This report presents the findings of a mixed methods assessment, drawing from stakeholder consultations and from nationally representative household surveys. It aims to provide a deeper contextual understanding of the barriers encountered by persons with disabilities in Tanzania. Persons with disabilities experience difficulties when accessing basic services such as healthcare, employment, education, transportation, and social welfare. It provides recommendations for promoting disability inclusion across sectors. The intended audience is a mix of policy makers, donors, and civil society. The assessment was commissioned by the World Bank (WB) in collaboration with the United Republic of Tanzania (URT), through the Prime Minister's Office, Labour, Youth Employment and Persons with Disabilities (LYED) in Tanzania Mainland and the First Vice President's Office in Zanzibar.