Disability-inclusive development (DID) is now well established within the work and approaches of international disability organisations. However, without system-level changes, no development can be truly inclusive. This chapter explores how DID is being implemented in sub-Saharan Africa through EU policy, ending with reflections on the future of DID and recommendations on the way forward. DID strategies and policies have come a long way in recent years, with the 2030 Agenda providing opportunities to leverage synergies with regional strategies focusing on disability. Meanwhile, various development actors are ensuring that their programmes also bring benefits to persons with disabilities. Lessons learnt from evaluating some of World Vision’s initiatives include the importance of disability budgeting from the design stage of the initiative; and of meaningful consultation with persons with different types of impairments and socio-economic status, particularly those less-represented such as women with disabilities, persons with psychosocial and intellectual impairments and Deaf persons. The significance of these lessons are then explored through two EU-funded projects in Mozambique, where persons with disabilities identified the determinants of their participation in the community and development programmes, including access to information; relevance of issues being discussed; and the valuing of persons with disabilities. However, while EU policy on development cooperation does consider disability, there is discrepancy between policy, the practice of inclusive development and persons with disabilities’ perception of participation. For DID to be a reality, there must be greater focus on the ‘how-to’ aspects of putting DID in practice. This also means taking into account the political, economic, historical and cultural contexts in which persons with disabilities live; and engaging with the lived experiences of persons with disabilities who are the ‘recipients’ of development interventions.