Participants emphasized in popular that as the period in the illness lengthened, social assistance became less frequent as illustrated by the following quotes: ” … in the starting, people today were very prepared to assist me, I was being helped by relatives and volunteers, but since it took a extended time, they became tired, and often they no longer come to stop by me” (P4).”… in some cases, Met-Enkephalin site persons utilized to come and assistance me to go to church to pray and this was for two years. Right after that they stopped and I no longer go to church” (P2). ” … now, I usually do not respect the physiotherapy appointments simply because my parents cannot continue to spend the transport fees three times a week…just immediately after I got sick they have been able to pay each of the transport fees 3 times per week, but now they cannot…cash is finished” (P1). Inaccessible physiotherapy services Lots of participants expressed that they couldn’t attend physiotherapy out-patient sessions because of problems of accessibility. This was expressed with regard towards the limitations in walking and also the high price of transport. The following quotes illustrate the issue: “When I was discharged in the hospital, the doctor told me to continue physiotherapy for three occasions per week. Oh, it can be hard for me! I can not walk…my caregiver and I will need transport to reach there, and it really is incredibly expensive” (P5). “…my initially challenge now is always to get a ticket to continue physiotherapy….I go to the hospital three times a week, but it is quite far from my home along with the transport is very highly-priced….It’s RWF 2400 (= USD 5) per week” (P9). ” … the hospital is very far, and the transport to go there for physiotherapy is extremely costly … To visit the hospital each and every single day is RWF (Rwandan Francs) three thousand, it means RWF nine thousand each and every week (= US Dollars 17 by the interview period), the money is finished. I decided to obtain a private property physiotherapy treatment as it becomes cheaper, but from time to time the physiotherapist PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21323909 doesn’t come” (P7). Attitudinal barriers The perceived attitudinal barriers have been related to people’s unfavorable attitudes, while not frequent. These attitudes varied from individuals who mentioned that the stroke patients had been becoming punished by God, to those that felt happy soon 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 number of people felt terrible, but other folks felt very happy, as an example people that have been jealous of my achievements, now they feel happy”. Physical barriers There were 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 aspects that have been obstacles in their daily life, participants also described challenges 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 can’t go anywhere unless I have somebody to help me … When I am in a wheelchair I can’t push it myself due to the fact of stones and stairs inside the techniques I use” (P2). “………….I can stroll with a stick, but it is just not achievable when you’ll find stairs” (P6). “… I stroll really gradually … I’m no longer in a position to walk to get a lengthy distance. As the approaches in our village are eneven with many stones, when I am walking even having a stick, it’s.