Viet Nam has undergone three significant transitions over the past decades: first from war to peace, then from a centrally planned economy to a market economy and finally from isolation to integration in the international community. Some changes over this period have affected employment for people with disabilities. Before the implementation of reforms, many people with disabilities were members of agricultural cooperatives and would receive a rice ration whether or not they had worked formally. However, with the end of agricultural cooperatives, as well as the parallel restructuring and closure of other state-owned enterprises, it is much more difficult to find opportunities for secure income streams that are dedicated to people with disabilities.