A Systematic Review of the Needs Assessment for Individuals with Physically and Intellectual Disabilities in Saudi Arabia: Challenges, Services, and Gaps
DOI:
https://doi.org/10.6000/2292-2598.2025.13.01.6Keywords:
Accessibility barriers, caregiver challenges, disability, Saudi ArabiaAbstract
Background: Individuals with disabilities frequently face challenges in accessing healthcare services. Despite growing attention to disability inclusion worldwide, there remains a significant lack of comprehensive needs assessments for individuals with physical and intellectual disabilities in Saudi Arabia. Moreover, there is limited research integrating both quantitative and qualitative findings to provide an evidence-based roadmap for policy and intervention improvements.
Objective: to systematically review the needs assessment for physically and intellectually disabled individuals in Saudi Arabia, focusing on the challenges they face, the services available to them, and the existing gaps in support.
Methods: This study employed a qualitative approach to explore the barriers faced by individuals with physical and intellectual disabilities in Saudi Arabia. Semi-structured interviews were conducted with educators and caregivers who met specific selection criteria, including relevant experience in special education or caregiving roles. The interviews included open-ended questions to gather in-depth perspectives on educational, societal, familial, curricular, and behavioral challenges. Data collected from these interviews were transcribed and analyzed using thematic analysis with NVivo software. The analysis process involved coding the data, categorizing emerging themes, and ensuring credibility through strategies such as member checks and expert validation.
Results: The study identified several critical barriers experienced by disabled individuals in Saudi Arabia. Educational challenges included a lack of specialized teacher training and inadequacies in addressing diverse learning needs. Societal obstacles, such as stigma and rejection, hindered social inclusion and acceptance. Familial constraints were noted, with limited parental engagement often caused by time pressures and a lack of knowledge. Curricular shortcomings highlighted the rigidity and inflexibility of current educational programs, which failed to cater to individual needs. Lastly, behavioral and emotional challenges, including self-injurious behavior and communication difficulties, were prevalent among disabled individuals. These findings underscore the urgent need for systemic reforms and collaborative efforts to improve support systems.
Conclusion: This systematic review underscores the significant barriers faced by physically and intellectually disabled individuals in Saudi Arabia, ranging from limited accessibility in healthcare and public spaces to systemic challenges in education and parental involvement. It underscores the prevalence of physical disabilities (67.3%) among the studied population and identifies that 56.7% of individuals face notable barriers, such as inadequate infrastructure and insufficient specialized healthcare services. Quality-of-life assessments reveal a need for interventions to enhance physical and social inclusion.
References
Yousef L, Almatroodi N, Al Angari D, AlShehri R, Alshammari S. Disability inclusion assessment in primary healthcare centers in Eastern Saudi Arabia: a way forward. J Med Life 2023; 16(12): 1813-7. DOI: https://doi.org/10.25122/jml-2023-0385
Maclachlan MMHME. Access to health care of persons with disabilities as an indicator of equity in health systems. Open Med 2011; 5(1): 10-12.
Al-Jadid MS. Disability in Saudi Arabia. Saudi Med J 2013; 34(5): 453-460.
Alkawai FM, Alowayyed AS. Barriers in accessing care services for physically disabled in a hospital setting in Riyadh, Saudi Arabia, cross-sectional study. J Community Hosp Intern Med Perspect 2017; 7(2): 82-6. DOI: https://doi.org/10.1080/20009666.2017.1324237
Badr AF. Exploring Barriers Faced by Community Pharmacists in Serving Patients with Disabilities in Saudi Arabia: Recommendations for Enhancing Healthcare Provisions. Pharmacy 2024; 12(5): 137. DOI: https://doi.org/10.3390/pharmacy12050137
Tesfaye T, Woldesemayat EM, Chea N, Wachamo D. Accessing Healthcare Services for People with Physical Disabilities in Hawassa City Administration, Ethiopia: A Cross-Sectional Study. Risk Manag Healthc Policy 2021; 14: 3993-4002. DOI: https://doi.org/10.2147/RMHP.S317849
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 2009; 339: b2535. DOI: https://doi.org/10.1136/bmj.b2535
Rayyan [Available from: https://rayyan.ai/
Wells GA, Wells G, Shea B, Shea B, O'Connell D, Peterson J, et al. editors. The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses 2014.
OpenMeta[Analyst] -- CEBM @ Brown [Available from: http://www.cebm.brown.edu/openmeta/
Alsharif N, Alasiri H. Teachers' Perspectives on Obstacles Facing Gifted Students with Learning Disabilities in Saudi Arabia. International Journal of Computer Science & Network Security 2022; 22(4): 254-60.
Almalki S, Alqabbani A, Alnahdi G. Challenges to parental involvement in transition planning for children with intellectual disabilities: The perspective of special education teachers in Saudi Arabia. Research in Developmental Disabilities 2021; 111: 103872. DOI: https://doi.org/10.1016/j.ridd.2021.103872
Alnahdi GH, Alwadei A, Alharbi N. Enhancing special education programs’ curricula for students with intellectual disabilities in Saudi Arabia: A call for personalized approaches and inclusive practices. Research in Developmental Disabilities 2024; 151: 104785. DOI: https://doi.org/10.1016/j.ridd.2024.104785
lmalki S. Transition services for high school students with intellectual disability in Saudi Arabia: issues and recommendations. Int J Dev Disabil 2022; 68(6): 880-8. DOI: https://doi.org/10.1080/20473869.2021.1911564
Bagadood NH. Parental Involvement and Education of Children with Intellectual Disabilities in Saudi Arabia. IJCSNS 2022; 22(3): 259.
Alarifi S, Denne L, Hastings RP. Challenging behaviour and its correlates in preschool-aged children with an intellectual disability in Saudi Arabia. Journal of Intellectual Disability Research 2024; 68(3): e13109. DOI: https://doi.org/10.1111/jir.13109
Alqassim AY, Makeen AM, Mahfouz MS, Ahmed AE, Albasheer OB, Zaino MR, et al. Assessing Healthcare Access Among Physical and Hearing Disabled Persons in Jazan Region, Saudi Arabia. Journal of Developmental and Physical Disabilities 2022; 34(6): 1071-88. DOI: https://doi.org/10.1007/s10882-022-09838-9
Zahra A, Hassan MS, Park JH, Hassan SU, Parveen N. Role of Environmental Quality of Life in Physical Activity Status of Individuals with and without Physical Disabilities in Saudi Arabia. Int J Environ Res Public Health 2022; 19(7). DOI: https://doi.org/10.3390/ijerph19074228
Peterson H. Built environment accessibility in the eastern province of the Kingdom of Saudi Arabia as seen by persons with disabilities. Journal of Accessibility and Design for All 2021; 11(1): 115-47.
Alwadi MAM, Baker SR, Owens J. Oral health experiences and perceptions of children with disabilities in the Kingdom of Saudi Arabia. Int J Paediatr Dent 2022; 32(6): 856-64. DOI: https://doi.org/10.1111/ipd.12962
Bakhsh HR, Chippendale T, Al-Haizan N, Bin Sheeha BH. Assessment of park paths and trails to promote physical accessibility among wheelchair users in Saudi Arabia. Hong Kong J Occup Ther 2024; 37(1): 42-51. DOI: https://doi.org/10.1177/15691861241254511
Smadi OY. The Satisfaction Level of Students with Disabilities with Library and Information Services. International Journal of Education in Mathematics, Science and Technology 2022; 10(2): 436-57. DOI: https://doi.org/10.46328/ijemst.2352
Abed MG, Shackelford TK. The Importance of Providing Play and Learning Materials for Children with Physical Disabilities in Saudi Arabia: The Perceptions of Parents. Int J Environ Res Public Health 2022; 19(5). DOI: https://doi.org/10.3390/ijerph19052986
Alfaraj A, Halawany HS, Al-Hinai MT, Al-Badr AH, Alalshaikh M, Al-Khalifa KS. Barriers to Dental Care in Individuals with Special Healthcare Needs in Qatif, Saudi Arabia: A Caregiver's Perspective. Patient Prefer Adherence 2021; 15: 69-76. DOI: https://doi.org/10.2147/PPA.S291255
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