Poor health can be both a cause and a consequence of living with a disability. Whilst 85% of persons with disabilities in Rwanda have some form of health insurance , many assistive devices such as orthosis, prosthesis, white canes, hearing aids and certain types of psychiatric medicine are not offered. Furthermore specialist services such as audiology and speech and language therapy are not covered nor readily available. Rehabilitation services, which could help people to participate fully in society, are limited. There are also many barriers to general healthcare, including services such as sexual and reproductive healthcare, for example physical accessibility and communication barriers.