S Ethical clearance for the study was obtained in the Senate Investigation grants and study leave Committee in the University with the Western Cape. In addition permission to conduct this study was obtained from the National Ethics Committee of Rwanda and also the Mayor of Musanze district. Written informed consent was obtained from guardian plus the participant. Participation inside the study was voluntary, and the participants had been informed of their right to withdraw in the study at any time. The participants have been told that if something occurred to upset them, counseling services were available for them.ResultsFive participants (50 ) had been females along with other 5 (50 ) had been males. The participants had been aged in between 24 and 79 years (mean age = 56.3years, SD Table 1: Distribution in the interview participantsParticipant Sex Age no. 1 F 24 two F 45 3 F 54 4 F 71 5 F 79 six M 40 7 M 53 eight M 57 9 M 68 10 M= 16.9 years). Half of your participants (50 ) had been married while 3 (30 ) have been widowed. The chronicity of stroke among the participants lies involving three and 53 months (mean = 19 months, SD = 16.four months). Only half of your participants (50 ) had greater than principal school education. Only 60 of the participants had been able to walk independently. Eighty % from the participants had been involved in manual activities prior to the stroke, and also the majority (60 ) amongst them had been cultivators just before acquiring stroke. In Rwanda, agriculture is mostly for subsistence and is linked with low socioeconomic status. At the time of interview, the majority on the participants (70 ) were unemployed. Out of 10 participants, only one lived inside a home using a toilet inside. Others were living in houses with toilets outdoors in type of latrine. Through the interviews, the participants were open to respond towards the researcher’s questions. The feelings from the participants that emerged during the interviews as environmental barriers can be classified into 3 important themes that are social, attitudinal and physical barriers. The sub-themes emphasizing every single theme are going to be highlighted.Marital Education Occupation Dimethylenastron web status level just before stroke Single Post Major Student Widowed Principal Cultivator Married Post Main Cultivator Married Major Cultivator Widowed Major Cultivator Married Secondary Teacher Separated Post Principal Carpenter Married Post Key Tailor Married Key Cultivator Widowed Principal CultivatorEmployment Chronicity status of stroke Unemployed 4 months Unemployed 53 months Self-employed 39 months Unemployed 14 months Unemployed four months Employed 3 months Unemployed 7 months Self-employed 17 months Unemployed 22 months Unemployed 25 monthsIndependent walking No No Yes Yes No Yes Yes Yes No YesSocial barriers The subthemes related to social barriers as described PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21324718 by the participants have been lack of social help and inaccessible physiotherapy services.Lack of social help There have been mixed feelings with regard to social support. When asked if the society was supporting them, the participants described loved ones members and also other persons to be supportive, but some participants reported lack of help from the relatives given that obtaining stroke, and other individuals felt that the help wasAfrican Wellness Sciences Vol 11 No three Septemberdecreasing as time progressed. For example, a participant mentioned that she was not supported by the household members: “All my relatives have turned away from me…they usually do not care for me. I look after myself due to the fact I never have any person to take care of me” (P2). Some.