Authors - Ofaletse Mphale, V. Lakshmi Narasimhan, S. Sasikumaran Abstract - The Internet of Medical Things (IoMT) presents transformative potential for healthcare by enabling real-time patient monitoring, advanced diagnostics, and personalized treatments. However, its adoption in developing countries is hindered by significant ethical, security, and privacy challenges. Studies focused on developing countries often identify these challenges but rarely propose rigorous frameworks for successful adoption. This study employs a desktop search methodology to comprehensively review the existing literature, identifying crucial ethical, security, and privacy concerns associated with the IoMT adoption. Through this analysis, the study proposes potential mitigation strategies and a framework to facilitate the effective adoption of IoMT in developing countries. Findings will support healthcare decision-makers and policymakers in developing countries, enabling them to devise strategies that ensure ethical practices, secure patient data, and safeguard privacy in healthcare IoT integration. This will lead to improved healthcare delivery and enhanced patient outcomes.