In The Gambia, disability and poverty are tightly linked. People with disabilities face barriers to education, health care and jobs that deepen their vulnerability. Stigma and weak government support compound the problem. However, new laws, training programs and social protection efforts by local groups, nongovernmental organizations (NGOs) and the state are pushing toward greater inclusion.

Cycle of Poverty and Exclusion

Before 2020, The Gambia’s poverty rate had been gradually declining, from 48.6% in 2015 to 45.8% in 2019, with the help of small increases in tourism and construction. Analysts predict the nation’s poverty rate would have decreased by more than 3% by 2020 if not for the COVID-19 pandemic. However, those advances were undone by the pandemic, which caused the poverty rate to rise by 4.8%.

According to a household study conducted in 2020-21, 53.4% of Gambians or around 1.1 million individuals, could not afford the necessities of life. Even though access to health care and education has improved since 2015, more than half of the population still lives in poverty due to the economic shock.

Barriers in Education and Work

One major issue in The Gambia is the shortage of skilled teachers in the educational system. According to a 2021 World Bank assessment, only 57% of primary school teachers are trained, meaning many lack the skills to deliver effective education. Larger class sizes and higher student–teacher ratios, resulting from this shortage, have made it even more difficult to provide individualized attention and support.

This hits learners with disabilities hardest: lacking skilled instruction and support, they struggle to complete schooling, leaving them with lower employment rates. The 2022-23 Gambia Labor Force Survey reports that only 32.8% of persons with disabilities participate in the labor force compared to 44.1% of those without. Employment prospects skew lower for them, too. Without skilled teaching to build real learning and life skills, people living with disabilities struggle to access jobs and escape the poverty trap.

Health Care Challenges

It is estimated that 120,000 Gambians have mental illness, but 90% of them do not receive treatment. The nation only runs one outpatient clinic and one psychiatric hospital, Tanka Tanka, all located close to the capital. Outside these hospitals, a mobile community team that makes scheduled visits to rural health centers provides most of the mental health support.

Although The Gambia has a national policy and strategy aimed at exploring mental health services, most rural and urban people still lack access to care, despite the recent addition of similar teams by specific urban clinics.

Local and Global Partners Step In

The Gambian National Assembly approved the Persons with Disability Bill in July 2021 and President Adam Barrow signed it into law the following month. The measure, the result of nearly a decade of advocacy, safeguards the rights of people with disabilities in health care, education, employment, social support, rehabilitation and accessibility.

The law also brings The Gambia into compliance with the United Nations Convention on the Rights of Persons with Disabilities, which the country ratified in 2015. The convention requires states to provide equal legal protection, ensure full enjoyment of fundamental freedoms and eliminate discriminatory laws and practices.

On October 25–26, 2023, the Sir Dawda Kairaba Jawara International Conference Center hosted a two-day forum on disability rights, organized by The Gambia Federation of the Disabled and the National Human Rights Commission. In reviewing the implementation of the Persons with Disabilities Act of 2021, officials and activists highlighted both progress made and challenges that persist.

The organizers urged government organizations to incorporate disability problems in The Gambia into all programs and services, stating that those with disabilities still experience poverty, discrimination and abuse.

Takeaway

Despite setbacks from the pandemic and persistent barriers in education and health care, The Gambia has taken steps toward change. The 2021 Persons with Disabilities Act guarantees equal health, education and employment rights. Advocates say progress is slow. However, recent forums highlight growing moments to address discrimination and expand opportunities, offering hope for a more inclusive future.

– Joshua Pettis

Joshua is based in Houston, TX, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr