“…In East Africa, people frequently have beliefs that simultaneously reflect a medical understanding and a spiritual belief about disability and its causes. In some East African societies, disability is determined not through a medical diagnosis, but by one's ability to participate in society and the role that a person plays in that society (Harknett, 1996;Kisanji, 1995;Miles, 2002;Talle, 1995). At times, individuals will provide multiple explanations to help neutralize the negative beliefs about disability, such as suggesting a medical explanation in addition to the traditional belief (Ingstad, 1995).…”