Badly maintained sidewalks, complete with death-trap manholes, mean that Nicaragua's cities and towns are going to be a struggle for anybody with mobility issues. There is little in the way of wheel ramps, and disability-friendly transportation is nonexistent. Mud roads and river access in the countryside are no help, either. Yet those who are determined will find a way.
If you are interested in volunteering in this particular field, check out Los Pipitos (www.lospipitos.org), a nationwide group that helps Nicaraguan children with disabilities and their families.
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