectively, they must stay up to date, have the relevant skills and manage cases efficiently.</p><p><strong>Contribution: </strong>The dynamic process of reasonable accommodation outlined in this study provides a guideline for occupational therapists to follow when implementing such adjustments. Suggested reasonable accommodations for employees with major depressive disorder may serve as valuable resources for these professionals.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1924"},"PeriodicalIF":1.6,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Baptist church and empowerment of women and girls with disabilities in Mhondoro-Ngezi.","authors":"Grinwell Mugoni, Macloud Sipeyiye","doi":"10.4102/ajod.v15i0.1661","DOIUrl":"10.4102/ajod.v15i0.1661","url":null,"abstract":"<p><strong>Background: </strong>The Judeo-Christian and Shona indigenous religious spaces often reinforce the disempowerment of people with disabilities in general and women and girls in particular. In Zimbabwe, women experience the double vulnerability of being a woman in a patriarchal society and living with disabilities. Disability may increase poverty, while poverty may delay health-seeking behaviours and expose people to health risks that culminate in disability.</p><p><strong>Objectives: </strong>The article explores how the Ngezi Baptist Church is re-appropriating its theology of disability to mitigate the stigmatisation, exclusion and discrimination of women and girls with disabilities, thereby reducing poverty among them.</p><p><strong>Method: </strong>It employs the feminist disability theology in reshaping disability perceptions in Zimbabwe. Research data were obtained through focus group discussions and in-depth interviews with purposively selected participants.</p><p><strong>Results: </strong>Local churches have great potential to reinterpret their doctrines and harness their spiritual capital to initiate inclusive social and economic initiatives aimed at improving the well-being of women and girls with disabilities.</p><p><strong>Conclusion: </strong>Ngezi Baptist Church is embracing the feminist disability theology that conceives of God as contextual. It encourages reimagining God in various forms of human variation in its drive to unlock the potential of the vulnerable categories. It inspires the able-bodied and the differently abled persons to work together towards alleviating poverty.</p><p><strong>Contribution: </strong>The research provides a unique feminist disability theological analysis of the contribution of a local church towards reshaping community perceptions about women with disabilities and empowering them through upholding their dignity and reducing poverty among them.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1661"},"PeriodicalIF":1.6,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Siboniso J Selepe, Mohamed Mosala, Katlego Tshiloane, Maximus M Sefotho
{"title":"Strategies for the transition of learners with specific learning disabilities from remedial to mainstream schooling in South Africa.","authors":"Siboniso J Selepe, Mohamed Mosala, Katlego Tshiloane, Maximus M Sefotho","doi":"10.4102/ajod.v15i0.1900","DOIUrl":"10.4102/ajod.v15i0.1900","url":null,"abstract":"<p><strong>Background: </strong>Education involves recognising the dignity and learning potential of every learner. This study examines the ethical and practical meaning of <i>transitioning</i> learners with specific learning disabilities (SLD) from remedial to mainstream schooling within South Africa's inclusive education policy framework.</p><p><strong>Objectives: </strong>This study explores philosophical and practical strategies that support effective transitioning of learners with SLD into mainstream schools.</p><p><strong>Method: </strong>A qualitative single-case study design was employed involving seven participants in Johannesburg. Data were collected through semi-structured interviews, reflective journals and document analysis, and analysed using thematic analysis guided by Creswell's analytic spiral.</p><p><strong>Results: </strong>The results of this study indicate that most teachers lacked formal training in inclusive education despite supporting its principles. Individual support plans (ISPs) help personalise learning through collaboration between teachers, parents and support teams. Assistive technologies and accommodations, like readers and extra time, support equitable learning access. Peer support and differentiated instruction enhance confidence, inclusion and engagement for learners with SLD.</p><p><strong>Conclusion: </strong>The study concludes that successful transitioning of learners with SLD depends on structured support, ethical collaboration and compassionate teaching practices. It calls for stronger alignment between inclusive education policies and classroom realities to ensure every learner's dignity and belonging.</p><p><strong>Contribution: </strong>The study contributes by bridging philosophical ideals with practical strategies, offering a framework for inclusive and humane educational practice.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1900"},"PeriodicalIF":1.6,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meluleki S Thethwayo, Nomzamo Chemane, Jill Hanass-Hancock, Verusia Chetty
{"title":"Consensus on development of a tool to guide implementation of CRPD-aligned standards of universal design and reasonable accommodation for healthcare workers with disabilities.","authors":"Meluleki S Thethwayo, Nomzamo Chemane, Jill Hanass-Hancock, Verusia Chetty","doi":"10.4102/ajod.v15i0.1910","DOIUrl":"10.4102/ajod.v15i0.1910","url":null,"abstract":"<p><strong>Background: </strong>Despite the existence of South African frameworks guiding the inclusion and accessibility of persons with disabilities in the workplace, there is no tool available to guide how healthcare facilities meet the inclusion and accessibility standards set out in the Convention of the Rights of Persons with Disabilities (CRPD) and national frameworks.</p><p><strong>Objectives: </strong>This study sought to achieve consensus among experts regarding the tool that can be utilised to guide the implementation of the CRPD-aligned standards of universal design and reasonable accommodation in the public healthcare sector.</p><p><strong>Method: </strong>A panel of experts (27) in the field of disability across South Africa participated in a two-round modified Delphi technique. The 80% agreement threshold was set to determine the level of agreement among experts.</p><p><strong>Results: </strong>Consensus was reached on all seven domains (with various disability indicators) as outlined by the CRPD to be included in the development of a tool. These domains are, namely, the prohibition of discrimination, protecting and promoting the rights of persons with disabilities, labour and trade union participation, access to technical and vocational training, employment opportunities and career advancement, reasonable accommodation and professional and vocational rehabilitation training programmes for persons with disabilities.</p><p><strong>Conclusion: </strong>The panellists agreed that the developed tool can be utilised to evaluate and guide the implementation of universal design and reasonable accommodation in the public healthcare sector.</p><p><strong>Contribution: </strong>This study provides a consensus-based, CRPD-aligned assessment tool that enables healthcare facilities to systematically evaluate and improve disability inclusion and accessibility in the workplace.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1910"},"PeriodicalIF":1.6,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assistive technologies in employment and entrepreneurship: Graduates with sensory disabilities.","authors":"Sibongile Xashimba, Marlene de Beer","doi":"10.4102/ajod.v15i0.1998","DOIUrl":"10.4102/ajod.v15i0.1998","url":null,"abstract":"<p><strong>Background: </strong>Across practice and policy, assistive technologies (ATs) are positioned as a pathway to economic inclusion for graduates with sensory disabilities in South Africa. Still, systemic barriers persist. Developing workable interventions requires in-depth attention to the lived experiences of graduates, which include knowledge on the way devices, systems and attitudes interact in everyday employment seeking and enterprise activities.</p><p><strong>Objectives: </strong>The study endeavoured to examine how unemployed tertiary-level graduates with sensory disabilities in Gauteng use AT in seeking employment and practising entrepreneurship. Specific enablers and challenges were identified to provide an explanation of variation in economic participation.</p><p><strong>Method: </strong>Interpretive methods guided the study within a qualitative design. Sixteen participants took part in semi-structured interviews: 10 unemployed graduates (with visual or hearing impairments), three human resources professionals and three helping professionals. Coding and analytic development followed Braun and Clarke's six-phase thematic approach.</p><p><strong>Results: </strong>Overall patterns were organised into six themes: (1) discrimination and stigma, (2) accessibility, (3) use and effectiveness of AT, (4) training and support, (5) institutional and government support, and (6) self-initiated strategies and adaptation.</p><p><strong>Conclusion: </strong>Device access proved insufficient. Most constraints operated at the system level, consistent with the social model of disability, as stigma, accessibility failures, limited training and weak enforcement shaped outcomes. Sustained change had to address stigma, accessibility, training and support and accountable policy implementation through coordinated multi-stakeholder action.</p><p><strong>Contribution: </strong>By centring graduate voices, this article contributed evidence on adaptability and multi-stakeholder lenses relevant to inclusive policy and practice in resource-constrained settings.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1998"},"PeriodicalIF":1.6,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matieho B Mokhua, Tuwani A Rasengane, Joyce M Tsoka-Gwegweni, Antor O Ndep
{"title":"Exploring challenges and community support for hard-to-reach persons with visual impairment in the Free State province, South Africa: A qualitative study.","authors":"Matieho B Mokhua, Tuwani A Rasengane, Joyce M Tsoka-Gwegweni, Antor O Ndep","doi":"10.4102/ajod.v15i0.1936","DOIUrl":"10.4102/ajod.v15i0.1936","url":null,"abstract":"<p><strong>Background: </strong>Visual impairment is the third most prevalent impairment worldwide. Persons with visual impairment may have to navigate complex societal barriers and marginalisation daily. Thus, making them hard to reach.</p><p><strong>Objectives: </strong>To explore mobilisation strategies for hard-to-reach persons with visual impairment among community health workers and low-vision clinicians in the Free State province, South Africa.</p><p><strong>Method: </strong>An exploratory qualitative approach was used to explore mobilisation strategies for hard-to-reach persons with visual impairment in the Free State province.</p><p><strong>Results: </strong>Two main themes were identified: (1) challenges of accessing eye care services and (2) social and community support. Affordability and accessibility of spectacles and low-vision devices remain significant challenges, serving as barriers to accessing eye care services, particularly in rural areas. Poor social and community support by local government structures of resources, such as funding of eye care and transport costs, may be available to support persons with visual impairment, but are not utilised effectively by the local government. Lack of physical infrastructure that is accessible to persons with visual impairment and the poor inclusion of persons with visual impairment in community programmes and decision-making processes to improve social interaction and foster independence are prevalent.</p><p><strong>Conclusion: </strong>The challenges limit the capacity to deliver appropriate interventions to persons with visual impairment, further exacerbating the gap in care for the hard-to-reach. This emphasises a need for a more equitable distribution of resources, increased funding for eye care services, and the employment of more specialised professionals in underserved areas.</p><p><strong>Contribution: </strong>Findings informed a set of recommendations for the benefit of hard-to-reach persons with visual impairment in the development of inclusive eye care policies and empowered both the hard-to-reach and community health care workers.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1936"},"PeriodicalIF":1.6,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jinagna Shah, Esedra Krüger, Marien A Graham, Bhavani S Pillay
{"title":"Speech-language therapy in Kenya: An overview of practitioners, practices and professional needs.","authors":"Jinagna Shah, Esedra Krüger, Marien A Graham, Bhavani S Pillay","doi":"10.4102/ajod.v15i0.1859","DOIUrl":"10.4102/ajod.v15i0.1859","url":null,"abstract":"<p><strong>Background: </strong>Speech-language therapy in Kenya is an emerging profession, yet its workforce practices are not well-understood, and the needs of professionals have yet to be determined. While similar gaps have been reported in sub-Saharan Africa, the Kenyan context remains unknown.</p><p><strong>Objectives: </strong>To describe current characteristics, practices and needs of speech-language therapists (SLTs) rendering services in Kenya.</p><p><strong>Method: </strong>An electronic survey was completed by 46 SLTs across Kenya. Descriptive and inferential statistics were used, and open-ended questions were analysed qualitatively.</p><p><strong>Results: </strong>Most Kenyan SLTs in this sample (78.4%) were located in the urban counties, multilingual and worked across multiple settings. Participants had varied qualifications and backgrounds. The sample included SLTs with overlapping caseloads of client ages - 67.0% served paediatric clients and 53.0% served adults, with many participants reporting that they worked across both groups. Challenges included limited resources (69.6%), high caseloads (52.0%) and a limited workforce. Participants expressed the need for peer support and improved guidelines for practice.</p><p><strong>Conclusion: </strong>Despite the notable growth of the profession in Kenya, persistent challenges remain within the SLT workforce and structure of service provision. Addressing these requires strengthened collaboration, improved regulation and guidelines and targeted capacity-building to support equitable access to services.</p><p><strong>Contribution: </strong>This study aimed to outline what the speech-language therapy profession in Kenya looks like, to contribute towards advocating for the profession and planning that can ultimately enhance the impact of SLTs in Kenya.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1859"},"PeriodicalIF":1.6,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healing beyond the physical: Ethical approaches to emotional support in post-stroke recovery.","authors":"Olukoya A Olotu, Anthea Rhoda","doi":"10.4102/ajod.v15i0.1909","DOIUrl":"10.4102/ajod.v15i0.1909","url":null,"abstract":"<p><p>Stroke is one of the major contributors to long-term disability in the world, with significant emotional and psychological implications for survivors. While physical rehabilitation is often prioritised in post-stroke recovery, the emotional impact, such as grief, anxiety, depression, and identity disruption, remains under-addressed, particularly in a developing country such as South Africa. This article argues for a more ethical, grounded and holistic approach to stroke recovery that prioritises emotional support alongside physical treatment. Drawing on the disciplines of counselling psychology and rehabilitation science, the article explores how interdisciplinary approaches can enhance the emotional needs of stroke patients. Through a conceptual methodology, this article critiques the limitations of biomedical ethics when applied to stroke rehabilitation and proposes a complementary ethical model, such as care and narrative ethics. These frameworks emphasise empathy, relationship-building and meaning-making as central components of ethical care. Through theoretical analysis, the article demonstrates how patients' emotional narratives can inform ethical patient-centred rehabilitation interventions. The article also deliberates the implications for healthcare providers, offers practical recommendations and outlines policy integration strategies for embedding emotional care within rehabilitation programmes. By highlighting the ethical significance of emotional support, the study offers a more compassionate, culturally sensitive and inclusive model of stroke care in line with medical humanities and the future of healthcare delivery.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1909"},"PeriodicalIF":1.6,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neil A Williams, Dudu G Sokhela, Thembelihle S Ngxongo
{"title":"A framework to improve parental participation in the hospital care of autistic children in the eThekwini district of KwaZulu-Natal.","authors":"Neil A Williams, Dudu G Sokhela, Thembelihle S Ngxongo","doi":"10.4102/ajod.v15i0.1856","DOIUrl":"10.4102/ajod.v15i0.1856","url":null,"abstract":"<p><strong>Background: </strong>When children under 18 years old, diagnosed with autism spectrum disorder (ASD), autistic children are admitted to the hospital, they often have distressing experiences attributed mainly to overstimulation and communication issues. The quality of nursing care can be improved by effectively involving the child's parents in their care. Currently, there is no framework to encourage parental participation in the hospital care of autistic children in South Africa.</p><p><strong>Objectives: </strong>The study explored professional nurses and parent perceptions on promoting effective parent participation in the hospital care of autistic children and to develop a framework for the improvement of parental participation in the hospital care of autistic children.</p><p><strong>Method: </strong>This study utilised the interpretative phenomenological analysis (IPA) research design, and data were collected using individual, virtual, semi-structured interviews. Employing the purposive sampling method, data saturation was reached with ten nurses and ten parents. Data were analysed using the IPA method of data analysis, and the framework was developed, utilising the Gray and Grove framework development process.</p><p><strong>Results: </strong>The study revealed 12 themes that were incorporated in a newly developed framework, under the following sub-concepts: Information sharing, proximity, attitude and garnering resources.</p><p><strong>Conclusion: </strong>This article presents a newly developed framework for the effective parent participation in the hospital care of autistic children.</p><p><strong>Contribution: </strong>The framework developed in this study can contribute to improving nursing practice for paediatric ward nurses and may improve the inpatient experience and health outcomes of autistic children and their parents.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1856"},"PeriodicalIF":1.6,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sasavona R Mashamba, Saajida Mahomed, Jacqueline M van Wyk
{"title":"Knowledge, attitudes and practices of infection control among staff working with learners with spina bifida in special schools in two South African provinces: A cross-sectional study.","authors":"Sasavona R Mashamba, Saajida Mahomed, Jacqueline M van Wyk","doi":"10.4102/ajod.v15i0.1905","DOIUrl":"10.4102/ajod.v15i0.1905","url":null,"abstract":"<p><strong>Background: </strong>Infection associated with spina bifida is a common risk that often interferes with regular school attendance.</p><p><strong>Objective: </strong>This study aimed to conduct a situational analysis of infection control in South African special schools catering to learners with spina bifida, and to assess the knowledge, attitudes and practices of infection control among the school staff.</p><p><strong>Method: </strong>This was a cross-sectional study using semi-structured and structured questionnaires administered to the school principals and staff, respectively. A total of nine schools participated in the study, with 121 staff completing the questionnaire.</p><p><strong>Results: </strong>All nine schools reported a higher number of educators than allied health professionals, health professionals and house mothers. Low levels of knowledge about infection control were reported across all staff. A large proportion of educators (> 60%) were unaware of infection control practices. A small proportion across staff categories reported having a bowel management programme. Staff reported poor attitudes toward infection control; only 14.3% of educators, 15.0% of allied health staff, 13.3% of health staff and 6.3% of house mothers reported being trained to work with learners with spina bifida.</p><p><strong>Conclusion: </strong>The findings reveal important gaps in schools with regard to infection control for learners with spina bifida, and there is a need for training on infection control for all staff working in these settings.</p><p><strong>Contribution: </strong>The research contributes to the development of training and policy recommendations aimed at improving infection control for learners with spina bifida.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1905"},"PeriodicalIF":1.6,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}