Navigating NCDs’ Self-Management: A Comprehensive Review of Barriers & Facilitators in LMICs through Quantitative and Qualitative Lenses
Introduction: Despite significant global and national investments in health, primarily aimed at primary and preventive measures, progress in alleviating toll of non-communicable diseases (NCDs) remains sluggish in low- and middle-income countries, hindering the achievement of Sustainable Developmen...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medsci Publications
2025-01-01
|
| Series: | National Journal of Community Medicine |
| Subjects: | |
| Online Access: | https://njcmindia.com/index.php/file/article/view/4741 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850033762019049472 |
|---|---|
| author | Navdeep Kaur Harmeet Kaur JS Thakur |
| author_facet | Navdeep Kaur Harmeet Kaur JS Thakur |
| author_sort | Navdeep Kaur |
| collection | DOAJ |
| description |
Introduction: Despite significant global and national investments in health, primarily aimed at primary and preventive measures, progress in alleviating toll of non-communicable diseases (NCDs) remains sluggish in low- and middle-income countries, hindering the achievement of Sustainable Development Goals by 2030. This review intends to elucidate the barriers and facilitators affecting self-management of NCDs and their determinants, with purpose of informing the development of more accessible and practical preventive strategies.
Methods: An extensive electronic literature search was conducted across PubMed, PsycINFO, CINAHL, and Scopus for studies published between 2013 to June 2024, resulting in total of 78 included studies: 56 quantitative, 20 qualitative, and 2 mixed-methods.
Findings: The synthesis of findings across these studies identified critical factors influencing NCDs’ self-management. The quantitative analysis highlighted 31 factors grouped into five main determinants: socio-demographic, psychosocial, behavioural, biological, resource-related, and health-system-related. Notably, increased age and educational attainment correlated positively with self-management compliance, while barriers such as forgetfulness and misconceptions negatively impacted adherence. The qualitative review identified 21 sub-themes under five broad themes, emphasizing personal challenges, financial limitations, environmental factors, social stigma, and issues with health providers.
Conclusion: Together, these insights reveal the multifaceted challenges of self-management and necessity for tailored interventions.
|
| format | Article |
| id | doaj-art-ed0be086d28247f6905a03167fc047ab |
| institution | DOAJ |
| issn | 0976-3325 2229-6816 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medsci Publications |
| record_format | Article |
| series | National Journal of Community Medicine |
| spelling | doaj-art-ed0be086d28247f6905a03167fc047ab2025-08-20T02:58:04ZengMedsci PublicationsNational Journal of Community Medicine0976-33252229-68162025-01-01160110.55489/njcm.160120254741Navigating NCDs’ Self-Management: A Comprehensive Review of Barriers & Facilitators in LMICs through Quantitative and Qualitative LensesNavdeep Kaur0Harmeet Kaur1JS Thakur2Chitkara University College of Nursing, Chitkara University, Himachal Pradesh, IndiaChitkara School of Health Sciences, Chitkara University, Punjab, IndiaDepartment of Community Medicine & School of Public Health, PGIMER, Chandigarh, India Introduction: Despite significant global and national investments in health, primarily aimed at primary and preventive measures, progress in alleviating toll of non-communicable diseases (NCDs) remains sluggish in low- and middle-income countries, hindering the achievement of Sustainable Development Goals by 2030. This review intends to elucidate the barriers and facilitators affecting self-management of NCDs and their determinants, with purpose of informing the development of more accessible and practical preventive strategies. Methods: An extensive electronic literature search was conducted across PubMed, PsycINFO, CINAHL, and Scopus for studies published between 2013 to June 2024, resulting in total of 78 included studies: 56 quantitative, 20 qualitative, and 2 mixed-methods. Findings: The synthesis of findings across these studies identified critical factors influencing NCDs’ self-management. The quantitative analysis highlighted 31 factors grouped into five main determinants: socio-demographic, psychosocial, behavioural, biological, resource-related, and health-system-related. Notably, increased age and educational attainment correlated positively with self-management compliance, while barriers such as forgetfulness and misconceptions negatively impacted adherence. The qualitative review identified 21 sub-themes under five broad themes, emphasizing personal challenges, financial limitations, environmental factors, social stigma, and issues with health providers. Conclusion: Together, these insights reveal the multifaceted challenges of self-management and necessity for tailored interventions. https://njcmindia.com/index.php/file/article/view/4741Self- ManagementNon Communicable diseasesLow-Middle-Income- Countries |
| spellingShingle | Navdeep Kaur Harmeet Kaur JS Thakur Navigating NCDs’ Self-Management: A Comprehensive Review of Barriers & Facilitators in LMICs through Quantitative and Qualitative Lenses National Journal of Community Medicine Self- Management Non Communicable diseases Low-Middle-Income- Countries |
| title | Navigating NCDs’ Self-Management: A Comprehensive Review of Barriers & Facilitators in LMICs through Quantitative and Qualitative Lenses |
| title_full | Navigating NCDs’ Self-Management: A Comprehensive Review of Barriers & Facilitators in LMICs through Quantitative and Qualitative Lenses |
| title_fullStr | Navigating NCDs’ Self-Management: A Comprehensive Review of Barriers & Facilitators in LMICs through Quantitative and Qualitative Lenses |
| title_full_unstemmed | Navigating NCDs’ Self-Management: A Comprehensive Review of Barriers & Facilitators in LMICs through Quantitative and Qualitative Lenses |
| title_short | Navigating NCDs’ Self-Management: A Comprehensive Review of Barriers & Facilitators in LMICs through Quantitative and Qualitative Lenses |
| title_sort | navigating ncds self management a comprehensive review of barriers facilitators in lmics through quantitative and qualitative lenses |
| topic | Self- Management Non Communicable diseases Low-Middle-Income- Countries |
| url | https://njcmindia.com/index.php/file/article/view/4741 |
| work_keys_str_mv | AT navdeepkaur navigatingncdsselfmanagementacomprehensivereviewofbarriersfacilitatorsinlmicsthroughquantitativeandqualitativelenses AT harmeetkaur navigatingncdsselfmanagementacomprehensivereviewofbarriersfacilitatorsinlmicsthroughquantitativeandqualitativelenses AT jsthakur navigatingncdsselfmanagementacomprehensivereviewofbarriersfacilitatorsinlmicsthroughquantitativeandqualitativelenses |