"In the first section we clarify the theoretical and research background to the paper. We then address occupation in greater depth, highlighting the features of occupational poverty and agency with which disabled people and their households approach the challenges facing them. We use a single case study of the Tole household in the second part of the paper to illustrate some of the issues raised in the first part. The final section addresses the relationship between poverty, disability and occupation (PDO) making the case for community based rehabilitation (CBR) as a comprehensive multi-sectoral strategy to facilitate participants' occupational performance."