Abstract
People with impairments encounter barriers in their daily life. In this chapter we will describe the variety of barriers and see how the collected sum of many barriers influence access to what is considered essential and indispensable for all humans: health services and education. We will illuminate some of the mechanisms that create and maintain a difficult life in a low-income context: what particular challenges do poor people with disabilities encounter and what are the options give in coping with the challenges? A family perspective should direct the actions that are implemented to reduce the barriers and develop the coping strategies.