Kakuma refugee camp is located in Turkana County in the North-western part of Kenya. Established in 1992, it had a population of 184,476 people from Southern Sudan, Somalia, Rwanda, Congo, Burundi, Uganda, Ethiopia, Senegal and Yemen by April 2014 (UNHCR). 10% of these are believed to be persons living with disabilities (PWDs), with persons living with visual impairments being the second largest group or PWD’s. However, whereas more than 20 NGO’s operate here, only four NGO’s have programs that directly target persons with visual impairment This presentation focuses on this unique environment and how best practices in service delivery for persons with visual impairment with a key interest on basic services such as food, water and sanitation, health, education, non-food items, economic support and rehabilitation services. It also discusses barriers such as mobility, stigma, education and discrimination that exists in this setting and how best they can be reduced.