African Journal of Disability最新文献

{"title":"Employment of persons with disabilities in the open labour market: A scoping review.","authors":"Themba M Ximba, Hester M van Biljon, Fasloen Adams, Lana van Niekerk","doi":"10.4102/ajod.v15i0.1873","DOIUrl":"10.4102/ajod.v15i0.1873","url":null,"abstract":"<p><strong>Background: </strong>Persons with disabilities are often disproportionately placed in part-time roles, confined to low occupational levels and face a heightened risk of job loss perpetuating a cycle of underemployment, leaving many to earn below the official poverty line. Despite progressive South African employment legislations, many companies still do not meet employment targets for employees with disabilities.</p><p><strong>Objectives: </strong>The scoping review aimed to summarise the literature and synthesise strategies used to employ and retain persons with disabilities in South African open labour market.</p><p><strong>Method: </strong>Systematic and manual searches of six databases identified relevant primary sources. The first two authors conducted blinded reviews of 2402 titles and abstracts, followed by 482 full-text reviews. Following conflict resolution, 92 sources were included. A content analysis of charted data followed, and the findings were summarised into two categories and 12 codes.</p><p><strong>Results: </strong>Programmes shown to improve the representation of persons with disabilities were demand-side employment, inclusive recruitment, disability disclosure, reasonable accommodation, employee referral, internships and apprenticeships, return-to-work, supported employment, wage subsidy and partnering with disability organisations. Stakeholder support enhanced implementation and reduced barriers.</p><p><strong>Conclusion: </strong>Various programmes were adopted to improve the inclusion of employees with disabilities, but their implementation varied across employers, yielding mixed results.</p><p><strong>Contribution: </strong>The review highlighted the need for policymakers to strengthen enforcement, for employers to foster inclusive workplace practices and for researchers to expand the scope of inquiry to capture broader dimensions of disability employment. Future research could be conducted under different settings to explore the employment of persons with disabilities.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1873"},"PeriodicalIF":1.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212874","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":"Physical rehabilitation techniques for spinal cord injury: A scoping review.","authors":"Candace Vermaak, Danet Cloete, Jared Kunene, Megan Webb, Inge von Wielligh, Vuyelwa Radebe","doi":"10.4102/ajod.v15i0.1869","DOIUrl":"10.4102/ajod.v15i0.1869","url":null,"abstract":"<p><strong>Background: </strong>Spinal cord injury (SCI) is a life-changing condition resulting in disability, with motor and sensory impairments that impact multiple areas of life and reduce quality of life. Physical rehabilitation can address these limitations, but there is a need to evaluate which interventions are most effective and the outcomes they produce.</p><p><strong>Objectives: </strong>To evaluate the effectiveness of physical rehabilitation interventions for individuals with complete and incomplete SCI at levels C5-T12, and to inform clinical practice.</p><p><strong>Method: </strong>This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. A comprehensive search of PubMed, Scopus and EBSCOhost identified peer-reviewed studies published between 2013 and 2024.</p><p><strong>Results: </strong>Sixteen studies (<i>n</i> = 327) were included. Effective interventions included functional electrical stimulation, robotic and exoskeleton-assisted training, gait training, upper extremity exercise, balance training, and corporal suspension and pendulum exercises. Reported outcomes included improvements in aerobic capacity, muscle adaptations, gait parameters, cardiopulmonary function, functional capacity and secondary complications.</p><p><strong>Conclusion: </strong>Physical rehabilitation plays a key role in improving functional outcomes in individuals with SCI. However, no single intervention addresses all aspects of recovery, highlighting the need for an individualised approach.</p><p><strong>Contribution: </strong>This review demonstrates that a range of exercise-based rehabilitation strategies can enhance functional outcomes in individuals with SCI.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1869"},"PeriodicalIF":1.6,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212847","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":"Innovative mHealth for addressing low back pain-related factors amongst lower-limb amputees: A quasi-experimental.","authors":"Muh Syaiful Akbar, Muhammad Syafar, Yahya Thamrin, Djohan Aras, Indar Indar, Muhammad Arsyad","doi":"10.4102/ajod.v15i0.1890","DOIUrl":"10.4102/ajod.v15i0.1890","url":null,"abstract":"<p><strong>Background: </strong>Lower-limb amputees (LLAs) are highly susceptible to low back pain (LBP) because of postural instability and core muscle weakness, leading to reduced quality of life (QoL). Tailored mobile health (mHealth) interventions may offer a scalable strategy to support functional improvement.</p><p><strong>Objectives: </strong>This study aimed to evaluate the preliminary impact of mHealth applications on QoL and to identify behavioural and physical parameters observed on LLAs.</p><p><strong>Method: </strong>A quasi-experimental one-group pre-test-post-test longitudinal study was conducted with 22 unilateral LLAs (transtibial or transfemoral). Nineteen participants used a prosthesis, while three participants used a wheelchair. Participants engaged with a structured 3-month intervention delivered through an mHealth application. The programme consists of: (1) educational modules; (2) core-strengthening exercises; (3) automated reminders; and (4) hybrid delivery. Quality of Life was assessed using the WHOQOL-BREF, variables examined in the bivariate analyses and changes in outcomes were analysed using Wilcoxon signed-rank tests.</p><p><strong>Results: </strong>The Wilcoxon signed-rank tests showed significant improvements in positive attitude (<i>p</i> = 0.007) and good core muscle strength (<i>p</i> = 0.020), both with large effect sizes. Descriptive analysis indicated significant overall changes in QoL. Bivariate analyses suggested that positive attitude and good core muscle strength were associated with higher QoL.</p><p><strong>Conclusion: </strong>The use of the mHealth application was associated with improvements in QoL, and positive behavioural and physical changes among LLAs.</p><p><strong>Contribution: </strong>This research contributes to disability rehabilitation in Southeast Asia by introducing an mHealth approach that may improve functional improvement among LLAs.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1890"},"PeriodicalIF":1.6,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212785","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":"A human rights-based analysis of the experiences and challenges faced by children with albinism and their mothers: Insights from the African film 'Can You See Us?'","authors":"Priccilar Vengesai, Maureen Mswela","doi":"10.4102/ajod.v15i0.1791","DOIUrl":"10.4102/ajod.v15i0.1791","url":null,"abstract":"<p><strong>Background: </strong>This study utilises the cinematic work 'Can You See Us' as a prism to elucidate contemporary discourse surrounding the intricate tribulations confronted by children with albinism and their mothers. Despite increasing academic research on the connection between albinism and motherhood experiences, meaningful critical discussions on this topic remain inadequately addressed within both scholarly frameworks and African policy and human rights paradigms.</p><p><strong>Objectives: </strong>Utilising a human rights-based approach, the inquiry elucidates how systemic sufferings besiege a child with albinism and his mother. It also reveals that the challenges endured by children with albinism and their mothers are not merely individual forays but are intricately interwoven within expansive socio-political matrices that perpetuate inequity and discrimination.</p><p><strong>Method: </strong>A mixed qualitative methodology was employed, incorporating film observation and document-based analysis.</p><p><strong>Results: </strong>The findings of this study illuminate profound adversities confronted by individuals afflicted with albinism, encompassing destitution, experiences of corporeal and psychological maltreatment, incapacity to participate in normative social interactions, bullying, abuse and violent assaults, which can, in the most grievous of circumstances, culminate in dire outcomes.</p><p><strong>Conclusion: </strong>We conclude that the predicaments depicted in the film are pervasive across the African expanse. These challenges ought to be recognised as transgressions against intrinsic human rights. Importantly, the extant regional action plan addressing albinism in Africa neglects the integration of a thorough gender-sensitive paradigm, especially concerning the nuances of motherhood and its confluence with albinism.</p><p><strong>Contribution: </strong>This cinematic analysis offers a transformative paradigm for apprehending the experiences of mothers nurturing children with albinism within the African milieu.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1791"},"PeriodicalIF":1.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869888","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":"Navigating the adaptation of CBT for persons with disabilities in South Africa: An autoethnographic perspective.","authors":"Ramokone Kunutu, Sibusiso Ntshangase","doi":"10.4102/ajod.v15i0.1773","DOIUrl":"10.4102/ajod.v15i0.1773","url":null,"abstract":"<p><strong>Background: </strong>Cognitive behavioural therapy (CBT), a western-developed therapy, may offer benefits to persons with disabilities. However, its applicability in South Africa, where stigma and limited resources significantly impact mental health, is uncertain.</p><p><strong>Objectives: </strong>This autoethnography explores the first author's personal experiences in adapting CBT for persons with disabilities in South Africa, focusing on culturally sensitive interventions and innovative delivery methods.</p><p><strong>Method: </strong>Spanning a year, data collection included personal journaling, field notes and reflexive memos. Rooted in constructivist epistemology, the study employed thematic analysis to integrate the first author's personal narrative with the broader cultural context.</p><p><strong>Results: </strong>The study chronicles the discovery of innovative delivery methods, such as telehealth, and emphasises the critical importance of training local health professionals. Key findings address the evidence base for CBT, the successes and failures of adaptations, the knowledge gaps identified and promising directions for a more inclusive future.</p><p><strong>Conclusion: </strong>This autoethnography reflects on the path towards a mental health care system that effectively addresses the unique needs of persons with disabilities in South Africa.</p><p><strong>Contribution: </strong>The study provides insights into the adaptation of CBT for a specific cultural context, highlighting the importance of culturally sensitive interventions and innovative delivery methods to improve mental health care for persons with disabilities in resource-constrained settings.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1773"},"PeriodicalIF":1.6,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869926","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":"Test-retest reliability of the Test of Gross Motor Development-3 instrument for children with Down syndrome.","authors":"Seyide Abiodun-Salawu, Pieter H Boer","doi":"10.4102/ajod.v15i0.1925","DOIUrl":"10.4102/ajod.v15i0.1925","url":null,"abstract":"<p><strong>Background: </strong>The Test of Gross Motor Development-3 (TGMD-3 2019) evaluates fundamental gross motor skills across two domains: locomotor and ball skills.</p><p><strong>Objectives: </strong>The purpose of this study was to determine the test-retest reliability of the TGMD-3 in children with Down syndrome.</p><p><strong>Method: </strong>Twenty-four children with Down syndrome, aged 9-15 years, from five special needs schools in the North West province of South Africa participated in this study.</p><p><strong>Results: </strong>Excellent and good intraclass correlation coefficient values were reported for locomotor (0.91), ball (0.84) and overall gross motor performance (0.91). Standard error of measurement, minimal detectable change at the 95% and Bland-Altman plots showed acceptable precision levels, low variability, a small discrepancy between scores for the two assessments and no systematic bias in the analyses. The test and retest values for locomotor (<i>p</i> = 0.587), ball (<i>p</i> = 0.403) and overall gross motor scores (<i>p</i> = 0.321) were not significant.</p><p><strong>Conclusion: </strong>The TGMD-3 instrument showed good to excellent test-retest reliability for assessing gross motor skills in children with Down syndrome.</p><p><strong>Contribution: </strong>This study provides an initial reliability analysis of the TGMD-3 instrument amongst selected children with Down syndrome in five districts of the North West province of South Africa.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1925"},"PeriodicalIF":1.6,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869885","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":"Patient perceptions of physiotherapy and prehabilitation before hip and knee arthroplasty in South Africa.","authors":"Prithi Pillay-Jayaraman, Allan R Sekeitto, Verusia Chetty, Stacy Maddocks","doi":"10.4102/ajod.v15i0.1763","DOIUrl":"10.4102/ajod.v15i0.1763","url":null,"abstract":"<p><strong>Background: </strong>Hip and knee joint arthroplasty in many low- and middle-income countries has lengthy waiting lists as trauma-related procedures are prioritised. A comprehensive care pathway that includes prehabilitation can enhance patient outcomes. Prior to designing an impactful service, a contextually grounded study with an understanding of current knowledge, relationship between felt and expressed needs in the specific socio-cultural setup is critical.</p><p><strong>Objectives: </strong>This study aimed to investigate patients' knowledge and perceptions of physiotherapy and prehabilitation before undergoing total hip or knee replacement operations in a South African public healthcare setting.</p><p><strong>Method: </strong>A mixed-methods approach utilising semi-structured, face-to-face interviews and questionnaires was employed. Patients in the orthopaedic outpatient queue who consented to participate were recruited. Forty-nine participants answered the questionnaires, and seven patients were interviewed. Questionnaire data were analysed descriptively, including estimates of means and percentages and qualitative data by content analysis.</p><p><strong>Results: </strong>A significant (<i>p</i> < 0.001) 77.6% (38) of patients indicated that they were unsure of the role of a physiotherapist, and 67.3% (33) of respondents were unsure of the necessity for pre-operative exercises (<i>p</i> < 0.001). Three main themes emerged from the interviews, which were patients' preconceptions of physiotherapy, the perceived value of prehabilitation and patients' recommendations regarding physiotherapy and prehabilitation.</p><p><strong>Conclusion: </strong>This study identified a lack of knowledge and understanding regarding physiotherapy and prehabilitation among these patients.</p><p><strong>Contribution: </strong>The findings of this study may inform the design of a prehabilitation programme tailored to this context and highlighted a need for the education of medical personnel.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1763"},"PeriodicalIF":1.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869844","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":"Exploring barriers to access and use of limb prostheses and orthoses in sub-Saharan Africa: A systematic review.","authors":"Birhanu M Addis, Demewoz W Menna, Claire T Davies","doi":"10.4102/ajod.v15i0.1852","DOIUrl":"10.4102/ajod.v15i0.1852","url":null,"abstract":"<p><strong>Background: </strong>Prosthetic and orthotic devices play a significant role in enhancing the quality of life for individuals with disabilities by improving mobility, health, psychological well-being, and socio-economic opportunities. However, access to these assistive devices remains a considerable challenge, particularly in resource-limited settings.</p><p><strong>Objectives: </strong>The aim of this systematic review was to explore and categorise the existing barriers and challenges that affect access to limb orthoses and prostheses in sub-Saharan African countries.</p><p><strong>Method: </strong>A systematic search of seven databases was conducted to identify relevant studies using the search terms: 'prosthesis' or 'orthosis' and sub-Saharan African countries and variations of each term. Quality assessment of each study was completed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) scale and the Oxford Levels of Evidence.</p><p><strong>Results: </strong>Twenty-two journal articles were included for review following database search and screening, evaluating a total of 3726 participants. Results were organised into four generalised themes, and each theme was categorised into sub-themes.</p><p><strong>Conclusion: </strong>The review identifies multifaceted barriers to accessing and utilising limb prostheses and orthoses in sub-Saharan Africa, primarily driven by economic constraints and cultural barriers. The lack of multidisciplinary rehabilitation teams further contributes to fragmented and inefficient service delivery. Orthotic and prosthetic training centers and colleges are underdeveloped, facing problems such as ineffective teaching methods, outdated curricula, inadequate research facilities, and a shortage of experienced professionals.</p><p><strong>Contribution: </strong>This review synthesises evidence on barriers to prosthetic and orthotic access in sub-Saharan Africa, categorising challenges into thematic domains and highlighting gaps in service delivery, education, and workforce capacity to inform policy, practice, and future research directions.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1852"},"PeriodicalIF":1.6,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647022","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":"A child and youth care approach to meeting the needs of children with visual impairments: A case study exploration.","authors":"Lydia Kankya, Rika Swanzen","doi":"10.4102/ajod.v15i0.1851","DOIUrl":"10.4102/ajod.v15i0.1851","url":null,"abstract":"<p><strong>Background: </strong>As indicated by the 'interdisciplinary turn', a multidisciplinary approach is critical to meet the needs of children with visual impairments (CWVIs). A less explored discipline, however, is that of the child and youth care (CYC) profession. The Circle of Courage Model and Being, Interpreting and Doing (BID) framework were used to design a semi-structured interview for caregivers of CWVIs.</p><p><strong>Objectives: </strong>A qualitative study was conducted to obtain an understanding of the CYC needs of CWVIs. The study aimed to obtain this understanding within the child's school and home microsystems in order to identify challenges, gaps and contributions in meeting the CYC needs of CWVIs.</p><p><strong>Method: </strong>A qualitative case study design was followed with the semi-structured interview schedules derived from the mentioned CYC models. Fifteen caregivers were interviewed telephonically, comprising seven home caregivers and eight professional staff members. Interviews were transcribed and subjected to thematic analysis.</p><p><strong>Results: </strong>Six themes and nine sub-themes emerged from the analysis. A key finding is that the caregiver's intentional approach to strength-focused development allows for holistic growth and self-confidence in CWVIs. The role of the caregiver is perceived to play an important role in creating 'integral environments' that cater for the CYC needs of the CWVIs.</p><p><strong>Conclusion: </strong>Findings from the case study confirmed the relevance of the CYC approaches to the meeting of needs and a context specific approach to activity programming. Recommendations are provided for the caregiver, the school, the CYC profession and society. A contribution of the findings is the unpacking of the needs of CWVIs within an ecological and activity context.</p><p><strong>Contribution: </strong>The results of the study provides insight into the understudied role of CYC in working with children with disabilities in an African context. It accentuates the importance of inclusive modes of communication on societal level, and resources required to ensure equal access to educational services. The article further contributes to the CYC knowledge base and meeting the United Nations Sustainable Development Goal (SDG) 2030 Agenda, targets 4.5 and 4.8, to ensure inclusive and equitable quality education and promote lifelong learning opportunities for all.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1851"},"PeriodicalIF":1.6,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647068","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":"A multi-faceted analysis of disability and poverty in the Polokwane Local Municipality: A narrative review.","authors":"Kutu S Ramolobe","doi":"10.4102/ajod.v15i0.1744","DOIUrl":"10.4102/ajod.v15i0.1744","url":null,"abstract":"<p><strong>Background: </strong>The interplay between poverty and disability creates a cyclical relationship where disability can increase poverty, and poverty can increase the risk of disability. While extensive research has explored this nexus globally, less is known about its specific impact on the quality of life of persons with disabilities within localised contexts like the Polokwane Local Municipality in South Africa.</p><p><strong>Objectives: </strong>The purpose of this study is to conduct a multi-faceted analysis of the relationship between disability and poverty in the Polokwane Local Municipality.</p><p><strong>Method: </strong>This study is a narrative review that utilises a critical synthesis approach to examine the relationship between disability and poverty.</p><p><strong>Results: </strong>This review reveals that person with disabilities in Polokwane face compounded vulnerabilities, with poverty manifesting as absolute lack of necessities, relative deprivation, situational crises and limited access in rural areas.</p><p><strong>Conclusion: </strong>This critical review underscores the multi-faceted ways in which disability intersects with various forms of poverty within the Polokwane Local Municipality, highlighting the compounded vulnerabilities faced by persons with disabilities.</p><p><strong>Contribution: </strong>This article offers a significant contribution to the understanding of the intricate relationship between disability and poverty, specifically within the Polokwane Local Municipality.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"15 ","pages":"1744"},"PeriodicalIF":1.6,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647063","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}