Article 1 of the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) states: ‘Disability can be increased or decreased by the physical environment, social and personal environment' 

The physical, social, economic, and political environment in Lesotho can often be very challenging for children with disabilities. For children living in rural poverty even access to basic facilities like toilets can be very difficult as most toilets are outside. In the home there is no special seating to support sitting, eating, and socialising, meaning children with complex seating needs often spend most of their time lying down. 

Paths and roads are very rough and unsuitable for wheelchairs and most children cannot access suitable schools which can support their needs. Schools often do not have paths for wheelchair users, disability toilets or suitable ramps which allow children to self propel and enter classrooms easily.