A Comparative Study of Government and Private Rehabilitation Services for Persons with Disabilities in Gilgit-Baltistan: Perspectives of Persons with Special Needs

Abstract

This study presents a comparative analysis of government-led and NGO-led rehabilitation services for persons with disabilities in Gilgit-Baltistan. Using a quantitative design, data were collected from 120 respondents across various districts to assess accessibility, service quality, responsiveness, community participation, and collaboration between the two sectors. Findings revealed that NGO-managed centers were perceived as more accessible, better equipped, and more responsive, with shorter waiting times and more respectful staff. Government-run centers covered a broader geographic area but suffered from bureaucratic inefficiencies, limited professional capacity, and poor infrastructure. Both sectors faced sustainability challenges, highly dependent on donor support and lacking regular staff training. The study also highlighted weak coordination and limited policy frameworks hindering effective NGO-government collaboration. Statistical analysis showed no significant differences across gender or districts. The paper concludes by advocating for a hybrid rehabilitation framework integrating NGO innovation with government infrastructure to enhance accessibility, quality, and sustainability of services.