Voices From the Journey: Exploring Rehabilitation Experience of Individuals with Disabilities in a South African Province

Background: Globally, 16% of the population is affected by disabilities, with increasing prevalence due to non-communicable diseases and longer lifespans. This group often faces shorter lifespans, poorer health, and greater challenges than non-disabled peers. Rehabilitation services are essential for improving independence, health, and quality of life by facilitating participation in education, work, and social roles. However, in South Africa, particularly in rural areas, providing these services is difficult. Methods: This qualitative study explored the experiences of people with disabilities in KwaZulu-Natal regarding their interactions with rehabilitation services. Six participants were recruited from a private facility using purposive sampling to ensure diverse representation. Data were collected through focus group discussions, transcribed, and analyzed using reflexive thematic analysis, presented in vignettes. Findings: Three main themes emerged: support and access to services, quality and effectiveness of services, and issues of equity and advocacy. Participants noted the importance of family support, systemic and socio-economic barriers, disparities in service provision, negative interactions with healthcare professionals, and financial constraints. Conclusion: The study highlights the need for improved patient-centered care, advocacy, and policy reforms to enhance equitable access and quality of rehabilitation services in KwaZulu-Natal.