Participants emphasized in prevalent that because the period on the disease lengthened, social support became much less frequent as illustrated by the following quotes: ” … at the beginning, people had been hugely willing to assist me, I was getting helped by relatives and volunteers, but because it took a extended time, they became tired, and normally they no longer come to pay a visit to me” (P4).”… sometimes, individuals employed to come and assist me to visit church to pray and this was for two years. Just 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 occasions a week…just following I got sick they had been in a position to spend all the transport fees three times a week, but now they can not…dollars is finished” (P1). Inaccessible physiotherapy solutions Several participants expressed that they couldn’t attend physiotherapy out-patient sessions on account of complications of accessibility. This was expressed with regard to the limitations in walking and the higher price of transport. The following quotes illustrate the issue: “When I was discharged in the hospital, the physician told me to continue physiotherapy for three instances a week. Oh, it is really hard for me! I cannot walk…my caregiver and I need transport to reach there, and it is actually quite expensive” (P5). “…my first dilemma now will be to get a ticket to continue physiotherapy….I go to the hospital 3 times per week, nevertheless it is extremely far from my home and the transport is quite costly….It’s RWF 2400 (= USD five) per week” (P9). ” … the hospital is very far, as well as the transport to go there for physiotherapy is quite high-priced … To visit the hospital just about every single day is RWF (Rwandan Francs) three thousand, it signifies RWF nine Angiotensin II 5-valine thousand every single week (= US Dollars 17 by the interview period), the cash is finished. I decided to have a private residence physiotherapy remedy as it becomes more affordable, but in some cases the physiotherapist PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21323909 will not come” (P7). Attitudinal barriers The perceived attitudinal barriers had been related to people’s unfavorable attitudes, even though not frequent. These attitudes varied from folks who stated that the stroke patients were being punished by God, to individuals who felt delighted just after their rivals in achievements got stroke. P2 reported: “People are saying that God has punished me”. P3 also perceived unfavorable attitudes from other people. The participant stated: “When I got sick, some individuals felt undesirable, but others felt pretty satisfied, for instance those that had been jealous of my achievements, now they feel happy”. Physical barriers There were 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 aspects that were obstacles in their each day life, participants also talked about 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 someone to assist me … When I am inside a wheelchair I can’t push it myself because 
of stones and stairs within the strategies I use” (P2). “………….I can stroll using a stick, nevertheless it isn’t attainable when there are actually stairs” (P6). “… I stroll pretty slowly … I am no longer in a position to stroll to get a extended distance. Because the ways in our village are eneven with lots of stones, when I’m walking even using a stick, it can be.
