Evidence map›Paper›PMID 41460942›Full record

ArticlePLOS global public health2025

"…I feel like I am just staying here waiting for death": A qualitative study of the lived experiences of people with advanced illness in refugee settlements in Uganda.

Ning Song, Agatha Aduro-Agema, Eve Namisango, Sahla Aroussi, Ping Guo, Mhoira Leng, Bassey Ebenso, Shaunna Burke, Vicky Opia, Raphael Rabonye and 7 more

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Palliative care in humanitarian responses.Bulletin of the World Health Organization · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Ning SongLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.ORCID https://orcid.org/0000-0002-8458-0609
Agatha Aduro-AgemaLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.
Eve NamisangoAfrican Palliative Care Association, Kampala, Uganda.
Sahla AroussiSchool of Politics and International Studies, University of Leeds, Leeds, United Kingdom.
Ping GuoDepartment of Nursing and Midwifery, University of Birmingham, Birmingham, United Kingdom.ORCID https://orcid.org/0000-0003-0979-7047
Mhoira LengPalliative Care in Humanitarian Aid Situations and Emergencies (PallCHASE), Edinburgh, United Kingdom.ORCID https://orcid.org/0000-0003-1449-0437
Bassey EbensoLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.ORCID https://orcid.org/0000-0003-4147-0968
Shaunna BurkeSchool of Biomedical Sciences, University of Leeds, Leeds, United Kingdom.ORCID https://orcid.org/0000-0001-8097-2026
Vicky OpiaPeace Hospice, Adjumani, Uganda.
Raphael RabonyeInternational Rescue Committee, Kampala, Uganda.
Emmanuel MutotoInternational Rescue Committee, Kampala, Uganda.
Felix MuehlensiepenCenter for Health Services Research, Brandenburg Medical School Theodor Fontane, Rüdersdorf, Berlin, Germany.ORCID https://orcid.org/0000-0001-8571-7286
Hanna KaadeCenter for Health Services Research, Brandenburg Medical School Theodor Fontane, Rüdersdorf, Berlin, Germany.ORCID https://orcid.org/0000-0002-9641-6742
William E RosaDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, United States of America.ORCID https://orcid.org/0000-0002-0680-8911
Eme AsuquoLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.ORCID https://orcid.org/0000-0002-2321-2730
Richard A PowellImperial College London, London, United Kingdom.
Matthew J AllsopLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.ORCID https://orcid.org/0000-0002-7399-0194

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Refugees and migrants with advanced illness frequently face fragmented and inconsistent access to health services. Structural barriers delay symptom management, undermine continuity of care, and limit access to palliative support. A clearer understanding of their lived experiences is essential to inform equitable health system responses and inclusive models of care. This study explored the lived experiences of individuals with advanced illness in three refugee settlements in Uganda to identify contextually grounded strategies for improving access to and delivery of palliative care. In-depth semi-structured interviews were conducted with 44 purposively sampled refugees living with advanced illnesses, reflecting varied conditions, ages, and care experiences. A descriptive phenomenological approach combined with reflexive thematic analysis was used to identify key patterns and meanings related to illness experiences and care access. Participants' pre-displacement contexts-often characterised by traumatic events-intensified current physical and psychological symptoms. A recurring theme was the loss of ability to care for their families due to declining health and limited functional capacity within the settlement. Unmet basic needs and restricted access to health services further hindered effective illness management. Displacement, trauma, and scarce resources collectively undermined health and wellbeing. Displaced individuals with advanced illness in Uganda face severe and interconnected challenges, including inconsistent access to healthcare, unmet psychosocial and spiritual needs, and limited support from non-governmental organisations (NGOs) and palliative care services. Culturally responsive, community-engaged strategies coordinated across humanitarian and national systems are urgently needed to address the multifaceted needs of this population in a coordinated and sustainable way.

Identifiers

PMID41460942
PMCPMC12747433

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.