{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T17:54:50Z","timestamp":1791050090387,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2026,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Chronic conditions, such as NonCommunicable Diseases (NCDs) and impairments in body structures, may limit activities of daily living. The quality of care of NCD patients in Malawi is low, leading to a high prevalence of complications of NCD in Malawi.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n The study aimed at exploring the experiences of NCD patients living with complications in Mzuzu, Malawi.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This qualitative study recruited nine NCD patients with complications. The participants were selected purposively, and where applicable, we used the snowballing technique. Data were collected via in\u2010depth interviews. The recorded data were transcribed and coded into themes and subthemes via thematic analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The study found that two main attributes were common among NCD patients living with complications, namely, a lack of access to sanitation, including poor design of sanitation, loss of dignity, and lack of education on sanitation. They also faced challenges accessing health care, including long waiting times and a shortage of staff.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n In conclusion, the study confirms that people living with NCD complications in resource\u2010limited settings require special care to improve quality of life and dignity.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/puh2.70402","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T17:35:31Z","timestamp":1791048931000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences of Patients Living with Complications of Noncommunicable Diseases\u00a0 in Mzuzu, Malawi"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1280-9478","authenticated-orcid":false,"given":"Mary","family":"Kumwanje","sequence":"first","affiliation":[{"name":"University of Livingstonia Mzuzu Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0011-269X","authenticated-orcid":false,"given":"Thokozani","family":"Mzumara","sequence":"additional","affiliation":[{"name":"Optometry Unit Department of Curative and Rehabilitative Services Mzuzu Urban Community Hospital Mzuzu Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4014-5637","authenticated-orcid":false,"given":"Isaac","family":"Ndemera","sequence":"additional","affiliation":[{"name":"Luke International Mzuzu Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,3]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(19)30370\u20105"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(19)30374\u20102"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/189525"},{"issue":"1","key":"e_1_2_13_5_1","first-page":"98","article-title":"Complications of Diabetes Mellitus: A Review","volume":"12","author":"Balaji R.","year":"2019","journal-title":"Drug Invention Today"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.4314\/mmj.v29i2.26"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2024.2378912"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.4314\/mmj.v33i3.3"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.5334\/aogh.3750"},{"key":"e_1_2_13_10_1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/978-981-99-5772-9_2","volume-title":"The Ageing Population","author":"Khandelwal B.","year":"2023"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21121714"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010023\u201030586\u2010z"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21010018"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155043"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2010.10\u20100104"},{"key":"e_1_2_13_16_1","unstructured":"P. I.Burgess \u201cDeterminants of Severity and Progression of Diabetic Retinopathy in Southern Malawi\u201d (Doctoral diss. University of Liverpool Repository 2015) https:\/\/doi.org\/10.17638\/02033719."},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.4236\/jep.2020.114017"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.69739\/jahss.v3i1.1429"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.70211"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.3362\/1756\u20103488.22\u201000662"},{"key":"e_1_2_13_21_1","doi-asserted-by":"crossref","unstructured":"A.Coleman Making Inclusion Meaningful: The Human Centred Design Approach to Building Latrines for People With Disabilities in Vanuatu(Institute of Development Studies and Partner Organisations 2024) https:\/\/doi.org\/10.19088\/SLH.2024.006.","DOI":"10.19088\/SLH.2024.006"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201003143\u20104"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18095044"}],"container-title":["Public Health Challenges"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/puh2.70402","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/puh2.70402","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/puh2.70402","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T17:35:34Z","timestamp":1791048934000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/puh2.70402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,3]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["10.1002\/puh2.70402"],"URL":"https:\/\/doi.org\/10.1002\/puh2.70402","archive":["Portico"],"relation":{},"ISSN":["2769-2450","2769-2450"],"issn-type":[{"value":"2769-2450","type":"print"},{"value":"2769-2450","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,3]]},"assertion":[{"value":"2026-01-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70402"}}