Perceived challenges of stroke survivors after completing comprehensive rehabilitation from a specialized rehabilitation centre in Bangladesh

Abstract

Purpose: This study investigates post-rehabilitation challenges faced by stroke survivors in Bangladesh, including physical limitations, financial strain, limited follow-up care, emotional distress, social reintegration issues, gender expectations, and caregiver support. Insights aim to guide improvements in rehabilitation services for sustainable recovery and quality of life. Objectives: To examine the diverse challenges stroke survivors face post rehabilitation, including physical, financial, healthcare, emotional, and social aspects, to inform improvements in support systems. Methodology: This qualitative study involved semi-structured interviews with 10 stroke survivors who had completed their rehabilitation. Participants shared their experiences, and with thematic analysis core challenges were identified. Results & Discussion: Seven main challenges emerged. Survivors struggled with physical limitations in daily activities, financial strain from healthcare costs and lost income, and limited access to follow-up care due to financial/logistical barriers. Emotional distress, such as depression, was prevalent, compounded by social isolation and difficulties reintegrating into the community. Gender roles added complexity, with women facing increased caregiving burdens and men experiencing distress over lost roles as providers. Additionally, insufficient family and caregiver support left survivors feeling burdensome. Conclusion: Stroke survivors in Bangladesh face complex post-rehabilitation challenges shaped by physical, financial, social, and cultural factors. These findings emphasize the need for patient-centered, community-based, and gender-sensitive support to improve long-term recovery and quality of life. Collaborative efforts from healthcare providers, policymakers, and community groups are essential to creating effective, accessible rehabilitation programs. Keywords: Perceived Challenges, Stroke Survivors, Comprehensive Rehabilitation Word count: 10,072