# Prevalence and access to disability inclusive social protection services in Somalia: status, gaps, and policy implications (a secondary re-analysis of survey data)

**Authors:** Gilbert Koome, Mohammed Hassan, Naima Ibrahim, Fredrick Odinga, Leylah Abdullahi, Lisa Were

PMC · DOI: 10.11604/pamj.2025.52.153.44405 · The Pan African Medical Journal · 2025-12-09

## TL;DR

This study finds that 16.2% of Somalia's population has a disability, but access to social protection and disability services is very low, especially for vulnerable groups.

## Contribution

The paper provides new insights into disability prevalence and service access in Somalia using re-analyzed survey data.

## Key findings

- Disability prevalence in Somalia is 16.2%, with physical impairments being the most common.
- Only 4% of people with disabilities who need assistive devices receive them.
- Access to social protection services is low, particularly in rural areas and among women and the elderly.

## Abstract

persons with disabilities are among the most marginalised groups in Somali society. This paper provides evidence-based information on the prevalence, characteristics of disability, and barriers to disability-inclusive social protection services in Somalia.

the paper is based on a secondary re-examination of data from the Somalia Integrated Household Budget Survey (2022) of 7,212 households.

disability prevalence in Somalia was estimated at 16.2% with the most common being physical impairment, affecting 9.8% of the population. The at-risk groups were the elderly population and children. Regionally, disability prevalence was highest in Banadir State: 21.5%. Enrollment rates in social protection schemes were relatively low: 15% of surveyed households. Access to disability-specific services and specialists was generally limited across all disability types, with vision screening being the most accessed service and learning screening being the least accessed service. Access to assistive devices is also very low, with only 4% of people with disabilities who need them receiving them. Access to social protection delivery systems, such as phone, internet, and bank accounts, was also low <20% for each service.

the study reveals a high prevalence of disability and low access to social protection and disability-specific services in Somalia, especially among women, rural residents, older people, and those affected by conflict. The study indicates a need for comprehensive disability data collection that reflects the diverse needs and barriers to reinforcing disability-inclusive policy frameworks faced by persons with disabilities in Somalia.

## Full-text entities

- **Diseases:** disabilities (MESH:D009069), physical impairment (MESH:D059445)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

29 references — full list in the complete paper: https://tomesphere.com/paper/PMC12985354/full.md

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Source: https://tomesphere.com/paper/PMC12985354