Acknowledged but not engaged: people with intellectual disabilities continue to be left behind

Colleen Roberts, June 2025

When it comes to decision-making and politics, the international development sector is becoming more aware of the need to be inclusive of people with disabilities. But people with intellectual disabilities continue to be left far behind.

Without their participation, the specific issues and concerns that affect people with intellectual disabilities will be overlooked. Their voices are missing in many political spaces and often within the disability movement itself.

People with intellectual disabilities participating in Sightsavers’ inclusive citizenship project in Cameroon have said that organisations see them as beneficiaries and users of their services, but do not involve them in decision-making. Information about elections and other political processes is not usually presented in easy-to-understand versions, creating a barrier for them as well as for other people who may prefer simplified versions.

When it comes to voting in elections, national laws can exclude people who may be referred to as being of ‘unsound mind’ or ‘lacking mental capacity’. These laws are often used to prevent people with intellectual disabilities from voting or standing as candidates. People with intellectual disabilities can also face discrimination in getting identity cards: even their right to have an ID card at all can be questioned, meaning that families or other community members often have to apply on their behalf. Not having an ID card can limit people’s rights and access to a range of crucial services.

Absalom hugs his daughter Irene, who has a disability. They're both smiling.

Breaking down barriers to inclusion

Stigma and discrimination deny people with disabilities their basic human rights every day. This learning report from Inclusive Futures shares four lessons on reducing disability-related stigma.

Read the report (pdf)
A young man sits at a desk holding up his ID cards. A woman sits next to hum with a notebook. To his right are two men, one of whom is showing him something on a piece of paper.
Frank (centre), a young person with intellectual disabilities, with his ID and voter card at a project meeting, where he explained how to register to vote in Cameroon. Image © Sightsavers/Rosaline Nganda

Inclusion in practice: what we learned

At Sightsavers, we recognise that more needs to be done, which is why we now make sure that people with intellectual disabilities are included across all our programmes. We’ve been working with Inclusion International, an international network of people with intellectual disabilities and their families, on our citizenship and political participation project in Cameroon. Together, we’re looking for ways to better include people with intellectual disabilities in our work with local councils, as well as in national elections. Here is what we’ve learned so far.

Start with leadership

Meaningful participation is part of everything we do. But our work with people with intellectual disabilities has shown us that we need to focus more on inclusive leadership from the earliest possible moment. The activities of our project in Cameroon, such as consultations and trainings, have been led by people with intellectual disabilities from the start. We need to role model inclusive leadership and challenge stigma.

Work locally

We quickly realised there’s not much in place when it comes to organisations and projects focused on the civil and political participation of people with intellectual disabilities in Cameroon. However, it is important to work locally, starting from the ground up so that local actors take ownership of efforts to include people with intellectual disabilities and can grow inclusion sustainability. That’s why we’re working with local organisations of people with disabilities, to strengthen the inclusion of people with intellectual disabilities within their structures at leadership and decision-making levels.

If we don’t vote, others will decide in our place.
Person with intellectual disabilities

Connect with experts

By working with Inclusion International, we have learned how to better consult with people with intellectual disabilities to inform our work, how to navigate the legal barriers they face, and how to ensure that key information and activities are accessible according to their specific requirements.

Mobilise allies

We are fortunate to have strong partnerships with government institutions and organisations of people with disabilities in Cameroon, so we called on them for support. We conducted training with key allies who have been open to looking at their own inclusion gaps and taking action to be more inclusive. As 2025 is an election year, this was a good moment to bring the Electoral Commission on board to look at how to make voting more accessible for people with intellectual disabilities.

Carve out spaces for inclusion

People with disabilities need to have dedicated spaces where they can express themselves and exchange ideas with each other. It’s also crucial to include their families and the people who support them, who need to understand and promote their civil and political rights. We found opportunities to promote the rights of people with intellectual disabilities in our ongoing activities, including the training we delivered with local councils as well as key advocacy engagements.

I can ask for help to understand, but it’s me who decides.
Person with intellectual disabilities

Moving forward together

We have a long way to go to make political spaces and civil society fully inclusive of people with intellectual disabilities, but by working together and learning from our experiences we’re heading in the right direction. We are looking forward to continuing this project in Cameroon as well as replicating what has been effective in other countries where we work.

True democracy is when all people can participate, and more needs to be done to support those who are most often left behind. National decision-makers and organisations, as well as global stakeholders working on good governance, need to ask: are we really being inclusive of people who have been most excluded?

Interested in learning more or partnering with us on inclusive citizenship? Contact Colleen Roberts: [email protected]


Our project in Cameroon forms part of Ireland’s Civil Society Partnership for a Better World programme, which is funded by Irish Aid.

A coloured illustration of people queuing to post their election cards at the polling station. One person holds a guide cane.

Resources

We’ve produced a guide to decision-making, voting and participation in local government in partnership with Inclusion International.

Download guide (zip file)

Author


Colleen Roberts is Sightsavers’ global technical lead for social inclusion and mainstreaming.

 

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