S Ethical clearance for the study was obtained in the Senate Study grants and study leave Committee at the University of your Western Cape. In addition permission to conduct this study was obtained from the National Ethics Committee of Rwanda along with the Mayor of Musanze district. Written informed consent was obtained from guardian as well as the participant. Participation in the study was MedChemExpress GS-4997 voluntary, plus the participants have been informed of their ideal to withdraw from the study at any time. The participants have been told that if something occurred to upset them, counseling services have been readily available for them.ResultsFive participants (50 ) were females and also other 5 (50 ) have been males. The participants were aged involving 24 and 79 years (mean age = 56.3years, SD Table 1: Distribution in the interview participantsParticipant Sex Age no. 1 F 24 2 F 45 three F 54 4 F 71 5 F 79 six M 40 7 M 53 8 M 57 9 M 68 10 M= 16.9 years). Half of the participants (50 ) were married when 3 (30 ) were widowed. The chronicity of stroke among the participants lies amongst 3 and 53 months (imply = 19 months, SD = 16.4 months). Only half with the participants (50 ) had more than main school education. Only 60 of your participants have been able to walk independently. Eighty % from the participants had been involved in manual activities just before the stroke, as well as the majority (60 ) amongst them were cultivators before receiving stroke. In Rwanda, agriculture is primarily for subsistence and is connected with low socioeconomic status. At the time of interview, the majority with the participants (70 ) had been unemployed. Out of ten participants, only 1 lived inside a property using a toilet inside. Other individuals had been living in houses with toilets outside in form of latrine. During the interviews, the participants were open to respond for the researcher’s questions. The feelings in the participants that emerged during the interviews as environmental barriers is usually classified into three significant themes which are social, attitudinal and physical barriers. The sub-themes emphasizing each theme is going to be highlighted.Marital Education Occupation status level before stroke Single Post Principal Student Widowed Major Cultivator Married Post Main Cultivator Married Primary Cultivator Widowed Major Cultivator Married Secondary Teacher Separated Post Main Carpenter Married Post Primary Tailor Married Major Cultivator Widowed Principal CultivatorEmployment Chronicity status of stroke Unemployed 4 months Unemployed 53 months Self-employed 39 months Unemployed 14 months Unemployed 4 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 connected to social barriers as described PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21324718 by the participants had been lack of social help and inaccessible physiotherapy services.Lack of social support There have been mixed feelings with regard to social support. When asked in the event the society was supporting them, the participants described family members along with other folks to be supportive, but some participants reported lack of support in the relatives given that obtaining stroke, and other people felt that the help wasAfrican Overall health Sciences Vol 11 No three Septemberdecreasing as time progressed. For example, a participant said that she was not supported by the family members members: “All my relatives have turned away from me…they usually do not care for me. I appear after myself simply because I don’t have everyone to care for me” (P2). Some.