Dube, LovenessRendall-Mkosi, KirstieVan den Broucke, StephanBergh, Anne-MarieMafutha, Nokuthula G.2017-05-022017-02Loveness Dube, Kirstie Rendall-Mkosi, Stephan Van den Broucke, Anne-Marie Bergh & Nokuthula G. Mafutha (2017) Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study, Journal of Community Health Nursing,34:1, 21-31, DOI: 10.1080/07370016.2017.1260983.0737-0016 (print)1532-7655 (online)10.1080/07370016.2017.1260983http://hdl.handle.net/2263/60132Despite the need for chronic disease self-management strategies in developing countries, few studies have aimed to contextually adapt programs; yet culture has a direct impact on the way people view themselves and their environment. This study aimed to explore the knowledge, attitudes, and self-management needs and practices of patients with chronic diseases. Four patient focus groups (n = 32), 2 patient interviews, group observations, and key informant interviews (n = 12) were conducted. Five themes emerged: health-system and service-provision challenges, healthcare provider attitudes and behavior, adherence challenges related to medication and lifestyle changes, patients’ personal and clinic experiences and self-management tool preferences. The findings provide a window of opportunity for the development of contextually adapted self-management programs for community health nursing in developing countries.en© 2017 Taylor and Francis. This is an electronic version of an article published in Journal of Community Health Nursing, vol. 34, no. 1, pp. 21-31, 2017. doi : 10.1080/07370016.2017.1260983. Journal of Community Health Nursing is available online at : http://www.tandfonline.com/loi/hchn20.Chronic diseasesSelf-management supportPatient needs and challengesCommunity health nursingSouth Africa (SA)Postprint Article