Inclusion and accessibility of healthcare workers with disabilities in KwaZulu-natal public health facilities, South Africa

Background Despite progressive disability policies in South Africa, the implementation of inclusive and accessible workplace standards within public healthcare facilities remains limited. Objective This study assessed the extent to which healthcare facilities in KwaZulu-Natal (KZN) meet inclusion and accessibility standards for healthcare workers with disabilities. Methods A cross-sectional descriptive study was conducted across ten purposively selected healthcare facilities at district, provincial, and national levels in KZN. Data were collected using a validated Disability Inclusion and Accessibility Self-Assessment Tool, which incorporated both facility measurements and administrative self-reports. Quantitative data were analysed using descriptive statistics, while open-ended responses underwent thematic analysis guided by Braun and Clarke's framework. Results Findings revealed variable compliance with inclusion and accessibility indicators. Only half of the facilities had anti-discrimination policies, and fewer than half provided accessible infrastructure or reasonable accommodation. Universal design compliance was inconsistent, particularly regarding ramps, signage, and emergency routes. Qualitative data highlighted structural barriers, budgetary limitations, and weak monitoring mechanisms. Conclusion The study underscores a significant gap between policy and practice concerning disability inclusion in KZN healthcare facilities. Strengthened policy implementation, disability awareness, and targeted resource allocation are critical to achieving equitable participation for healthcare workers with disabilities.