Participants emphasized in popular that because the period in 
the illness lengthened, social support became less frequent as illustrated by the RN 1-001 supplier following quotes: ” … at the starting, people had been very willing to help me, I was becoming helped by relatives and volunteers, but as it took a lengthy time, they became tired, and often they no longer come to check out me” (P4).”… in some cases, folks made use of to come and help me to visit church to pray and this was for two years. Right after that they stopped and I no longer go to church” (P2). ” … now, I don’t respect the physiotherapy appointments because my parents can’t continue to pay the transport charges 3 instances a week…just right after I got sick they had been in a position to pay each of the transport charges 3 times a week, but now they can’t…dollars is finished” (P1). Inaccessible physiotherapy solutions Numerous participants expressed that they could not attend physiotherapy out-patient sessions due to problems of accessibility. This was expressed with regard to the limitations in walking plus the high cost of transport. The following quotes illustrate the issue: “When I was discharged from the hospital, the doctor told me to continue physiotherapy for three times a week. Oh, it is tough for me! I cannot stroll…my caregiver and I need to have transport to reach there, and it is really expensive” (P5). “…my initial problem now would be to get a ticket to continue physiotherapy….I visit the hospital three times per week, nevertheless it is extremely far from my property plus the transport is extremely high priced….It really is RWF 2400 (= USD five) per week” (P9). ” … the hospital is very far, as well as the transport to go there for physiotherapy is very expensive … To go to the hospital each single day is RWF (Rwandan Francs) three thousand, it signifies RWF nine thousand each and every week (= US Dollars 17 by the interview period), the cash is completed. I decided to acquire a private dwelling physiotherapy treatment as it becomes more affordable, but from time to time the physiotherapist PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21323909 will not come” (P7). Attitudinal barriers The perceived attitudinal barriers had been associated with people’s damaging attitudes, while not frequent. These attitudes varied from folks who stated that the stroke sufferers were getting punished by God, to people who felt satisfied right after their rivals in achievements got stroke. P2 reported: “People are saying that God has punished me”. P3 also perceived unfavorable attitudes from other individuals. The participant said: “When I got sick, some people felt poor, but other folks felt extremely happy, for instance people who had been jealous of my achievements, now they feel happy”. Physical barriers There have been frequent expressions from the participants with regard to physical barriers. The subthemes which emerged in the interviews asrelated to physical barriers integrated inaccessible pathways and toilets. Inaccessible pathways When probed about variables that had been obstacles in their day-to-day life, participants also pointed out difficulties with physical accessibility. The barriers which had been described are stones, stairs and uneven grounds. They are illustrated by the following quotes: ” … I remain at property; I cannot go anyplace unless I’ve an individual to assist me … When I am in a wheelchair I can’t push it myself simply because of stones and stairs within the approaches I use” (P2). “………….I can stroll having a stick, however it is just not attainable when there are stairs” (P6). “… I stroll pretty slowly … I am no longer able to walk to get a long distance. As the methods in our village are eneven with several stones, when I am walking even using a stick, it’s.
