Hesperian Health Guides

Self‑esteem

In this chapter:

The following letter came from a group of women with disabilities in Ghana, West Africa. But it could have come from any community, because all over the world, women—and especially women with disabilities—are taught not to value themselves.

Our Association was formed in 1989 by women with disabilities to help promote the welfare of the woman with a disability. We have 21 members with various disabilities (sight, hearing, speech, and movement). We hold a meeting once a month to talk about our problems and to try to find solutions.

a small group of women with disabilities sitting together

We all agree that women with disabilities are often discriminated against because:

  • we are women.
  • we have disabilities.
  • we are mostly poor.


We are rejected as suitable marriage partners or regarded as the “wrong” image in the workplace. Girls and women with disabilities are often not able to get an education, even when education is available. For example, even in special schools for children with disabilities, boys usually receive priority.


We are unlikely to receive training for any kind of work. We experience abuse—physically, emotionally, and sexually. Unlike all people without disabilities, we are seldom allowed to make decisions at home or in the community. But for each of us in the Association, the biggest problem is lack of self-esteem. We are taught by society not to value ourselves. We are generally considered to be incapable of keeping a man and bearing children, and unable to do meaningful work. Therefore we are considered worthless. Even our extended families only want us if we prove valuable to them.


—Dormaa Ahenkro, Ghana

a woman leaning on a crutch while buying potatoes from a woman sitting on the ground
More Information
support groups

If a woman grows up with the support of her family, school, and community, her feelings of self-worth will be very high, whether or not she has a disability. But if a woman grows up feeling she is worth less than others because she has a disability, she has to work hard to learn to value herself. These personal changes can be helped along by:

Meeting other people. As others get to know you, they will find out that women with and without disabilities are not really very different from each other. Each time you go out it will become easier to meet and talk with others.

Starting or joining a group for women. Talking with others can help you begin to learn about your strengths and weaknesses. A group can provide a safe place for women to speak freely—if you all agree not to speak outside the group about anything that is said inside the group.

You can also join or start a group for women with disabilities and share your thoughts and experiences about the challenges that may arise from having a disability. You can all support each other during both happy and difficult times.

You can support each other in learning how to become more independent, too. All over the world, women with disabilities are working as doctors, nurses, shopkeepers, writers, teachers, farmers, and community organizers. With each other’s help, you can begin to prepare for the future, just as anyone would.

a woman in dark glasses working with boxes on a table a woman washing dishes a woman in a wheelchair working at a computer a health worker leaning on a crutch while examining a child
Focus on what you can do and on how much more you could do with some support.


This page was updated:13 Nov 2023