**6. Conclusion and recommendations**

Persons with disabilities in Ghana fall behind their counterparts in other countries regarding existing services. Fewer services that are not well-coordinated exist, which are also not accessible. Access to services is key to inclusion for PWDs. Given that formal and information support for PWDs is limited, could propel them into poverty. The World Disability report asserts the association of disability and poverty. Disability-inclusive sustainable services are imperative to break the cyclical challenges that characterize the experiences of PWDs in Ghana and promote their overall well-being [50]. The following recommendations could be necessary for sustainable services for PWDs in Ghana. As evident in the paper, attitudinal barriers impede access to the few available services for PWDs. This was also reported in Ghana's initial report to the United States Convention on the Rights of Persons with Disabilities (CRPD). The report emphasized attitudinal barriers as issues impeding access to social protection, independent living, and full integration of persons with disabilities in the Ghanaian society [26, 60]. The need for social workers to increase awareness about the capabilities of PWDs at all levels (micro, mezzo and macro) is imperative.

We also recommend the involvement of PWDs in decision making at all levels, from planning through to implementation, monitoring, and evaluation. Policy makers and implementors, as well as services providers should all make conscious efforts to include PWDs at all levels of decision-making to ensure that all interventions support their rights and interests to enhance their total inclusion. They are expert knowers of their issues, and they can best proffer solutions to the challenges they encounter.

Further, since there are various forms of disabilities, each type of disability may have unique needs and, hence require unique services to address the needs. Also, some PWDs are more marginalised than others. For example, the intersection of gender and disability or ageism and disability could complicate the experiences of the individuals who falls within these intersections, women with disabilities and older adults with disabilities. We, therefore, suggest that social workers should use the lens of intersectionality of vulnerabilities to understand the unique needs of individuals who fall within several vulnerable groups and how their needs could be addressed.
