S Ethical clearance for the study was obtained in the Senate Analysis grants and study leave Committee in the University with the Western Cape. Also permission to conduct this study was obtained in the National Ethics Committee of Rwanda and the Mayor of Musanze district. Written informed consent was obtained from guardian along with the participant. Participation in the study was voluntary, and also the participants have been informed of their suitable to withdraw from the study at any time. The participants have been told that if something happened to upset them, counseling services have been out there for them.ResultsFive participants (50 ) had been females along with other five (50 ) were males. The participants had been aged between 24 and 79 years (mean age = 56.3years, SD Table 1: Distribution of the interview participantsParticipant Sex Age no. 1 F 24 two F 45 three F 54 4 F 71 five F 79 six M 40 7 M 53 eight M 57 9 M 68 10 M= 16.9 years). Half of the participants (50 ) had been married while three (30 ) had been widowed. The chronicity of stroke among the participants lies amongst three and 53 months (imply = 19 months, SD = 16.4 months). Only half in the participants (50 ) had greater than primary college education. Only 60 from the participants had been able to walk independently. Eighty % with the participants had been involved in manual activities before the stroke, and the majority (60 ) among them were cultivators before having stroke. In Rwanda, agriculture is mostly for subsistence and is linked with low socioeconomic status. In the time of interview, the majority of the participants (70 ) have been unemployed. Out of 10 participants, only one lived in a house having a toilet inside. Others had been living in houses with toilets outside in form of latrine. Throughout the interviews, the participants were open to respond to the researcher’s concerns. The feelings in the participants that emerged during the interviews as environmental barriers may be classified into 3 big themes which are social, attitudinal and physical barriers. The sub-themes emphasizing each and every theme are going to be highlighted.Marital Education Occupation status level before stroke Single Post Principal Student Widowed Primary Cultivator Married Post Key Cultivator Married Key Cultivator Widowed Major Cultivator Married Secondary Teacher Separated Post Main Carpenter Married Post Primary MIR96-IN-1 chemical information Tailor Married Primary Cultivator Widowed Main CultivatorEmployment Chronicity status of stroke Unemployed 4 months Unemployed 53 months Self-employed 39 months Unemployed 14 months Unemployed four 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 have been lack of social help and inaccessible physiotherapy solutions.Lack of social help There were mixed feelings with regard to social help. When asked in the event the society was supporting them, the participants described household members and other people today to become supportive, but some participants reported lack of help from the relatives considering that obtaining stroke, and other folks felt that the assistance wasAfrican Well being Sciences Vol 11 No 3 Septemberdecreasing as time progressed. As an example, a participant stated that she was not supported by the loved ones members: “All my relatives have turned away from me…they do not care for me. I look following myself mainly because I don’t have anyone to look after me” (P2). Some.
