{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T01:31:35Z","timestamp":1788399095451,"version":"build-2803163510"},"reference-count":69,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"unspecified","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"crossref","award":["GHRG 17\/63\/130"],"award-info":[{"award-number":["GHRG 17\/63\/130"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2023,10,31]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>People living with multimorbidity (PLWMM) have multiple needs and require long-term personalised care, which necessitates an integrated people-centred approach to healthcare. However, people-centred care may risk being a buzzword in global health and cannot be achieved unless we consider and prioritise the lived experience of the people themselves. This study captures the lived experiences of PLWMM in low- and middle-income countries (LMICs) by exploring their perspectives, experiences, and aspirations.<\/jats:p>\n               <jats:p>We analysed 50 semi-structured interview responses from 10 LMICs across three regions\u2014South Asia, Latin America, and Western Africa\u2014using an interpretative phenomenological analysis approach.<\/jats:p>\n               <jats:p>The bodily, social, and system experiences of illness by respondents were multidirectional and interactive, and largely captured the complexity of living with multimorbidity. Despite expensive treatments, many experienced little improvements in their conditions and felt that healthcare was not tailored to their needs. Disease management involved multiple and fragmented healthcare providers with lack of guidance, resulting in repetitive procedures, loss of time, confusion, and frustration. Financial burden was exacerbated by lost productivity and extreme finance coping strategies, creating a vicious cycle. Against the backdrop of uncertainty and disruption due to illness, many demonstrated an ability to cope with their conditions and navigate the healthcare system. Respondents\u2019 priorities were reflective of their desire to return to a pre-illness way of life\u2014resuming work, caring for family, and maintaining a sense of independence and normalcy despite illness. Respondents had a wide range of needs that required financial, health education, integrated care, and mental health support.<\/jats:p>\n               <jats:p>In discussion with respondents on outcomes, it appeared that many have complementary views about what is important and relevant, which may differ from the outcomes established by clinicians and researchers. This knowledge needs to complement and be incorporated into existing research and treatment models to ensure healthcare remains focused on the human and our evolving needs.<\/jats:p>","DOI":"10.1136\/bmjgh-2023-013606","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T12:45:17Z","timestamp":1706013917000},"page":"e013606","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["An interpretative phenomenological analysis of the lived experience of people with multimorbidity in low- and middle-income countries"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2119-998X","authenticated-orcid":false,"given":"Phuong Bich","family":"Tran","sequence":"first","affiliation":[{"name":"Department of Family Medicine and Population Health, University of Antwerp, Wilrijk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayaz","family":"Ali","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Rawalpindi Medical University, Rawalpindi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5770-3407","authenticated-orcid":false,"given":"Rubab","family":"Ayesha","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Rawalpindi Medical University, Rawalpindi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0249-1870","authenticated-orcid":false,"given":"Jan R","family":"Boehnke","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Dundee, Dundee, UK"},{"name":"Department of Health Sciences, University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Ddungu","sequence":"additional","affiliation":[{"name":"Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2776-2182","authenticated-orcid":false,"given":"Dorothy","family":"Lall","sequence":"additional","affiliation":[{"name":"Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1204-4417","authenticated-orcid":false,"given":"Victoria J","family":"Pinkney-Atkinson","sequence":"additional","affiliation":[{"name":"South African Non-Communicable Diseases Alliance (SANCDA), Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9724-1887","authenticated-orcid":false,"given":"Josefien","family":"van Olmen","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Population Health, University of Antwerp, Wilrijk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"key":"2025072913370270000_9.1.e013606.1","doi-asserted-by":"crossref","first-page":"26335565221112593","DOI":"10.1177\/26335565221112593","article-title":"Multimorbidity of communicable and non-communicable diseases in Low- and middle-income countries: a systematic review","volume":"12","author":"Kaluvu","year":"2022","journal-title":"J Multimorb Comorb"},{"key":"2025072913370270000_9.1.e013606.2","unstructured":"Rijken M . 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