Generally speaking, Antigua and Barbuda are not very progressive when it comes to meeting the needs of the disabled. The big resorts usually have rooms that can accommodate the mobility-impaired; some provide beach wheelchairs.
In most villages, sidewalks are in poor condition or nonexistent. In St John's, many of the shops and toilets adjacent to the cruise-ship terminal (ie at Heritage Quay and Redcliffe Quay) are accessible.
Neither buses nor taxis are equipped to transport wheelchair-bound travelers. The nonprofit Antigua & Barbuda Association of Persons with Disabilities is working toward improving the situation.
Accessible Travel Online Resources
Download Lonely Planet's free Accessible Travel Guide from http://lptravel.to/AccessibleTravel.