Table 1 Key actionable problem statements

Patient/family level

Poor health literacy of patients/families

Inadequate family support

Poor emotional wellbeing of people with COPD

Limited confidence of patients in communication with health care providers

Poor self-management practices

Poor level of activation among the people living with COPD

Community level

Complementary and alternative treatment, driven by social network (mostly by Shaman and community members)

Poor health literacy at the community level

Self-medication practices

Cultural practices impeding self-management

Service level

Unavailability of services for COPD at peripheral health system

Inadequate capacity of health care providers/community health workers for delivering COPD care

Limited skills and expertise of the health care providers in behavioural change

Unavailibility of treatment and management guidelines for COPD at the peripheral level

Lack of information, educational, communication (IEC) materials for COPD