Disability in South Africa

The new dispensation of South Africa, together with the adoption of the Constitution, brought hope of equal rights for all, including people with disabilities. While major achievements have been made in terms of policy, the reality is that society is still organised to accommodate the needs of ablebodied people. How are primary health care and development programmes addressing issues of disability? For example, lack of potable water presents major problems for someone who is a wheelchair user, or is hemiplegic as a result of a stroke are such factors being considered? Are housing programmes providing suitable housing for people with physical disabilities? Are nutrition programmes reaching the most vulnerable and at-risk children with disabilities who may need food in a different form?

In this issue, Elizabeth Clarke describes the work of the Browns school, and its attempts to provide outreach services, and Janyne Simon-Meyer explores some of the difficulties associated with developing community services for those with mental disabilities. While these are important, they need to be placed in the broader context of working towards an education system that addresses the barriers to learning and development and working towards a health system that promotes the development of full potential in an environment of acceptance and support.