Introduction: Rehabilitation is an important component of health systems, yet it has not received the attention it requires. Many persons with disabilities could benefit from health-related rehabilitation services and evidence suggests there is a high unmet need for rehabilitation services, especially in lower and middle-income countries including the Maldives. However, limited knowledge is available on the issues impacting provision of, and access to, rehabilitation in different settings. The aim of this research, using quantitative and qualitative methods, was to explore access to rehabilitation services in the Maldives from supply and demand perspectives. Methods: Secondary quantitative analysis of data from a 2016 National Disability Survey in the Maldives was conducted to estimate use of and unmet need for rehabilitation services among persons with disabilities. Qualitative interviews were conducted with 21 persons with disabilities and 14 rehabilitation service providers and government representatives. A thematic analysis of supply and demand side dimensions of access was undertaken guided by frameworks of Levesque and Allin. Results: At the health systems level, findings suggest that a lack of governance and political commitment, coupled with poor coordination of rehabilitation services at the ministry level, resulted in inadequate rehabilitation provision, especially on the smaller and more remote islands. This in turn impacted service providers who reported financial and human resources challenges in providing rehabilitation programmes. For persons with disabilities, availability and affordability were identified as significant systems-level barriers to accessing services. The quantitative data suggest unmet need for rehabilitation was highest among people in lower socioeconomic position and older adults. Conclusion: Persons with disabilities, service providers and government representatives provided unique perspectives on access to rehabilitation services in the Maldives. The results from this study can be used to inform planning of policies and programmes to strengthen rehabilitation in this setting as well as contribute to global data.