Multimorbidity matters in low and middle-income countries

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dc.contributor.authorAna Basto-Abreu
dc.contributor.authorTonatiuh Barrientos-Gutierrez
dc.contributor.authorAlisha N Wade
dc.contributor.authorDaniela Oliveira de Melo
dc.contributor.authorAna S SemeĆ£o de Souza
dc.contributor.authorBruno P Nunes
dc.contributor.authorArokiasamy Perianayagam
dc.contributor.authorMaoyi Tian
dc.contributor.authorLijing L Yan
dc.contributor.authorArpita Ghosh
dc.contributor.authorJ Jaime Miranda
dc.date.accessioned2023-10-05T08:22:10Z
dc.date.available2023-10-05T08:22:10Z
dc.date.issued2022-05-23
dc.departmentSA-MRC/Wits Agincourt UnitE
dc.description.abstractMultimorbidity is a complex challenge affecting individuals, families, caregivers, and health systems worldwide. The burden of multimorbidity is remarkable in low- and middle-income countries (LMICs) given the many existing challenges in these settings. Investigating multimorbidity in LMICs poses many challenges including the different conditions studied, and the restriction of data sources to relatively few countries, limiting comparability and representativeness. This has led to a paucity of evidence on multimorbidity prevalence and trends, disease clusters, and health outcomes, particularly longitudinal outcomes. In this paper, based on our experience of investigating multimorbidity in LMICs contexts, we discuss how the structure of the health system does not favor addressing multimorbidity, and how this is amplified by social and economic disparities and, more recently, by the COVID-19 pandemic. We argue that generating epidemiologic data around multimorbidity with similar methods and definition is essential to improve comparability, guide clinical decision-making and inform policies, research priorities, and local responses. We call for action on policy to refinance and prioritize primary care and integrated care as the center of multimorbidity.
dc.description.librarianPM2023
dc.identifier.urihttps://hdl.handle.net/10539/36351
dc.language.isoen
dc.schoolPublic HealthE
dc.titleMultimorbidity matters in low and middle-income countries
dc.typeArticle
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