Participants emphasized in widespread that because the period of the disease lengthened, social help became much less frequent as illustrated by the following quotes: ” … in the beginning, people have been very willing to assist me, I was getting helped by relatives and volunteers, but as it took a extended time, they became tired, and usually they no longer come to check out me” (P4).”… often, men and women utilised to come and help me to go to church to pray and this was for two years. Right after that they stopped and I no longer visit church” (P2). ” … now, I do not respect the physiotherapy appointments simply because my parents can’t continue to spend the transport charges three instances a week…just after I got sick they have been able to pay each of the transport charges 3 instances per week, but now they can’t…income is finished” (P1). Inaccessible physiotherapy services Many participants expressed that they couldn’t attend physiotherapy out-patient sessions resulting from problems of accessibility. This was expressed with regard towards the limitations in walking plus the higher cost of transport. The following quotes illustrate the problem: “When I was discharged in the hospital, the physician told me to continue physiotherapy for 3 occasions per week. Oh, it truly is really hard for me! I can’t stroll…my caregiver and I have to have transport to attain there, and it is really expensive” (P5). “…my 1st trouble now should be to get a ticket to continue physiotherapy….I go to the hospital 3 occasions a week, but it is quite far from my household and the transport is very expensive….It can be RWF 2400 (= USD five) per week” (P9). ” … the hospital is extremely far, along with the transport to go there for physiotherapy is quite pricey … To visit the hospital every single single day is RWF (Rwandan Francs) three thousand, it implies RWF nine thousand each and every week (= US Dollars 17 by the interview period), the cash is completed. I decided to acquire a private property physiotherapy purchase 3-O-Acetyltumulosic acid treatment because it becomes cheaper, but sometimes 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 adverse attitudes, though not frequent. These attitudes varied from people today who said that the stroke sufferers have been becoming punished by God, to people who felt delighted after their rivals in achievements got stroke. P2 reported: “People are saying that God has punished me”. P3 also perceived unfavorable attitudes from other folks. The participant said: “When I got sick, a lot of people felt poor, but other individuals felt pretty content, by way of example people who have been jealous of my achievements, now they really feel happy”. Physical barriers There were frequent expressions in the participants with regard to physical barriers. The subthemes which emerged from the interviews asrelated to physical barriers included inaccessible pathways and toilets. Inaccessible pathways When probed about elements that had been obstacles in their day-to-day life, participants also described issues with physical accessibility. The barriers which were described are stones, stairs and uneven grounds. These are illustrated by the following quotes: ” … I keep at property; I cannot go anywhere unless I’ve someone to assist me … When I’m inside a wheelchair I cannot push it myself for the reason that of stones and stairs inside the strategies I use” (P2). “………….I can walk using a stick, however it is just not feasible when there are actually stairs” (P6). “… I stroll pretty gradually … I’m no longer in a position to walk for any lengthy distance. As the ways in our village are eneven with lots of stones, when I am walking even with a stick, it is actually.
