- Weak quality of services available in the government and private sectors.
- Weak oversight and professional standards in most services provided to persons with disabilities.
- The suffering of persons with disabilities and their families from discrimination and social stigma.
- Scarcity of supervisory staff in disability centers and rehabilitation units in Upper Egypt governorates and centers.
.The idea of the rehabilitation center and units depends directly and mainly on the treatment, rehabilitation, integration, empowerment and referral of people with disabilities. Kayan Association was also able to create a serious and effective model for community work with people with disabilities. The Kayan Association was also distinguished and unique in making home visits in Upper Egypt and remote villages, where it can reach people with disabilities and provide rehabilitation, awareness, and family counseling services. Therefore, the idea of centers and units with partner associations and institutions and home visits is at the core of the work of the Kayan Association and within the framework of its strategy.