Individuals in shantytowns of Lima, Peru experience unique challenges due to socioeconomic status and perceived inabilities. A situation analysis using qualitative ethnographic interviews of key participants (n=15) and one focus group (n=7) was conducted to explore life with disability in a shantytown of Lima, Peru. Findings showed that individuals with disability face physical and attitudinal barriers that limit social inclusion through the avenues of rehabilitation, education, and employment. The familial complex is expected to provide care for the individual with disability. The adult family member often chooses between providing income for the household and providing care and safety for their disabled family members. Females with disability without 24-hour supervision report experienced rape and sexual abuse. Participants and their caregivers expressed ideas to improve social inclusion of individuals with disabilities in their communities. Ideas expressed to improve quality of life for individuals with disability included improved access to education, rehabilitation and employment opportunities.