title: Environmental barriers experienced by stroke patients in Musanze district in Rwanda: a descriptive qualitative study.
abstract: BACKGROUND
  Patients with stroke experience a number of environmental barriers, limiting their re-integration. Information regarding the barriers experienced by patients with stroke in a specific setting such as the Musanze district in Rwanda would assist with the development of rehabilitation programmes that would take into consideration the barriers experienced by the clients.
  
  
  OBJECTIVE
  To explore the barriers experienced by patients with stroke residing in Musanze District.
  
  
  METHODS
  In-depth face-to-face interviews were used to gather the data which were analysed using a thematic approach.
  
  
  RESULTS
  Three major themes of the environmental barriers experienced by the study participants that emerged were social, attitudinal and physical barriers. Sub-themes that arose within the social barriers theme included lack of social support and inaccessible physiotherapy services. In terms of attitudinal barriers, the participants reported negative attitudes of others towards them. The sub themes related to physical barriers as described by the participants were inaccessible pathways and toilets.
  
  
  CONCLUSIONS
  The findings of this study highlight the need for interventions that include awareness and education of communities about disability and advocating for accessible services and physical structures for persons with disabilities.
authors.affiliation: Physiotherapy Department, Kigali Health Institute, Rwanda. ugerard@yahoo.fr
authors.forename: G
authors.initials: G
authors.lastname: Urimubenshi
authors.forename: A
authors.initials: A
authors.lastname: Rhoda
mesh_terms: D000328:Adult; D000368:Aged; D001107:Architectural Accessibility; D001294:Attitude to Health; D006233:Persons with Disabilities / Q000523:psychology; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D012432:Rwanda; D020521:Stroke / Q000523:psychology; D055815:Young Adult