Table 4.

Themes Reported during 5 Patient QOL Interviews

Coded Theme	N Reported	Relevant Quote Examples
Loss of employment	5	“Before the injury, I was a farmer and a livestock keeper. I had goats and cows, and I had a farm of vegetables. And I also had a motorcycle for making a business of it. But after the injury, everything has perished out. I have lost everything.”
Reduced income	5	“It has affected my income very much. Because at that time I was working and I was getting money, and now there is no job and no work. I’m at home. I have no income, unless I get support from my family members.”
Transportation difficulty	4	“There is a fear of crowds with the bus station and having to fight to get on the bus. With the injury, sometimes I’m scared to enter the bus.”
Cannot support family	4	“Since (the injury) my children have not had any assistance. Because, since the date of injury up to date, I don’t work anymore for income.”
Difficulties with activities of daily living	4	“I get assistance from my husband and my daughter with washing clothes and other activities which require assistance.”
		“I’ve had some problems, especially during the time I’m going to the washroom. I have to go to the washroom with the type of toilet that I can sit on. But not the type where I squat. And most of my activities I have to do while I’m sitting. My daughters and my sons - they helped me to wash. With all the stuff that I need assistance with at home, they help me.”
Loss of social network and support	4	“Some of my friends [initially] gave to me because it seemed like I needed support from them. But now there’s a gap between me and my friends because it seems like I always need support from them.”
		“My family has isolated me. They say they cannot help me. I have to find one who caused this accident. So that he can help me. That’s why they don’t help me. Instead they have pushed me away.”
Ongoing pain	3	“I feel so painful when I walk from one place to another. I feel embarrassment when I’m using these crutches. And sometimes my legs, I feel pain for sure.”
		“For sure it has let me down. This injury has caused me a lot of problems. Sometimes I fail to pay the house rent. I don’t have money to eat. So I’m still having trouble. I don’t work sometimes. I cannot work with my injury. I move from one place to another with a lot of pain. This is affecting me a lot.”
Poor emotional and mental well-being	3	“Emotionally it is giving me a lot of pain because I have five kids. And all of them depend on me. I have to help them and I don’t have money. If I get an amount of money, I have to use that money just to come to the hospital. So, I feel like I don’t have anywhere to go now. This injury has affected me a lot emotionally.”
Loss of property*	2	“I have been affected a lot by this injury. I have lost all of my properties. My family now lives like beggars because I was the key of the family. I am supposed to do work to assist the family. But since the injury, I have not done anything to make money. So it has affected me a lot.”

*Loss of home, livestock, and/or owned transport.