This study provides evidence on the specific nature and experiences of people with
disabilities and older people from their own perspectives in rural and urban settings in
Tanzania. Its aim was to better inform efforts to provide services for and improve the
lives of people living in those regions. A community-based participatory approach was
used, involving collaboration with the community. Peer researchers and research
partners collected and analysed interviews with people with disabilities and older
people, leading to policy and advocacy recommendations and early stage plans.
Findings were framed in terms of experiences of participation and inclusion as
impacted by physical, social and attitudinal factors, as well presented at individual,
interpersonal and societal levels. They demonstrate how lack of access to healthcare
and education, social limitations and powerful community attitudes were interwoven
and exacerbated poverty in these contexts. Policy recommendations cover issues such
as halting persecution and killings of people with albinism, support and guidance for
families of children with disabilities, national policy on ageing legislation, and
implementing and monitoring the UN Convention on the Rights of Persons with
Disabilities.