A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi

What is it about?

This study used qualitative methods to explore the barriers faced by disabled people when accessing water, sanitation and hygiene. It sought to understand the prioritization of these issues in comparison to other challenges of daily living and map the diversity of barriers experienced.

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Why is it important?

Most of us to not discuss our water use habits, the way we go to the toilet or they way we maintain our personal hygiene. However, for disabled people these most private and basic aspects of our day-to-day lives are highly challenging. All participants in this study reported at least one WASH access challenge with many explaining that their inability of access WASH facilities in an acceptable manner had significant ramification on their health, self-esteem, dignity and well being. The number of barriers identified was extremely diverse, with no two individuals facing the same challenges. However, personal characteristics and body function were the predominant determinants of the types of barriers an individual was likely to face. The results of this research are particularly timely given that the world has recently agreed to the Sustainable Development Goals which promise equitable access to improved water and sanitation for all by 2030. Improved understanding of these barriers can assist governments, communities and non-government organisations to better support disabled people to ensure equitable access.

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