Table 1 Example of meaning units, condensation, code, and subtheme

“That is the reason, because if you do not have money to pay. So, they pay less attention to us. Those who pay money, they give them great attention, because they pay them money… But for PWD even though it is already [been] announced that the PWD should have free care at all health departments. They still have a problem to access the facility. They are looking for money, they just want money…that is the one reason”. FGD B, Participant 8, certified occupational therapist, governmental organisation

If you do not have money the health and rehabilitation staff they pay less attention. Those who pay, they give great attention. It is announced that PWD should have free healthcare at all departments but still they have problems accessing the facilities without money

Personnel did not attend to PWD in healthcare facilities due to not getting money from them

Healthcare personnel’s negative attitudes and inadequate knowledge towards persons with disabilities

“We also have this financial aspect, most of us PWD are not working. We do not earn salary monthly. So, the cost because for now, the devices we no longer have it free of cost, we must pay for it. Like for instance, the one I am using now I pay 250,000 Leones. So not all persons with disability will afford to pay for these devices or other services. So, you can find out most of them they go without devices”. FGD F, Participant 28, disability advocate, non-governmental organisation

We have financial aspect most are not working and do not earn a monthly salary. The assistive devices are no longer free of charge, we must pay. The one I am using cost 250,000 Leones (about 20US $).PWD cannot afford to pay for devices and go without

Having to pay for assistive devices led to many PWD living without assistive devices

Financial constraints