This Bitesize note explains what safeguarding risks people with multiple impairments may face in an emergency or humanitarian crisis, with a focus on refugees in the Middle East and North Africa. It gives examples of multiple impairments and explains how people with them can be at heightened risk of safeguarding-related misconduct and of sexual exploitation and abuse during a crisis.

It also sets out how organisations can improve their safeguarding measures to protect people with multiple impairments, covering accessible reporting, staff awareness and the practical adjustments that make protection systems usable for everyone.