Participants emphasized in widespread that as the period in the illness lengthened, social support became less frequent as illustrated by the following quotes: ” … in the beginning, people today were very prepared to assist me, I was becoming helped by relatives and volunteers, but because it took a extended time, they became tired, and generally they no longer come to go to me” (P4).”… in some cases, people utilized to come and help me to go to church to pray and this was for two years. Immediately after that they stopped and I no longer visit church” (P2). ” … now, I do not respect the physiotherapy appointments because my parents can’t continue to spend the transport charges 3 times per week…just after I got sick they had been in a position to pay each of the transport costs 3 instances per week, but now they can not…income is finished” (P1). Inaccessible physiotherapy solutions Numerous participants expressed that they couldn’t attend physiotherapy out-patient sessions as a result of challenges of accessibility. This was expressed with regard for the limitations in walking plus the higher cost of transport. The following quotes illustrate the issue: “When I was discharged from the hospital, the doctor told me to continue physiotherapy for three instances a week. Oh, it is actually really hard for me! I cannot walk…my caregiver and I have to have transport to attain there, and it can be really expensive” (P5). “…my initially difficulty now is usually to get a ticket to continue physiotherapy….I visit the hospital 3 instances per week, nevertheless it is very far from my dwelling plus the transport is quite expensive….It is RWF 2400 (= USD five) per week” (P9). ” … the hospital is quite far, as well as the transport to go there for physiotherapy is extremely 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 house physiotherapy therapy since it becomes less expensive, 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 had been related to people’s negative attitudes, even though not frequent. These attitudes varied from individuals who said that the stroke sufferers have been getting punished by God, to people who felt delighted immediately after their rivals in achievements got stroke. P2 reported: “People are saying that God has punished me”. P3 also perceived negative attitudes from other people. The participant stated: “When I got sick, some individuals felt terrible, but others felt pretty content, for instance those that have been jealous of my achievements, now they feel happy”. Physical barriers There had been frequent expressions in the participants with regard to physical barriers. The subthemes which emerged in the interviews asrelated to physical barriers included inaccessible pathways and toilets. Inaccessible pathways When probed about variables that were obstacles in their daily life, participants also pointed out complications with physical accessibility. The barriers which have been described are stones, stairs and uneven grounds. These are illustrated by the following quotes: ” … I stay at residence; I cannot go anywhere unless I’ve somebody to assist me … When I am within a wheelchair I can’t push it myself because of stones and stairs inside the strategies I use” (P2). “………….I can stroll using a stick, nevertheless it isn’t attainable when there are stairs” (P6). “… I stroll pretty slowly … I am no longer in a position to stroll to get a extended distance. As the ways in our village are get MK5435 eneven with lots of stones, when I’m walking even using a stick, it can be.