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 (, a nationwide group that helps Nicaraguan children with disabilities and their families.

Note: This information was accurate when it was published, but can change without notice. Please be sure to confirm all rates and details directly with the companies in question before planning your trip.