What constitutes ‘poor’ adherence to medical advice for chronic diseases? Insights from a qualitative study among hypertension and diabetes patients in urban informal settlements, Mumbai Metropolitan Region

Jennifer Spencer; Manjula Bahuguna; Sudha Ramani; Sweety Pathak; Sushma Shende; Shanti Pantvaidya; Vanessa D’Souza; Anuja Jayaraman

doi:10.1371/journal.pone.0324765

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Open Access

Peer-reviewed

Research Article

What constitutes ‘poor’ adherence to medical advice for chronic diseases? Insights from a qualitative study among hypertension and diabetes patients in urban informal settlements, Mumbai Metropolitan Region

Jennifer Spencer ,

Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Writing – original draft, Writing – review & editing

* E-mail: jennifer.spencer@snehamumbai.org

Affiliation Society for Nutrition, Education and Health Action, Mumbai, India

https://orcid.org/0009-0008-9862-2081

⨯
Manjula Bahuguna,

Roles Conceptualization, Data curation, Investigation, Methodology, Writing – review & editing

Affiliation Society for Nutrition, Education and Health Action, Mumbai, India
⨯
Sudha Ramani,

Roles Conceptualization, Data curation, Formal analysis, Methodology, Project administration, Supervision, Writing – review & editing

Affiliation Society for Nutrition, Education and Health Action, Mumbai, India
⨯
Sweety Pathak,

Roles Project administration, Resources, Writing – review & editing

Affiliation Society for Nutrition, Education and Health Action, Mumbai, India
⨯
Sushma Shende,

Roles Project administration, Resources, Writing – review & editing

Affiliation Society for Nutrition, Education and Health Action, Mumbai, India
⨯
Shanti Pantvaidya,

Roles Conceptualization, Resources, Writing – review & editing

Affiliation Society for Nutrition, Education and Health Action, Mumbai, India
⨯
Vanessa D’Souza,

Roles Conceptualization, Resources, Writing – review & editing

Affiliation Society for Nutrition, Education and Health Action, Mumbai, India
⨯
Anuja Jayaraman

Roles Conceptualization, Data curation, Formal analysis, Methodology, Project administration, Supervision, Writing – review & editing

Affiliation Society for Nutrition, Education and Health Action, Mumbai, India
⨯

What constitutes ‘poor’ adherence to medical advice for chronic diseases? Insights from a qualitative study among hypertension and diabetes patients in urban informal settlements, Mumbai Metropolitan Region

Jennifer Spencer,
Manjula Bahuguna,
Sudha Ramani,
Sweety Pathak,
Sushma Shende,
Shanti Pantvaidya,
Vanessa D’Souza,
Anuja Jayaraman

Published: November 18, 2025
https://doi.org/10.1371/journal.pone.0324765

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