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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">AJOD</journal-id>
<journal-title-group>
<journal-title>African Journal of Disability</journal-title>
</journal-title-group>
<issn pub-type="ppub">2223-9170</issn>
<issn pub-type="epub">2226-7220</issn>
<publisher>
<publisher-name>AOSIS</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">AJOD-14-1701</article-id>
<article-id pub-id-type="doi">10.4102/ajod.v14i0.1701</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Barriers and facilitators experienced by wheelchair users when using minibus taxis in Africa: A scoping review</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6709-0598</contrib-id>
<name>
<surname>Fredericks</surname>
<given-names>Jerome P.</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4575-479X</contrib-id>
<name>
<surname>Visagie</surname>
<given-names>Surona</given-names>
</name>
<xref ref-type="aff" rid="AF0002">2</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0003-6006</contrib-id>
<name>
<surname>van Niekerk</surname>
<given-names>Lana</given-names>
</name>
<xref ref-type="aff" rid="AF0003">3</xref>
</contrib>
<aff id="AF0001"><label>1</label>Division of Occupational Therapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa</aff>
<aff id="AF0002"><label>2</label>Division for Disability and Rehabilitation Studies, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa</aff>
<aff id="AF0003"><label>3</label>Division Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa</aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><bold>Corresponding author:</bold> Jerome Fredericks, <email xlink:href="jpf@sun.ac.za">jpf@sun.ac.za</email></corresp>
</author-notes>
<pub-date pub-type="epub"><day>10</day><month>12</month><year>2025</year></pub-date>
<pub-date pub-type="collection"><year>2025</year></pub-date>
<volume>14</volume>
<elocation-id>1701</elocation-id>
<history>
<date date-type="received"><day>25</day><month>02</month><year>2025</year></date>
<date date-type="accepted"><day>17</day><month>10</month><year>2025</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2025. The Authors</copyright-statement>
<copyright-year>2025</copyright-year>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>Licensee: AOSIS. This work is licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license.</license-p>
</license>
</permissions>
<abstract>
<sec id="st1">
<title>Background</title>
<p>Accessible transport is essential for achieving the sustainable development goals. Persons with disabilities often struggle to access public transport with different impairments leading to unique access barriers. Wheelchair users face physical and attitudinal challenges when accessing minibus taxis, a common mode of public transport in Africa.</p>
</sec>
<sec id="st2">
<title>Objectives</title>
<p>The objective of this review was to explore the barriers and facilitators that wheelchair users in African countries experience when using minibus taxi services.</p>
</sec>
<sec id="st3">
<title>Method</title>
<p>The scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for reporting on scoping reviews as well as the Joanna Briggs Institute scoping review guidelines. Eight databases were searched. Two reviewers screened articles in Rayyan. Data were analysed and synergised through a convergent integrated approach.</p>
</sec>
<sec id="st4">
<title>Results</title>
<p>The literature search yielded 236 titles, of which 20 were included after further review. Studies were from four African countries, mostly South Africa (<italic>n</italic> = 14), Ghana (<italic>n</italic> = 4), Sierra Leone (<italic>n</italic> = 1) and Zimbabwe (<italic>n</italic> = 1). Key findings such as structural (obstructed sidewalks, potholes), mechanical (vehicle design), economic (paying for wheelchairs and carers), attitudinal (impatience, rudeness) and institutional (ableism, lack of political will) barriers and facilitators were identified.</p>
</sec>
<sec id="st5">
<title>Conclusion</title>
<p>Despite minibuses having evolved into a cheap mode of public transport in most African countries, their design and operating practices still prevent wheelchair users from using them with ease and dignity.</p>
</sec>
<sec id="st6">
<title>Contribution</title>
<p>This review presents barriers and facilitators that wheelchair users experience when using minibus taxi services. Future research should focus on reconfiguring transport services offered by minibus taxis to provide equal access for wheelchair users in Africa and beyond.</p>
</sec>
</abstract>
<kwd-group>
<kwd>access</kwd>
<kwd>wheelchair users</kwd>
<kwd>transportation</kwd>
<kwd>minibus taxis</kwd>
<kwd>barriers</kwd>
<kwd>facilitators</kwd>
<kwd>low-income countries</kwd>
<kwd>universal access</kwd>
</kwd-group>
<funding-group>
<funding-statement><bold>Funding information</bold> This article was supported by the National Research Foundation (No. TTK240408212856).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec id="s0001">
<title>Introduction</title>
<p>It is estimated that more than 80 million people in Africa are living with some form of disability. This number constitutes between 10&#x0025; and 20&#x0025; of the general population of Africa (Disabled World <xref ref-type="bibr" rid="CIT0015">2022</xref>). Persons with disabilities often face inequality, exclusion, a lack of opportunities, unemployment and poverty. They are often relegated to the margins of society (Bjerkan &#x0026; &#x00D8;vstedal <xref ref-type="bibr" rid="CIT0006">2020</xref>; Tennakoon et al. <xref ref-type="bibr" rid="CIT0059">2020</xref>). Among the complex causes of inequality and exclusion related to disability are challenges regarding community mobility, which includes the use of public transport (Bekiaris et al. <xref ref-type="bibr" rid="CIT0004">2018</xref>; Mindell et al. <xref ref-type="bibr" rid="CIT0039">2025</xref>; Park, Chowdhury &#x0026; Wilson <xref ref-type="bibr" rid="CIT0049">2020</xref>). Being able to negotiate public transport systems independently facilitates a feeling of belonging and dignity among persons with disabilities (Chapman et al. <xref ref-type="bibr" rid="CIT0011">2024</xref>).</p>
<p>Achieving many of the sustainable development goals, such as good health and well-being, quality education, decent work and economic growth as well as sustainable cities and communities, requires, among other things, investment in inclusive, sustainable, accessible and safe public transport (United Nations <xref ref-type="bibr" rid="CIT0065">2015</xref>). In addition, the right to health, education, employment and other basic human rights as ensconced by the <italic>United Nations Convention on the Rights of Persons with Disabilities</italic> (United Nations <xref ref-type="bibr" rid="CIT0064">2006</xref>) is dependent on access to transport. Community mobility opportunities must be created for all, especially for people considered most vulnerable such as women, children, persons with disabilities and older persons (United Nations <xref ref-type="bibr" rid="CIT0065">2015</xref>). However, Vanderschuren and Nene (<xref ref-type="bibr" rid="CIT0068">2021</xref>) found that except for Ghana and South Africa, persons with disabilities are omitted from or superficially included in transport policies of African countries. International and South African policies and legislation such as the <italic>Disability Inclusive Public Transport brief</italic> (Frye <xref ref-type="bibr" rid="CIT0026">2019</xref>) supported by the United Kingdom Department for International Development and the Transformative Urban Mobility Initiative (TUMI) and the <italic>South African White Paper on the Rights of Persons with Disabilities</italic> (Department of Social Development [DoSD] <xref ref-type="bibr" rid="CIT0013">2016</xref>) advocate for inclusive public transport. Even with these policies, there is a general neglect of the barriers confronting persons with disabilities when wanting to access public transport (Fredericks, Visagie &#x0026; Van Niekerk <xref ref-type="bibr" rid="CIT0022">2024a</xref>, <xref ref-type="bibr" rid="CIT0023">2025a</xref>, <xref ref-type="bibr" rid="CIT0024">2025b</xref>) across the globe (Mindell et al. <xref ref-type="bibr" rid="CIT0039">2025</xref>; Unsworth et al. <xref ref-type="bibr" rid="CIT0066">2021</xref>), but more so in middle- and low-income countries (Kett, Cole &#x0026; Turner <xref ref-type="bibr" rid="CIT0032">2020</xref>), including Africa (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0021">2025</xref>; Fredericks et al. <xref ref-type="bibr" rid="CIT0022">2024a</xref>, <xref ref-type="bibr" rid="CIT0024">2025b</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>; Ndebele <xref ref-type="bibr" rid="CIT0041">2020</xref>; Odame et al. <xref ref-type="bibr" rid="CIT0044">2023a</xref>).</p>
<p>Wheelchair users are a subgroup of persons with disabilities with unique transport needs. The impairments that necessitate the use of a wheelchair also hinder mobility and the physical ability to access various transport modes (Kett et al. <xref ref-type="bibr" rid="CIT0032">2020</xref>). The focus of this scoping review is specifically on the accessibility of minibus taxis for wheelchair users, a common mode of public transport in South Africa and other African countries (Neumann, R&#x00F6;der &#x0026; Joubert <xref ref-type="bibr" rid="CIT0042">2015</xref>). Accessibility can be defined in various ways, but definitions usually recognise the interdependence of physical, political, economic and social factors (Antipova et al. <xref ref-type="bibr" rid="CIT0003">2020</xref>).</p>
<p>Wheelchair users face multiple, interrelated access barriers that impact the physical accessibility, affordability, safety and acceptability of minibus taxi services (Cawood &#x0026; Visagie <xref ref-type="bibr" rid="CIT0007">2015</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>; Vergunst et al. <xref ref-type="bibr" rid="CIT0069">2015</xref>; Visagie, Visagie &#x0026; Fredericks <xref ref-type="bibr" rid="CIT0070">2023</xref>). Barriers affecting physical access include the height at the entrance to minibus taxis and the distance between the wheelchair and seat that prevents independent transfer to and from minibus taxis for most wheelchair users (Chiwandire &#x0026; Vincent <xref ref-type="bibr" rid="CIT0012">2017</xref>; Gudwana <xref ref-type="bibr" rid="CIT0027">2019</xref>; Pretorius &#x0026; Steadman <xref ref-type="bibr" rid="CIT0054">2018</xref>; Vanderschuren, Baufeldt &#x0026; Phayane <xref ref-type="bibr" rid="CIT0067">2015</xref>; Visagie et al. <xref ref-type="bibr" rid="CIT0070">2023</xref>). While minibus taxi fares are relatively low, affordability is reduced when wheelchair users are charged additional fares for their caregivers and wheelchairs (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>). The lack of seat belts, reckless driving, overloading and wheelchair users being unable to maintain their balance all cause a sense of feeling unsafe (Gudwana <xref ref-type="bibr" rid="CIT0027">2019</xref>; Kett et al. <xref ref-type="bibr" rid="CIT0032">2020</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>). Some minibus taxi drivers have a negative attitude towards wheelchair users and do not always stop to pick them up or are impatient and rude when they do stop. The main reason for not picking up wheelchair users is because wheelchair users are slower to embark and disembark, leading to a loss of time and thus money (Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>).</p>
<p>Research have focused on wheelchair users&#x2019; access to minibus taxis, either as the primary focus of the study (Gudwana <xref ref-type="bibr" rid="CIT0027">2019</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>) or as a theme that emerged when exploring access to services such as health care (Cawood, Visagie &#x0026; Mji <xref ref-type="bibr" rid="CIT0008">2016</xref>; North &#x0026; Visagie <xref ref-type="bibr" rid="CIT0043">2020</xref>; Vergunst et al. <xref ref-type="bibr" rid="CIT0069">2015</xref>). The aim of this scoping review was to identify research in the field and describe the barriers and facilitators experienced by wheelchair users in African countries when making use of minibus taxis. The review focused on the question: What are the barriers and facilitators wheelchair users in Africa experience when using minibus taxi services?</p>
</sec>
<sec id="s0002">
<title>Research methods and design</title>
<sec id="s20003">
<title>Design</title>
<p>The scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guideline for reporting on scoping reviews (PRISMA-ScR) (Tricco et al. <xref ref-type="bibr" rid="CIT0062">2018</xref>) as well as the updated Joanna Briggs Institute (JBI) guideline for conducting the scoping reviews (Peters et al. <xref ref-type="bibr" rid="CIT0052">2020</xref>). The scoping review was conducted to explore existing literature on the experiences of African wheelchair users utilising minibus taxis, with specific attention to the barriers and facilitators influencing their accessibility, to provide background information against which possible solutions could be explored in a further study. The updated JBI guideline (Peters et al. <xref ref-type="bibr" rid="CIT0052">2020</xref>) ensures that scoping reviews are methodologically rigorous, transparent and reproducible, helping researchers to map existing knowledge, identify evidence gaps and inform future research, practice and policy. The five steps that were followed included:</p>
<list list-type="bullet">
<list-item><p>developing a review question</p></list-item>
<list-item><p>searching studies</p></list-item>
<list-item><p>selecting studies</p></list-item>
<list-item><p>data extraction</p></list-item>
<list-item><p>data analysis, synthesis, and presenting findings.</p></list-item>
</list>
</sec>
<sec id="s20004">
<title>Search strategy</title>
<p>The search was done between 01 February 2024 and August 2024 by Fredericks et al. (<xref ref-type="bibr" rid="CIT0023">2025a</xref>), supported by a librarian from Stellenbosch University Library. The following databases were searched: Medline (Pubmed), EBSCOhost (Academic Search Premier, AfricaWide Information, CINAHL, Health Source: Nursing/Academic), Scopus, Web of Science, ProQuest and Sabinet. Reference lists of the included articles were searched manually for further articles. A systematic review accelerator was used with the help of a librarian for the development of the search string contained in <xref ref-type="boxed-text" rid="B0001">Box 1</xref> (databases search strategy).</p>
<boxed-text id="B0001">
<label>BOX 1</label>
<caption><p>Databases search strategy.</p></caption>
<p>Wheelchairs OR disabled persons (Mesh)</p>
<p>Wheelchairs OR &#x2018;wheelchair users&#x2019; OR &#x2018;disabled persons&#x2019; OR Handicapped OR &#x2018;People with Disabilities&#x2019; OR &#x2018;Persons with Disabilities&#x2019; OR &#x2018;Physically Handicapped&#x2019; OR &#x2018;Physically Disabled&#x2019; OR &#x2018;Mobility impairments&#x2019;</p>
<p>AND</p>
<p>Transportation OR Automobile (Mesh)</p>
<p>C Transportation OR &#x2018;Minibus taxis&#x2019; OR &#x2018;Public Transport&#x2019;</p>
<p>AND</p>
<p>&#x2018;Barriers and Facilitators&#x2019; OR Barriers OR Facilitators</p>
<p>AND</p>
<p>low-income population OR poverty OR developing nation OR developing country (Mesh Terms)</p>
<p>Mesh</p>
<p>Angola OR &#x2018;Burkina Faso&#x2019; OR Burkinabe or Burundi OR &#x2018;Cabo Verde&#x2019; OR &#x2018;Cape Verde&#x2019; OR Cambodia OR Cameroon OR &#x2018;Central African Republic&#x2019; OR Chad or Chadian or Tchad OR Comoros OR Comoran OR Congo or Congolese OR &#x2018;Cote d&#x2019;Ivoire&#x2019; OR Ivorian OR Djibouti OR Egypt or Egyptian OR Eritrea OR Ethiopia OR Gambia OR Gambian OR Ghana OR Guinea OR &#x2018;Guinea Bissau&#x2019; OR Kenya OR Lesotho OR Mosotho or Basotho OR Liberia OR Madagascar OR Malawi OR Mali OR Malian OR Mauritania OR Micronesia OR Moldova OR Mongolia OR Morocco OR Moroccan OR Mozambique OR Mozambican OR Niger OR Nigerien OR Nigeria OR Rwanda OR &#x2018;Sao Tome and Principe&#x2019; OR Senegal OR &#x2018;Sierra Leone&#x2019; OR &#x2018;Solomon Island&#x2019; OR Somalia OR Sudan or Sudanese OR Swaziland OR Swazi OR Tanzania&#x002A; OR Togo OR Togolese OR Tunisia OR Uganda OR Zambia OR Zimbabwe OR &#x2018;global south&#x2019; OR Sahara&#x002A; OR &#x2018;sub-Saharan Africa&#x2019; OR &#x2018;Africa south of the Sahara&#x2019; OR &#x2018;southern Africa&#x2019; OR &#x2018;developing country&#x2019; OR &#x2018;developing nation&#x2019; OR &#x2018;developing population&#x2019; OR &#x2018;developing world&#x2019; OR &#x2018;less developed country&#x2019; OR &#x2018;less developed nation&#x2019; OR &#x2018;less developed world&#x2019; OR &#x2018;under developed country&#x2019; OR &#x2018;under developed world&#x2019; OR &#x2018;underdeveloped country&#x2019; OR &#x2018;underdeveloped nation&#x2019; OR &#x2018;underdeveloped world&#x2019;</p>
<p>Note: Restrictions included dates from 2010 to 2024 and only articles in the language English. Because of South Africa hosting the soccer world cup in 2010, public transport was upgraded in South Africa. This supposedly included access for people with disabilities.</p>
</boxed-text>
</sec>
<sec id="s20005">
<title>Eligibility criteria</title>
<p>In accordance with the JBI guidelines, the population, concept and context framework (PCC) were used to define the review parameters (Peters et al. <xref ref-type="bibr" rid="CIT0052">2020</xref>):</p>
<list list-type="bullet">
<list-item><p>Population: Wheelchair users. Studies were eligible if the participants were wheelchair users or the study focuses on wheelchair users. Studies focusing on transport access for persons with disabilities who did not use wheelchairs were excluded.</p></list-item>
<list-item><p>Concept: To be included, studies had to focus on accessing minibus taxis as a means of public transport and community mobility. All barriers experienced regarding natural, manufactured or structural, mechanical, environmental, financial, health and safety concerns, attitudinal, psychosocial and institutional as well as all facilitators used to overcome the barriers were included. Studies that focused on accessing other modes of public transport and/or private transport were excluded.</p></list-item>
<list-item><p>Context: Studies from African settings were included.</p></list-item>
</list>
</sec>
<sec id="s20006">
<title>Article selection and description</title>
<p>References were imported into Rayyan, a free online tool (Ouzzani, Hammady &#x0026; Fedorowicz <xref ref-type="bibr" rid="CIT0046">2016</xref>), that was used for the screening of titles, abstracts and full texts by two independent reviewers (first and second authors). Disagreement between the reviewers were resolved through discussion, and no mediation by a third party was needed. As indicated in <xref ref-type="fig" rid="F0001">Figure 1</xref>, the literature search yielded 236 titles, of which 54 were duplicates. A total of 209 titles and abstracts were screened, of which 171 were irrelevant. A total of 38 full texts were reviewed, and 20 of these were included in the scoping review.</p>
<fig id="F0001">
<label>FIGURE 1</label>
<caption><p>Literature search process.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="AJOD-14-1701-g001.tif"/>
</fig>
</sec>
<sec id="s20007">
<title>Data extraction, analysis and synthesis</title>
<p>An Excel spreadsheet was created for data extraction that was undertaken by the first two authors. The following data fields were mapped: name of journal, year of publication, first author, aim of the study, study setting, study design, population, number of participants, sampling strategy used, gender, and age range. Barriers and facilitators that influenced the accessibility of minibus taxis for wheelchair users were identified across studies and summarised, along with the trends and gaps in the research.</p>
<p>Both quantitative and qualitative studies were included as research in both paradigms produced findings that answered the review question (Cerigo &#x0026; Quesnel-Vall&#x00E9;e <xref ref-type="bibr" rid="CIT0010">2020</xref>). Data were analysed and synergised through a convergent integrated approach. The review question guided inductive coding (Zaman <xref ref-type="bibr" rid="CIT0072">2018</xref>). The first and second authors coded the data independently and then reached consensus based on the relevance of codes to the review question. Codes were conceptualised into sub-themes using an iterative and consultative process. The sub-themes responded to two deductive themes, that is, barriers and facilitators.</p>
<p>The methodological quality of the included articles was not analysed in keeping with scoping review methodology (Peters et al. <xref ref-type="bibr" rid="CIT0051">2017</xref>).</p>
</sec>
<sec id="s20008">
<title>Ethical considerations</title>
<p>An application for full ethical approval was made to the Health Research Ethics Committee of Stellenbosch University, and ethics consent was received on 22 April 2021 (No. S21/01/009).</p>
</sec>
</sec>
<sec id="s0009">
<title>Results</title>
<p><xref ref-type="table" rid="T0001">Table 1</xref> shows that of the 20 articles, 19 reported on research and one was an opinion piece. Of the 19 research articles, 16 used a qualitive descriptive or explorative design. Two studies used a mixed methods design, and two used cross-sectional surveys. One of the surveys included an audit of a central business district (Owusu-Ansah, Baisie &#x0026; Oduro-Ofori <xref ref-type="bibr" rid="CIT0047">2019</xref>). Most of the studies (<italic>n</italic> = 14) were conducted in South Africa, while four were conducted in Ghana and one in Sierra Leone. Of the South African studies, nine were conducted in metropolitan areas and five in rural areas. Participant groups included wheelchair users, their caregivers, minibus taxi drivers, healthcare service providers and other experts.</p>
<table-wrap id="T0001">
<label>TABLE 1</label>
<caption><p>Summary of included articles.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Number</th>
<th valign="top" align="left">Authors and date</th>
<th valign="top" align="left">Aim</th>
<th valign="top" align="left">Country</th>
<th valign="top" align="left">Methodology</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">1</td>
<td align="left">Aenish&#x00E4;nslin, Amara and Magnusson (<xref ref-type="bibr" rid="CIT0001">2020</xref>)</td>
<td align="left">To explore the experiences of persons with physical disabilities accessing and using rehabilitation services in Sierra Leone.</td>
<td align="left">Sierra Leone</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">2</td>
<td align="left">Duri and Luke (<xref ref-type="bibr" rid="CIT0017">2022a</xref>)</td>
<td align="left">To understand the perspectives of public transport drivers on their encounters with passengers with disability, and the impact this has on public transport inaccessibility.</td>
<td align="left">South Africa, Tshwane Gauteng</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">3</td>
<td align="left">Duri and Luke (<xref ref-type="bibr" rid="CIT0018">2022b</xref>)</td>
<td align="left">To investigate the structural barriers experienced by people with disabilities in accessing transport.</td>
<td align="left">South Africa, Tshwane Gauteng</td>
<td align="left">Quantitative</td>
</tr>
<tr>
<td align="left">4</td>
<td align="left">Duri and Luke (<xref ref-type="bibr" rid="CIT0019">2022c</xref>)</td>
<td align="left">To identify transport barriers encountered by people with disability in Africa.</td>
<td align="left">South Africa, Tshwane Gauteng</td>
<td align="left">Scoping review</td>
</tr>
<tr>
<td align="left">5</td>
<td align="left">Duri and Luke (<xref ref-type="bibr" rid="CIT0020">2022d</xref>)</td>
<td align="left">To identify issues with urban transport infrastructure in the City of Tshwane that contribute to inaccessible transportation.</td>
<td align="left">South Africa, Tshwane Gauteng</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">6</td>
<td align="left">Gudwana (<xref ref-type="bibr" rid="CIT0027">2019</xref>)</td>
<td align="left">To explore the experiences of persons with mobility impairment in accessing public transport in Knysna townships in the Western Cape province.</td>
<td align="left">South Africa Knysna</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">7</td>
<td align="left">Kahonde, Mlenzana and Rhoda (<xref ref-type="bibr" rid="CIT0031">2010</xref>)</td>
<td align="left">To explore the persons with physical disabilities&#x2019; experiences of the rehabilitation services they received at Community Health Centres in Cape Town.</td>
<td align="left">South Africa Cape Town</td>
<td align="left">Mixed methods</td>
</tr>
<tr>
<td align="left">8</td>
<td align="left">Lister and Dhunpath (<xref ref-type="bibr" rid="CIT0034">2016</xref>)</td>
<td align="left">This article focuses on the management of the taxi industry in the eThekwini Municipality.</td>
<td align="left">South Africa eThekwini</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">9</td>
<td align="left">Magaqa, Ariana and Polack (<xref ref-type="bibr" rid="CIT0036">2021</xref>)</td>
<td align="left">To examine the availability and accessibility of rehabilitation services in a rural district of South Africa in order to explore why unmet needs for rehabilitation services persist.</td>
<td align="left">South Africa Eastern Cape</td>
<td align="left">Mixed methods</td>
</tr>
<tr>
<td align="left">10</td>
<td align="left">Ndebele (<xref ref-type="bibr" rid="CIT0041">2020</xref>)</td>
<td align="left">This article illustrates the inaccessibility and discriminatory nature of public transport in Zimbabwe and highlights the causes and consequences of this situation.</td>
<td align="left">Zimbabwe</td>
<td align="left">Opinion piece</td>
</tr>
<tr>
<td align="left">11</td>
<td align="left">North and Visagie (<xref ref-type="bibr" rid="CIT0043">2020</xref>)</td>
<td align="left">To explore and describe the experiences of carers of persons with Cerebral Palsy (CP) (Gross Motor Function Classification Scale [GMFCS] IV/V), around keeping advanced seating services appointments at a tertiary healthcare facility in the Western Cape province.</td>
<td align="left">South Africa Western Cape</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">12</td>
<td align="left">Odame et al. (<xref ref-type="bibr" rid="CIT0044">2023a</xref>)</td>
<td align="left">This study seeks to fill the gap by exploring stakeholders&#x2019; responses to the travel needs of commuters with disability in the Accra Metropolitan Assembly.</td>
<td align="left">Ghana Accra Metropolitan Assembly</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">13</td>
<td align="left">Odame et al. (<xref ref-type="bibr" rid="CIT0045">2023b</xref>)</td>
<td align="left">To examine the responsiveness of public transport operators to the travel needs of commuters with disabilities in Accra.</td>
<td align="left">Ghana Accra Metropolitan Assembly</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">14</td>
<td align="left">Owusu-Ansah et al. (<xref ref-type="bibr" rid="CIT0047">2019</xref>)</td>
<td align="left">This research extends the understanding of disability and geography through the analysis of surface topography and structural barriers as well as the spatial experiences of the mobility impaired in terms of transportation, access and utilisation of public spaces and general services in Kumasi, Ghana.</td>
<td align="left">Ghana Kumasi</td>
<td align="left">Survey</td>
</tr>
<tr>
<td align="left">15</td>
<td align="left">Pilusa, Myezwa and Potterton (<xref ref-type="bibr" rid="CIT0053">2021</xref>)</td>
<td align="left">To explore environmental factors influencing the prevention of secondary health conditions in people with spinal cord injury.</td>
<td align="left">South Africa Gauteng</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">16</td>
<td align="left">Vergunst et al. (<xref ref-type="bibr" rid="CIT0069">2015</xref>)</td>
<td align="left">To explore the challenges faced by people with disabilities in accessing healthcare in Madwaleni, a poor rural Xhosa community in South Africa.</td>
<td align="left">South Africa Madwaleni</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">17</td>
<td align="left">Rivasplata and Le Roux (<xref ref-type="bibr" rid="CIT0055">2018</xref>)</td>
<td align="left">To explore ways in which transport in Cape Town can better serve youth with disabilities, encouraging their participation in arts activities and facilitating their integration into society.</td>
<td align="left">South Africa Cape Town</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">18</td>
<td align="left">Tijm, Cornielje and Edusei (<xref ref-type="bibr" rid="CIT0060">2011</xref>)</td>
<td align="left">To examine the effectiveness of lifestyle, change interventions for people with intellectual disabilities.</td>
<td align="left">Ghana<break/>Kumasi</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">19</td>
<td align="left">Tshaka, Visagie and Ned (<xref ref-type="bibr" rid="CIT0063">2023</xref>)</td>
<td align="left">To identify the challenges leading to non-use of healthcare services among persons with mobility impairments in Cofimvaba.</td>
<td align="left">South Africa Cofimvaba</td>
<td align="left">Qualitative</td>
</tr>
<tr>
<td align="left">20</td>
<td align="left">Visagie et al. (<xref ref-type="bibr" rid="CIT0070">2023</xref>)</td>
<td align="left">To describe the psychosocial community mobility experiences of stroke survivors using wheelchairs in a town in the Western Cape province of South Africa.</td>
<td align="left">South Africa Worcester</td>
<td align="left">Qualitative</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Note: Both barriers and facilitators are presented by using the same four categories namely: structural, mechanical, economic, attitudinal and institutional.</p></fn>
</table-wrap-foot>
</table-wrap>
<sec id="s20010">
<title>Barriers to minibus taxi use</title>
<sec id="s30011">
<title>Structural environmental barriers</title>
<p>Structural environmental barriers refer to aspects of the built environment that prevent wheelchair users from accessing minibus taxi services (Amin, Razak &#x0026; Akhir <xref ref-type="bibr" rid="CIT0002">2021</xref>; Bezyak, Sabella &#x0026; Gattis <xref ref-type="bibr" rid="CIT0005">2017</xref>). These included factors such as unpaved surfaces, open drains, lack of or uneven pavements without kerb cuttings, street crossings and street furniture (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>). Fourteen of the 20 articles reported on structural environmental factors (Aenish&#x00E4;nslin, Amara &#x0026; Magnusson <xref ref-type="bibr" rid="CIT0001">2020</xref>; Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0017">2022a</xref>, <xref ref-type="bibr" rid="CIT0018">2022b</xref>, <xref ref-type="bibr" rid="CIT0019">2022c</xref>, <xref ref-type="bibr" rid="CIT0020">2022d</xref>; Gudwana <xref ref-type="bibr" rid="CIT0027">2019</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>; Ndebele <xref ref-type="bibr" rid="CIT0041">2020</xref>; Odame et al. <xref ref-type="bibr" rid="CIT0044">2023a</xref>, <xref ref-type="bibr" rid="CIT0045">2023b</xref>; Owusu-Ansah et al. <xref ref-type="bibr" rid="CIT0047">2019</xref>; Pilusa et al. <xref ref-type="bibr" rid="CIT0053">2021</xref>; Tshaka et al. <xref ref-type="bibr" rid="CIT0063">2023</xref>; Vergunst et al. <xref ref-type="bibr" rid="CIT0069">2015</xref>).</p>
<p>Vivid descriptions of structural barriers in urban and rural areas were provided.</p>
<p>Some reviewed studies found that in urban areas, structural environmental barriers included congested traffic, unpaved, uneven roads and pavements, potholes in roads and pavements, open maintenance holes and drains, rubbish as well as high pavements with no ramps (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0020">2022d</xref>; Ndebele <xref ref-type="bibr" rid="CIT0041">2020</xref>; Owusu-Ansah et al. <xref ref-type="bibr" rid="CIT0047">2019</xref>; Pilusa et al. <xref ref-type="bibr" rid="CIT0053">2021</xref>). Traffic lights at street crossings lacked push buttons to ensure sufficient time for safe crossing of pedestrians (and wheelchair users). Minibus taxi ranks were often unpaved with uneven, muddy or dusty surfaces. Owusu-Ansah et al. (<xref ref-type="bibr" rid="CIT0047">2019</xref>) and Ndebele (2020a) found that street vendors obstructed pavements and access points like ramps and bridges. These barriers, together with congested foot, vehicular and sometimes animal traffic, made wheelchair mobility difficult or impossible and restricted or prevented access to minibus taxi pick-up points (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>). Odame et al. (<xref ref-type="bibr" rid="CIT0045">2023b</xref>) reported on inadequate or no shelter at minibus taxi pick-up points.</p>
<p>In rural African contexts, the terrain was commonly described by previous studies as rough, with unpaved roads that are narrow, steep and uneven (Gudwana <xref ref-type="bibr" rid="CIT0027">2019</xref>; Pilusa et al. <xref ref-type="bibr" rid="CIT0053">2021</xref>; Tshaka et al. <xref ref-type="bibr" rid="CIT0063">2023</xref>; Vergunst et al. <xref ref-type="bibr" rid="CIT0069">2015</xref>). Vergunst et al. (<xref ref-type="bibr" rid="CIT0069">2015</xref>) showed that hills, valleys, river crossings without bridges and forest areas had to be negotiated by wheelchair, often over long distances, to reach taxi pick-up points. Wheelchair users were sometimes unable to leave their yards because of rough terrain and an absence of paths or roads (Pilusa et al. <xref ref-type="bibr" rid="CIT0053">2021</xref>). Some studies described participants using single-track, uneven, rocky footpaths to reach the actual dirt road (Tshaka et al. <xref ref-type="bibr" rid="CIT0063">2023</xref>; Vergunst et al. <xref ref-type="bibr" rid="CIT0069">2015</xref>). Surfaces of unpaved roads were generally covered with loose gravel or sand in the dry season and slippery mud in the rainy season, making them unsuitable for wheelchair users (Vergunst et al. <xref ref-type="bibr" rid="CIT0069">2015</xref>). These findings show that universal access principles were not applied during design and construction of roads, pavements and minibus taxi ranks.</p>
</sec>
<sec id="s30012">
<title>Mechanical barriers</title>
<p>Mechanical barriers refer to aspects related to the design of the minibus taxi, such as its height off the ground, seating arrangements, grab handles and seatbelts. Five of the studies reported on the mechanical barriers (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>; Odame et al. <xref ref-type="bibr" rid="CIT0045">2023b</xref>; Savill et al. <xref ref-type="bibr" rid="CIT0056">2003</xref>; Tijm et al. <xref ref-type="bibr" rid="CIT0060">2011</xref>; Visagie et al. <xref ref-type="bibr" rid="CIT0070">2023</xref>). One of the most common findings, and arguably the biggest barrier for wheelchair users, related to the height differences during transfers into and out of minibus taxis; distances from the ground to the taxi floor and between the taxi floor and seat were reported to pose challenges (Odame et al. <xref ref-type="bibr" rid="CIT0045">2023b</xref>; Tijm et al. <xref ref-type="bibr" rid="CIT0060">2011</xref>). Because wheelchair users generally have impairments affecting their musculoskeletal systems, standing and/or climbing in and out with such height differentials is impossible (Visagie et al. <xref ref-type="bibr" rid="CIT0070">2023</xref>). In addition, commonly used minibus taxis in African settings have no special boarding equipment such as ramps or hoists (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>). Thus, taxi drivers, guards, caregivers or fellow commuters often physically pick wheelchair users up and place them in the minibus taxi; in the process, the wheelchair users are pulled and pushed by persons who have not been trained to do transfers safely and with sensitivity (Visagie et al. <xref ref-type="bibr" rid="CIT0070">2023</xref>). Because minibus taxi drivers and guards are not trained to physically transfer wheelchair users (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>; Fredericks et al. <xref ref-type="bibr" rid="CIT0022">2024a</xref>; Savill et al. <xref ref-type="bibr" rid="CIT0056">2003</xref>), they and wheelchair users alike are at risk of injury during transfers (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>; North &#x0026; Visagie <xref ref-type="bibr" rid="CIT0043">2020</xref>). Duri and Luke (<xref ref-type="bibr" rid="CIT0017">2022a</xref>) found that minibus taxi drivers sometimes refuse to assist wheelchair users because of a fear of being held accountable if a wheelchair user is injured. The transfer is even more of an ordeal for female wheelchair users who must endure being touched by male strangers (Gudwana <xref ref-type="bibr" rid="CIT0027">2019</xref>). In addition, grab handles were not available or not positioned optimally for wheelchair users to use during transfers or for balance during transit (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0017">2022a</xref>, <xref ref-type="bibr" rid="CIT0018">2022b</xref>, <xref ref-type="bibr" rid="CIT0019">2022c</xref>). Alarmingly, most minibus taxis were reported not to have seatbelts (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0017">2022a</xref>, <xref ref-type="bibr" rid="CIT0018">2022b</xref>). This compromised everybody&#x2019;s safety and meant wheelchair users with reduced functional balance because of leg and trunk impairments could not rely on the external stability a safety belt would provide (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0017">2022a</xref>, <xref ref-type="bibr" rid="CIT0018">2022b</xref>; Gudwana <xref ref-type="bibr" rid="CIT0027">2019</xref>).</p>
<p>Fredericks et al. (<xref ref-type="bibr" rid="CIT0022">2024a</xref>) described that the limited space inside minibus taxis, with narrow aisles and small seats, leaves little place for movement or to store a wheelchair (North &#x0026; Visagie <xref ref-type="bibr" rid="CIT0043">2020</xref>). Owusu-Ansah et al. (<xref ref-type="bibr" rid="CIT0047">2019</xref>) agreed and pointed out that space limitations were even worse in minibus taxis that were reconfigured to carry more passengers. The already limited space is further reduced resulting in decreased space to manoeuvre, thus making it impossible for those who need transfer assistance and/or space to accommodate their legs because of impairments (Owusu-Ansah et al. <xref ref-type="bibr" rid="CIT0047">2019</xref>). The described mechanical barriers created a serious access barrier and fed into economic barriers.</p>
</sec>
<sec id="s30013">
<title>Economic barriers</title>
<p>The second biggest barrier to access described in the studies was the perceived reduction in earnings brought about by additional time and space requirements associated with serving wheelchair users. The money a minibus taxi owner and driver earns is dependent on the number of trips made per day and the number of passengers per trip. Expressive narrative examples by Lister and Dhunpath (<xref ref-type="bibr" rid="CIT0034">2016</xref>) showed that both taxi drivers and owners saw wheelchair users as reducing their income on both scores. Wheelchair users take longer to transfer in and out of the minibus taxi (Kahonde et al. <xref ref-type="bibr" rid="CIT0031">2010</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>; North &#x0026; Visagie <xref ref-type="bibr" rid="CIT0043">2020</xref>), and time is lost (Fredericks et al. <xref ref-type="bibr" rid="CIT0022">2024a</xref>; North &#x0026; Visagie <xref ref-type="bibr" rid="CIT0043">2020</xref>), which might mean one less trip at the end of the day. Lister and Dhunpath (<xref ref-type="bibr" rid="CIT0034">2016</xref>) and Visagie et al. (<xref ref-type="bibr" rid="CIT0070">2023</xref>) described this as the main reason why minibus taxi drivers did not stop to pick up wheelchair users, most especially not during peak hours (Kahonde et al. <xref ref-type="bibr" rid="CIT0031">2010</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>; Ndebele <xref ref-type="bibr" rid="CIT0041">2020</xref>; Rivasplata &#x0026; Le Roux <xref ref-type="bibr" rid="CIT0055">2018</xref>). The wheelchair also takes up space that a paying customer could have occupied; therefore, income is lost if that space is not paid for. If wheelchair users cannot transfer by themselves or depend on the taxi driver and guard for assistance, someone must accompany them, at extra cost. These two factors escalate the taxi fare for wheelchair users, making a trip unaffordable for many (Kabia et al. <xref ref-type="bibr" rid="CIT0030">2019</xref>; Kirabo, Carter &#x0026; Steinfeld <xref ref-type="bibr" rid="CIT0033">2020</xref>; North &#x0026; Visagie <xref ref-type="bibr" rid="CIT0043">2020</xref>). These economic barriers experienced by wheelchair users show that this group is still negatively constructed as a burden or an inconvenience by impatient minibus drivers who do not want to pick up wheelchair users, especially during peak hours.</p>
</sec>
<sec id="s30014">
<title>Attitudinal barriers</title>
<p>The studies reported that wheelchair users were also experiencing insurmountable attitudinal barriers. Among others, attitudinal barriers composed of negative beliefs of minibus taxi drivers and co-commuters towards persons with disability, such as impatience, fear and stigma. Negative beliefs fuel negative attitudes (Visagie et al. <xref ref-type="bibr" rid="CIT0070">2023</xref>). Thus, it was no surprise that 12 studies reported on attitudinal barriers (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>; Gudwana <xref ref-type="bibr" rid="CIT0027">2019</xref>; Kahonde et al. <xref ref-type="bibr" rid="CIT0031">2010</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>; Ndebele <xref ref-type="bibr" rid="CIT0041">2020</xref>; North &#x0026; Visagie <xref ref-type="bibr" rid="CIT0043">2020</xref>; Pilusa et al. <xref ref-type="bibr" rid="CIT0053">2021</xref>; Rivasplata &#x0026; Le Roux <xref ref-type="bibr" rid="CIT0055">2018</xref>; Tijm et al. <xref ref-type="bibr" rid="CIT0060">2011</xref>; Visagie et al. <xref ref-type="bibr" rid="CIT0070">2023</xref>). Wheelchair users, on the other hand, also experienced a range of negative emotions from social anxiety and feelings of shame and belittling (Gudwana <xref ref-type="bibr" rid="CIT0027">2019</xref>; Visagie et al. <xref ref-type="bibr" rid="CIT0070">2023</xref>) to being unhappy and angry (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0017">2022a</xref>, <xref ref-type="bibr" rid="CIT0019">2022c</xref>; North &#x0026; Visagie <xref ref-type="bibr" rid="CIT0043">2020</xref>; Tijm et al. <xref ref-type="bibr" rid="CIT0060">2011</xref>) when using minibus taxis. These attitudinal barriers result in an unacceptable level of service that negatively affects the self-esteem and confidence of wheelchair users. When combined with other existing barriers, they often cause wheelchair users to avoid using minibus taxis, even though this mode of transport is one of the most affordable options available.</p>
</sec>
<sec id="s30015">
<title>Institutional barriers</title>
<p>The findings also reported that wheelchair users were experiencing institutional barriers, which included lack of political will among politicians and local government officials, leading to poor implementation or non-existent legislation, policies and strategic planning (Vanderschuren &#x0026; Nnene <xref ref-type="bibr" rid="CIT0068">2021</xref>). However, according to Duri and Luke (<xref ref-type="bibr" rid="CIT0019">2022c</xref>) and Rivasplata and Le Roux (<xref ref-type="bibr" rid="CIT0055">2018</xref>), it is one of the main reasons of inequitable access to minibus taxis services. Four studies reported on institutional barriers (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>; Odame et al. <xref ref-type="bibr" rid="CIT0044">2023a</xref>; Rivasplata &#x0026; Le Roux <xref ref-type="bibr" rid="CIT0055">2018</xref>). Findings indicated little collaboration between stakeholders in transport systems with different groups operating in silos. Studies reported that wheelchair users were not involved in the planning of minibus taxi services. Without hearing their voice, their needs cannot be addressed (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0017">2022a</xref>, <xref ref-type="bibr" rid="CIT0019">2022c</xref>; Rivasplata &#x0026; Le Roux <xref ref-type="bibr" rid="CIT0055">2018</xref>). Odame et al. (<xref ref-type="bibr" rid="CIT0044">2023a</xref>) indicated that no one takes the responsibility or leadership to drive the agenda with regard to accessible minibus taxi transport for wheelchair users. Without policies and the political will to enforce implementation, wheelchair users might continue to struggle to access minibus taxis.</p>
</sec>
</sec>
<sec id="s20016">
<title>Structural, mechanical, economic, attitudinal, and institutional facilitators to minibus taxi use</title>
<p>Facilitators to minibus taxi access for wheelchair users were less of a focus than barriers in the reviewed studies. Only five of the studies addressed facilitators. The facilitators identified in the five studies primarily focused on recommending potential solutions to existing barriers, rather than empirically evaluating the feasibility or effectiveness of those proposed solutions.</p>
<p>Duri and Luke (<xref ref-type="bibr" rid="CIT0020">2022d</xref>) indicated that local authorities should do periodic infrastructure audits of pedestrian environments and sidewalks. These audits should provide guidance on the need for maintenance, repair and upgrading. Similarly, regular audits of the conditions of minibus taxi ranks should be conducted, and wheelchair users should be involved in these audits (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0020">2022d</xref>). Finally, Duri and Luke (<xref ref-type="bibr" rid="CIT0020">2022d</xref>) recommended that universal access principles are applied during planning and development of new minibus taxi ranks.</p>
<p>Three studies reported on mechanical facilitators. Duri and Luke (<xref ref-type="bibr" rid="CIT0017">2022a</xref>) recommended regulations for the manufacturing of minibus taxis that include the placement of grab handles at suitable places for wheelchair users, seatbelts on all seats and more leg-room. They further stated that minibus taxis should be compliant with universal access principles. A recommendation by Odame et al. (<xref ref-type="bibr" rid="CIT0045">2023b</xref>) was that minibus taxi drivers should consider reserving or prioritising some seats for wheelchair users. Tijm et al. (<xref ref-type="bibr" rid="CIT0060">2011</xref>) recommended specially modified minibus taxis for wheelchair users.</p>
<p>Lister and Dhunpath (<xref ref-type="bibr" rid="CIT0034">2016</xref>) suggested that subsidies, coupons, or contracts to provide transport for wheelchair users on specific routes might help reduce the cost of taxi services for individual wheelchair users and ensure that taxi drivers do not lose money when providing services to wheelchair users. Contract services hold the additional advantage that wheelchair users and local government can keep minibus taxi drivers accountable for rendering services. It will also ensure minibus taxi services will be available for wheelchair users on a regular basis (Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>). Duri and Luke (<xref ref-type="bibr" rid="CIT0019">2022c</xref>) suggested that private capital is found, and the private sector be asked for financial assistance to address the economic barriers.</p>
<p>Duri and Luke (<xref ref-type="bibr" rid="CIT0019">2022c</xref>), Lister and Dhunpath (<xref ref-type="bibr" rid="CIT0034">2016</xref>) and Gudwana (<xref ref-type="bibr" rid="CIT0027">2019</xref>) addressed attitudinal facilitators. They suggested broad education and awareness-raising on disability starting at schools and in homes to reduce attitudinal barriers. Furthermore, they suggested training and education for minibus taxi drivers on the transport needs of wheelchair users as well as how to communicate with and assist wheelchair users during transfers. Lister and Dhunpath (<xref ref-type="bibr" rid="CIT0034">2016</xref>) suggested that vouchers be made available to cover the cost of the education and skills training of taxi drivers. It is hoped that with training, taxi drivers will have a more positive attitude towards wheelchair users and that wheelchair users will experience less stress and anxiety when using minibus taxi services (Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>).</p>
<p>Three studies reported on institutional facilitators (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0017">2022a</xref>; Odame et al. <xref ref-type="bibr" rid="CIT0044">2023a</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>). The focus was on including the voice of the wheelchair users in planning and a stronger political will to drive implementation of policy and legislation. The only way for policymakers and service providers to understand the experience of wheelchair users is to hear their voice through making them part of the planning processes. Odame et al. (<xref ref-type="bibr" rid="CIT0044">2023a</xref>) highlighted the importance of establishing a wheelchair user-inclined transport policy with actionable penalties, including that minibus taxi drivers who do not comply with policy requirements face fines or possible prison terms. As indicated, these suggestions might act as facilitators to minibus taxi access for wheelchair users, but they must be explored in future research.</p>
</sec>
</sec>
<sec id="s0017">
<title>Discussion</title>
<p>The aim of this scoping review was to identify and describe the barriers and facilitators experienced by wheelchair users in Africa when making use of minibus taxis. While the use of minibus taxis for public transport seems to be rather unique to the African context, the barriers experienced by current participants are echoed in studies and reviews that focus on public transport (bus, train, taxi, ferry, streetcar) access for persons with mobility impairments or wheelchair users from around the world (Chapman et al. <xref ref-type="bibr" rid="CIT0011">2024</xref>; Hernandez &#x0026; Rodriguez <xref ref-type="bibr" rid="CIT0028">2024</xref>; Liu et al. <xref ref-type="bibr" rid="CIT0035">2023</xref>; Miller et al. <xref ref-type="bibr" rid="CIT0038">2025</xref>; Park et al. <xref ref-type="bibr" rid="CIT0050">2023</xref>; Unsworth et al. <xref ref-type="bibr" rid="CIT0066">2021</xref>). What was heartening was the sentiment shared by Unsworth et al. (<xref ref-type="bibr" rid="CIT0066">2021</xref>) that despite numerous barriers, public transport access for people using wheeled mobility devices is constantly improving worldwide. However, Africa was notably missing from the world regions mentioned by them.</p>
<p>Current results showed that wheelchair users&#x2019; difficulties started when leaving their homes with structural barriers in what Park et al. (<xref ref-type="bibr" rid="CIT0050">2023</xref>:189) call the &#x2018;out of vehicle environment&#x2019;, preventing them from reaching and manoeuvring around minibus taxi pick-up points. Infrastructure barriers such as the absence of or poorly maintained sidewalks and inaccessible stations limited access to public transport for wheelchair users globally (Liu et al. <xref ref-type="bibr" rid="CIT0035">2023</xref>; Mindell et al. <xref ref-type="bibr" rid="CIT0039">2025</xref>; Unsworth et al. <xref ref-type="bibr" rid="CIT0066">2021</xref>). As structural barriers are often human-made (Duman &#x0026; Asilsoy <xref ref-type="bibr" rid="CIT0016">2022</xref>), they are avoidable and should not occur in equitable societies. Barriers like potholes, occupied pavements and no bridges over rivers are a few of the visible consequences of deep-rooted inequality and disregard for vulnerable members of society. In their systematic review study on pavement accessibility, Soares M&#x00FC;ller et al. (<xref ref-type="bibr" rid="CIT0057">2023</xref>) highlighted that the entire segment of a sidewalk must be free of barriers for it to be considered accessible for persons with disabilities. One obstacle along the way can prevent access to the entire route. They argue that the importance of accessible sidewalks is not always acknowledged in Global South countries, as could be seen in this study as well. For safe wheelchair use, sidewalks must be wide enough, not overly sloped, well maintained and free of obstacles with regular kerb cuts (Soares M&#x00FC;ller et al. <xref ref-type="bibr" rid="CIT0057">2023</xref>).</p>
<p>Structural barriers link closely to institutional barriers, which explains why legalisation and policies are not being implemented (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0018">2022b</xref>; Kett et al. <xref ref-type="bibr" rid="CIT0032">2020</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>). Limited financial resources are often blamed for poor policy implementation in African settings (Hoeyi &#x0026; Makgari <xref ref-type="bibr" rid="CIT0029">2021</xref>; Mhazo &#x0026; Maponga <xref ref-type="bibr" rid="CIT0037">2022</xref>). However, insufficient recognition is given to contributing factors, such as a lack of political will, other priorities, widespread corruption and disregard for vulnerable persons that are endemic in South Africa. In addition, seeking the input of persons with disabilities during planning and development of transport infrastructure is a necessity if they are to use the infrastructure autonomously and safely (Hernandez &#x0026; Rodrigues <xref ref-type="bibr" rid="CIT0028">2024</xref>; Soares M&#x00FC;ller et al. <xref ref-type="bibr" rid="CIT0057">2023</xref>). However, they are not always consulted in the development and implementation of community mobility planning (Hernandez &#x0026; Rodrigues <xref ref-type="bibr" rid="CIT0028">2024</xref>; Soares M&#x00FC;ller et al. <xref ref-type="bibr" rid="CIT0057">2023</xref>).</p>
<p>Disregard can be driven by unfamiliarity and a lack of understanding of the other&#x2019;s position. In the context of the current review, decision-makers might have little knowledge and understanding of the ground-level pressures and expectations of drivers, fellow commuters and wheelchair users. Thus, awareness-raising and education are called for. At the same time, participative processes of planning and action are essential (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0017">2022a</xref>; Kett et al. <xref ref-type="bibr" rid="CIT0032">2020</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>; Savill et al. <xref ref-type="bibr" rid="CIT0056">2003</xref>; Vanderschuren &#x0026; Nnene <xref ref-type="bibr" rid="CIT0068">2021</xref>). The transformative power of participatory processes in which taxi drivers and persons with disability shared experiences and planned together has been illustrated (Fredericks et al. <xref ref-type="bibr" rid="CIT0025">2024b</xref>). Should government fail in this responsibility, private enterprise and non-governmental organisations (NGOs) can take it up, as was done by Shonaquip Social Enterprises with the development of the <italic>Let&#x2019;s Talk mobile</italic> application for parents (Trafford et al. <xref ref-type="bibr" rid="CIT0061">2020</xref>), which provides an opportunity for parents of children with disabilities to help monitor implementation of the <italic>White Paper on the inclusion of persons with disabilities</italic> (DoSD <xref ref-type="bibr" rid="CIT0013">2016</xref>).</p>
<p>The identified barriers often revolved around the attitudes and actions of taxi drivers. They were seen as disrespectful, rude, unwilling to stop, unwilling to help, in a hurry and focused on making money. Chapman et al. (<xref ref-type="bibr" rid="CIT0011">2024</xref>) found that being treated with disrespect and as a burden negatively impacted the self-worth of wheelchair users in Australia. A systematic review by Park et al. (<xref ref-type="bibr" rid="CIT0050">2023</xref>) confirms that negative attitudes and negative encounters with service providers and fellow commuters reduce self-confidence and increase anxiety among persons with disabilities when using public transport. However, current results also acknowledged the predicament minibus taxi drivers face in safeguarding their incomes and/or businesses. It was suggested that taxi drivers be trained on communicating with wheelchair users and assisting them into and out of the taxi (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>; Lister &#x0026; Dhunpath <xref ref-type="bibr" rid="CIT0034">2016</xref>). Unsworth et al. (<xref ref-type="bibr" rid="CIT0066">2021</xref>) also recommended training of transport vehicle operators. Familiarity and understanding foster empathy and break down fear and anxiety, which means that training might also change taxi drivers&#x2019; attitudes towards wheelchair users (Savill et al. <xref ref-type="bibr" rid="CIT0056">2003</xref>). However, the recommendation is difficult to enact as minibus taxi drivers are not required to complete a formal training course (Department of Transport <xref ref-type="bibr" rid="CIT0014">2020</xref>). Such courses would have provided an opportunity for training on assisting wheelchair users. Even so, it remains an important possible facilitator that needs further exploration.</p>
<p>Persons with disabilities, including wheelchair users, often live in poverty. Because of little income and competing needs, wheelchair users struggle to afford minibus taxi fees even while it is the cheapest form of public transport (Aenish&#x00E4;nslin et al. <xref ref-type="bibr" rid="CIT0001">2020</xref>; Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0019">2022c</xref>; Fredericks et al. 2024; Magaqa et al. <xref ref-type="bibr" rid="CIT0036">2021</xref>; Ndebele <xref ref-type="bibr" rid="CIT0041">2020</xref>; North &#x0026; Visagie <xref ref-type="bibr" rid="CIT0043">2020</xref>; Odame et al. <xref ref-type="bibr" rid="CIT0044">2023a</xref>; Vergunst et al. <xref ref-type="bibr" rid="CIT0069">2015</xref>; Visagie et al. <xref ref-type="bibr" rid="CIT0070">2023</xref>). Transport cost as a barrier to access and a reason for cutting down on travelling was found around the globe for different types of transport, such as trains and buses (Fredericks et al. <xref ref-type="bibr" rid="CIT0022">2024a</xref>; Park et al. <xref ref-type="bibr" rid="CIT0050">2023</xref>); (Fredericks et al. <xref ref-type="bibr" rid="CIT0024">2025b</xref>; Mindell et al. <xref ref-type="bibr" rid="CIT0039">2025</xref>). Wheelchair users do not get special rates when using minibus taxis (Odame et al. <xref ref-type="bibr" rid="CIT0045">2023b</xref>). They also do not receive financial support to specifically compensate for minibus taxi costs. The money must come from the social grant that also pays for food, medication and other costs of living. In addition, having to pay for caregivers and wheelchairs means they might pay three times the going rate per trip (Fredericks et al. <xref ref-type="bibr" rid="CIT0022">2024a</xref>).</p>
<p>The financial burden on wheelchair users can be alleviated through subsidies, coupons or contracts facilitated by local government. By providing taxi drivers with contracts to transport wheelchair users, the government will be able to stipulate agreements regarding routes, accessibility of vehicles and training of minibus taxi drivers on interacting with persons with disabilities and assisting wheelchair users safely into and out of minibus taxis. Wheelchair users must have a voice in the planning and budget allocation of such services to ensure that their needs are met (Morta-Andrews <xref ref-type="bibr" rid="CIT0040">2018</xref>).</p>
<p>As in this study, inaccessibility of public transit vehicles was also described by Liu et al (<xref ref-type="bibr" rid="CIT0035">2023</xref>) referring to buses in the United States, and Park et al. (<xref ref-type="bibr" rid="CIT0050">2023</xref>) in a systematic review. Minibuses became taxis by default and were never designed with the needs of wheelchair users in mind (Duri &#x0026; Luke <xref ref-type="bibr" rid="CIT0017">2022a</xref>, <xref ref-type="bibr" rid="CIT0018">2022b</xref>). They are manufactured in bulk on assembly lines; thus, individual modifications are costly. Changing their design or retrofitting vehicles currently in use will also be expensive and not easy to do (Park &#x0026; Chowdhury <xref ref-type="bibr" rid="CIT0048">2022</xref>). Unsworth et al. (<xref ref-type="bibr" rid="CIT0066">2021</xref>) indicated that further research is necessary to determine optional vehicle design to facilitate access for persons with mobility impairments. The use of ramps for boarding and research on optimal ramp design was also mentioned by Unsworth et al. (<xref ref-type="bibr" rid="CIT0066">2021</xref>). In the meantime, stakeholders can engage with minibus taxi designers regarding the position of design features such as grab handles. The number of grab handles can be increased, and they should be placed where they can be of maximum benefit to wheelchair users. Adding more grab handles at strategic places inside the minibus taxis will assist wheelchair users and the general public alike.</p>
<p>Most of the other mechanical barriers can only be addressed through costly changes, such as modifying individual vehicles or reducing the passenger-carrying capacity. Odame et al.&#x2019;s (<xref ref-type="bibr" rid="CIT0045">2023b</xref>) suggestion for a dedicated seat with priority access given to vulnerable commuters is strongly supported as a starting point.</p>
<p>That way, if a wheelchair user is transported, they get that seat, but if not, other commuters can use it. Other commuters know that should a wheelchair user be picked up, they must vacate the seat if it is in use.</p>
<p>Across African countries, similar barriers impacted the accessibility of minibus taxi services and wheelchair users&#x2019; experiences to such an extent that their combined effect made it difficult for most, and impossible for some, to use the services. International authors concur that if the identified barriers are not mediated, wheelchair users&#x2019; freedom of movement will remain restricted, and they will continue to be excluded from community participation (Bjerkan &#x0026; &#x00D8;vstedal <xref ref-type="bibr" rid="CIT0006">2020</xref>; Cepeda, Galilea &#x0026; Raveau <xref ref-type="bibr" rid="CIT0009">2018</xref>; Tennakoon et al. <xref ref-type="bibr" rid="CIT0059">2020</xref>). At societal level, many sustainable development goals (SDGs), such as no poverty, good health and wellbeing, quality education, sustainable economic growth and productive employment, reduced inequalities, sustainable cities and communities will not be achieved (United Nations <xref ref-type="bibr" rid="CIT0065">2015</xref>).</p>
<p>Universal design principles have been in existence since the 1960s and should underpin the development and maintenance of manmade spaces. Current application of universal design principles is often inconsistent (Chapman et al. <xref ref-type="bibr" rid="CIT0011">2024</xref>). Unsworth et al. (<xref ref-type="bibr" rid="CIT0066">2021</xref>) recommended that universal design principles be promoted in the public transport sector. However, social and occupational injustice will prevail when the political and communal will to implement mitigating strategies is lacking, as was shown in this review and supported by Zallio and Clarkson (<xref ref-type="bibr" rid="CIT0071">2021</xref>) as well as Stafford and Volz (<xref ref-type="bibr" rid="CIT0058">2016</xref>).</p>
<sec id="s20018">
<title>Limitations</title>
<p>Limited findings on facilitators for accessible minibus taxis for wheelchair users were identified. The lack of analytical studies was also a limitation and indicates a need for future research. The inclusion of only wheelchair users from the African continent was another limitation.</p>
</sec>
</sec>
<sec id="s0019">
<title>Conclusion</title>
<p>Minibuses were not designed to be used as taxis or as a means of transport for wheelchair users. Their versatility, the dire transport needs in South Africa and other African countries and entrepreneurship have meant they evolved into taxis. Non-disabled commuters can get in and out, tolerate the cramped space and even take the safety risks &#x2013; often because alternatives are limited and minibus taxis offer cheap and convenient services. Conversely, wheelchair users are excluded from what would be, for many, their only form of public transport because they are hampered getting in and out, need more room to manoeuvre, are faced with rudeness and disrespect and lose the advantage of the fare being low, as they must pay double or triple fares. The question that remains for future investigation is: &#x2018;How can transport services offered by minibus taxis be reconfigured to be accessible for wheelchair users?&#x2019;</p>
<sec id="s20020">
<title>Recommendations</title>
<p>The findings of this scoping review can assist with future planning of public transport services in general and minibus taxi services specifically for wheelchair users in the African context and other similar settings. The identified barriers and suggestions for facilitators can assist researchers and other interested parties in developing and researching focused strategies to overcome specific structural, mechanical, economic, attitudinal and institutional barriers. The results provide policymakers and local governments with specific areas of concern that they can address to facilitate accessible minibus taxi services for wheelchair users. Wheelchair users and taxi drivers must be active participants in planning and design of services they respectively provide and use. Universal design principles should be included in all future public transport planning and implementation.</p>
</sec>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The author, Jerome P. Fredericks, would like to acknowledge all the co-researchers for providing their consent and willingness to participate in the inquiry, Rev. J. Pansegrouw for the availability of the venue; Ms M. Johnson for her support; Mandy Fredericks for assisting with logistics, the supervisors Surona Visagie and Lana van Niekerk and research assistant Hamilton Pharaoh.</p>
<p>This article is based on research originally conducted as part of Jerome P. Fredericks&#x2019;s doctoral thesis entitled &#x2018;Minibus taxis as a means of transport for wheelchair users: A co-operative inquiry in a low-income peri-urban setting in the Western Cape, South Africa&#x2019;, Faculty of Medicine and Health Sciences, Stellenbosch University, in 2025 with supervisors Surona Visagie and Lana van Niekerk. The manuscript has since been revised and adapted for journal publication. The original thesis is available at: <ext-link ext-link-type="uri" xlink:href="https://scholar.sun.ac.za/server/api/core/bitstreams/747b73fb-b7f6-4e3d-bd4b-428bbd84809a/content">https://scholar.sun.ac.za/server/api/core/bitstreams/747b73fb-b7f6-4e3d-bd4b-428bbd84809a/content</ext-link>.</p>
<sec id="s20021" sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors reported that he received funding from the National Research Funds which may be affected by the research reported in the enclosed publication. The authors have disclosed those interests fully and have implemented an approved plan for managing any potential conflicts arising from their involvement. The terms of these funding arrangements have been reviewed and approved by the affiliated university in accordance with its policy on objectivity in research.</p>
</sec>
<sec id="s20022">
<title>Authors&#x2019; contributions</title>
<p>Jerome P. Fredericks formulated the research aim and objectives with the primary study leader Surona Visagie. Surona Visagie and Lana van Niekerk provided academic guidance, mentorship, supervision and editing contributions throughout the research, including the formulation of the objectives, design of the work and data analysis, and contributed to the writing and editing of the manuscript.</p>
</sec>
<sec id="s20023" sec-type="data-availability">
<title>Data availability</title>
<p>The datasets generated and analysed to support the findings of this study are available from the corresponding author, Jerome P. Fredericks, upon reasonable request.</p>
</sec>
<sec id="s20024">
<title>Disclaimer</title>
<p>The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of any affiliated agency of the authors or that of the publisher. The authors are responsible for this article&#x2019;s results, findings and content.</p>
</sec>
</ack>
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<fn><p><bold>How to cite this article:</bold> Fredericks, J.P., Visagie, S. &#x0026; Van Niekerk, L., 2025, &#x2018;Barriers and facilitators experienced by wheelchair users when using minibus taxis in Africa: A scoping review&#x2019;, <italic>African Journal of Disability</italic> 14(0), a1701. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.4102/ajod.v14i0.1701">https://doi.org/10.4102/ajod.v14i0.1701</ext-link></p></fn>
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