Participants emphasized in frequent that because the period on the disease lengthened, social help became less frequent as illustrated by the following quotes: ” … at the starting, folks had been hugely willing to assist me, I was getting helped by relatives and volunteers, but since it took a lengthy time, they became tired, and typically they no longer come to pay a visit to me” (P4).”… sometimes, men and women used to come and help me to visit church to pray and this was for two years. Following that they stopped and I no longer visit church” (P2). ” … now, I do not respect the physiotherapy appointments since my parents can not continue to pay the transport charges three instances per week…just following I got sick they had been able to spend each of the transport fees three instances a week, but now they can not…money is finished” (P1). Inaccessible physiotherapy solutions Several participants expressed that they couldn’t attend physiotherapy out-patient sessions due to troubles of accessibility. This was expressed with regard to the limitations in walking and the high cost of transport. The following quotes illustrate the issue: “When I was discharged in the hospital, the medical professional told me to continue physiotherapy for 3 instances a week. Oh, it truly is challenging for me! I cannot stroll…my caregiver and I want transport to attain there, and it is actually pretty expensive” (P5). “…my 1st issue now is usually to get a ticket to continue physiotherapy….I go to the hospital three instances per week, but it is quite far from my household and the transport is very high priced….It is actually RWF 2400 (= USD 5) per week” (P9). ” … the hospital is extremely far, plus the transport to go there for physiotherapy is very pricey … To visit the hospital each single day is RWF (Rwandan Francs) 3 thousand, it indicates RWF nine thousand every single week (= US Dollars 17 by the interview period), the money is completed. I decided to have a private household physiotherapy treatment since it becomes less expensive, but in some cases the physiotherapist PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21323909 does not come” (P7). Attitudinal barriers The perceived attitudinal barriers were related to people’s unfavorable attitudes, despite the fact that not frequent. These attitudes varied from people who said that the stroke patients had been getting punished by God, to individuals who felt pleased right after their rivals in achievements got stroke. P2 reported: “People are saying that God has punished me”. P3 also perceived adverse attitudes from others. The participant stated: “When I got sick, a number of people felt negative, but others felt pretty delighted, one example is those who have been jealous of my achievements, now they really 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 incorporated inaccessible pathways and toilets. Inaccessible pathways When probed about factors that have been obstacles in their each day life, participants also described issues with physical accessibility. The barriers which have been described are stones, stairs and uneven grounds. These are illustrated by the following quotes: ” … I remain at home; I can not go anywhere unless I have an individual to assist me … When I am in a wheelchair I cannot push it myself mainly because of stones and stairs inside the methods I use” (P2). “………….I can walk using a stick, but it is just not feasible when you will CL-82198 biological activity discover stairs” (P6). “… I walk extremely slowly … I’m no longer in a position to walk for a lengthy distance. As the techniques in our village are eneven with a lot of stones, when I’m walking even using a stick, it is.
