"Knocking on Doors that Don't Open": experiences of caregivers of children living with disabilities in Iquitos and Lima, Peru.

The study interviewed participants only in capital cities, not rural or remote areas, so experiences elsewhere may differ. No formal sociodemographic data were collected, so the analysis could not stratify access by income, family structure, disability type, or age. Most observed caregivers were supporting a person with an intellectual disability, so findings may not apply to other disabilities. Recruitment in Iquitos relied on schools for children with disabilities and snowball sampling, limiting the sample to families connected to those settings. Some recordings were lost and field notes were used instead, which may reduce detail. The interview guides were not developed using the social ecological model used to organize results, so some themes may have been missed. The research team members were native Spanish speakers but not Peruvian, so cultural and language barriers needed local support.

All authors declared no conflict of interest.

Do not read the participants' desire for support groups or education campaigns as evidence that these services improve outcomes. The study reported experiences and suggestions, not measured effects.