Health care needs that are not met and that exacerbate health disparities are experienced disproportionately by persons with disabilities .
Despite their frequent additional health care needs and limited access, persons with disabilities constitute a marginalised group in health services research.
Their experiences within the health care system are not well understood, and research-based health service improvement interventions commonly exclude persons with disabilities .
The Equit Able Project (see has documented a number of barriers to health care experienced by persons with disabilities in resource-poor settings in Africa [14,15,16,17].
Concern over the availability of health services in rural areas has existed for decades  and “rural communities have long struggled to maintain access to quality health care services”  (p. However, it is not enough, by itself, that a system of primary care be available in rural areas – the services must also be accessible .
Recently, there has been an accumulation of evidence that barriers to health care access exist for persons with disabilities in less resourced countries.
Thesis On Disability In Pakistan John Locke Essay Prize
According to Mac Lachlan and Mannan , access to health care, even in wealthy countries, is often difficult for persons with disabilities, but in poorer countries the challenges are exacerbated, combining physical, financial, and attitudinal components.Political marginalisation, discrimination and inequitable access to health services are experienced by persons with disabilities resulting in poorer health outcomes .  and confirmed by the World Report on Disability , there is international evidence that persons with disabilities across the globe face distinctive barriers when accessing health care services, and show poorer health outcomes than nondisabled persons.Contemporary evidence continues to support the view that persons with disabilities have less access to health care [9,10,11].Global research suggests that persons with disabilities face barriers when accessing health care services.Yet, information regarding the nature of these barriers, especially in low-income and middle-income countries is sparse.Frequency and cross tabulation, comparing and contrasting the frequency of different phenomena between persons with disabilities and persons with no disabilities, were used.Chi-square tests and Analysis of Variance tests were then incorporated into the analysis.This paper attempts to add to the health services research in exploring access to health care for persons with disabilities in a rural low-income context in South Africa.The majority of individuals with disability live in low-income contexts .One would expect that rural populations have reduced access to health care services compared to their urban counterparts, but according to Sibley and Weiner , studies have been contradictory and inconclusive.Bourke, Humphreys, Wakerman, and Taylor  show that persons living in rural and remote areas face multiple challenges in accessing appropriate health services.