A national representative household survey was carried out among people with and without disabilities in Zambia. This is the result of an international co-operation between Southern Africa Federation of the Disabled (SAFOD), Zambian Federation of the Disabled (ZAFOD), Norwegian Federation of Organisations of Disabled People (FFO), University of Zambia, Central Statistical Office in Zambia, and SINTEF Health Research, Norway. The study design was developed in close collaboration with a broad range of stakeholders. Organisations of people with disabilities and individuals with disabilities have played a particularly active role during development of the design and the collection of data. Systematic differences in living conditions between disabled/non-disabled and households with/without disabled members were demonstrated. Serious service gaps were demonstrated for a range of different services.