A qualitative exploration of the challenges and support needs of orientation and mobility practitioners in South Africa

Orientation and mobility practitioners occupy an important role in supporting people to adapt to life with visual impairment. This paper presents results from qualitative research on the challenges and support needs of practitioners in South Africa. Semi-structured interviews were conducted with 18 participants, including practitioners, trainees, facilitators, and managers at the South African College of Orientation and Mobility. An exploratory-descriptive qualitative design was adopted, and thematic analysis was used. Practitioners’ challenges included (1) managing multi-dimensional client needs; (2) negotiating socio-cultural barriers; (3) facing socio-economic challenges and (4) occupying a precarious status in relation to the rehabilitation profession in South Africa. Practitioners recommended various ways in which they could be supported. When designing and implementing practitioner training, especially in under-resourced contexts, attention must be paid to emotional and socio-cultural issues. A holistic and trauma-informed approach to training and practice can ensure that practitioners (and their clients) are adequately supported.