Effect of COVID-19 on mental health of frontline health workers in Nigeria: A preliminary cross-sectional study

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.

Download Full-text

Mental Health and Health-Related Quality-of-Life Outcomes Among Frontline Health Workers During the Peak of COVID-19 Outbreak in Vietnam: A Cross-Sectional Study

Risk Management and Healthcare Policy ◽

10.2147/rmhp.s280749 ◽

2020 ◽

Vol Volume 13 ◽

pp. 2927-2936

Author(s):

Hung Manh Than ◽

Vuong Minh Nong ◽

Cap Trung Nguyen ◽

Khiem Phu Dong ◽

Hoa Thi Ngo ◽

...

Keyword(s):

Health Workers ◽

Cross Sectional Study ◽

Health Related Quality ◽

Life Outcomes ◽

Sectional Study ◽

Cross Sectional ◽

Frontline Health Workers ◽

Related Quality ◽

Health Related

Download Full-text

Are antimalarial activities performed properly by frontline health workers? A cross-sectional study in Bankura

National Journal of Research in Community Medicine ◽

10.26727/njrcm.2018.7.3.207-211 ◽

2018 ◽

Vol 7 (2) ◽

pp. 207

Author(s):

Indu Padmey ◽

Arindam De ◽

DiptoKantih . ◽

Aditya Prasad Sarkar ◽

Asit Baran Saren ◽

...

Keyword(s):

Health Workers ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Frontline Health Workers

Download Full-text

Analysis of Factors That Influenced the Mental Health Status of Public Health Workers During the COVID-19 Epidemic Based on Bayesian Networks: A Cross-Sectional Study

Frontiers in Psychology ◽

10.3389/fpsyg.2021.755347 ◽

2021 ◽

Vol 12 ◽

Author(s):

Xin Peng ◽

Yangyang Pu ◽

Xiaoyong Jiang ◽

Qingmei Zheng ◽

Jing Gu ◽

...

Keyword(s):

Public Health ◽

Mental Health ◽

Health Status ◽

Bayesian Networks ◽

Health Workers ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Sectional Study ◽

Cross Sectional ◽

Public Health Workers

Background: Public health workers are essential to responding to the coronavirus disease 2019 (COVID-19) epidemic, but research on anxiety and stress among public health workers during the epidemic is limited. This study aimed to evaluate related factors affecting mental health among public health workers during the epidemic.Methods: Between February 19 and 25, 2020, an online, cross-sectional study was conducted among public health workers in a city in China. Mental health status was assessed using the Chinese versions of the Generalized Anxiety Disorder-7 (GAD-7) scale and Patient Health Questionnaire-9 (PHQ-9), both with a cutoff score of 5. Work-related variables, workloads and sacrifices, and personal perceptions were also assessed.Results: The prevalence of anxiety and depression were 49.2% and 45.7%, respectively, among public health workers. Three risk factors and one protective factor, namely, overcommitment (OR = 1.10∼1.20, p < 0.001), perceived troubles at work (OR = 1.14∼1.18, p < 0.001), perceived tension (OR = 1.11, p < 0.001) and the capability to persist for more than 1 month at the current work intensity (OR = 0.41∼0.42, p < 0.001) were found to be independently associated with anxiety and depression in the multivariable logistic regression analyses after propensity score matching. But the Bayesian networks analysis found that the last three factors directly affect anxiety and depression.Conclusion: Psychological responses to COVID-19 were dramatic among public health workers during the severe phase of the outbreak. To minimize the impact of the epidemic, working conditions should be improved, and easily accessible psychological support services should be implemented.

Download Full-text

Tired, Worried and Burned Out But Still Resilient: A Cross-Sectional Study of Mental Health Workers During the Covid-19 Pandemic

10.20944/preprints202104.0091.v1 ◽

2021 ◽

Author(s):

Sofia Pappa ◽

Joshua Barnett ◽

Ines Berges ◽

Nikolaos Sakkas

Keyword(s):

Mental Health ◽

Emotional Exhaustion ◽

Organizational Support ◽

Sleep Problems ◽

Health Workers ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Mental Health Workers ◽

Sectional Study ◽

Cross Sectional

The burden of COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of Covid-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7) respectively, sleep problems with the Athens Insomnia Scale (AIS), burnout with the Maslach Burnout Inventory (MBI) and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and over-eating was also observed. However, high Resilience was reported by 70% of the sample and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.

Download Full-text

Mental Health Status of Health Workers during the COVID-19 Pandemic in Setting of DHQ Hospital Jhelum, Punjab, Pakistan: A Cross-sectional Study

Punjab University Journal of Zoology ◽

10.17582/journal.pujz/2020.35.2.217.222 ◽

2020 ◽

Vol 35 (2) ◽

Author(s):

Hamida Sarwar ◽

Kousar Perveen ◽

Rida Mazhar ◽

Muhammad Afzal ◽

Syed Amir Gilani

Keyword(s):

Mental Health ◽

Health Status ◽

Health Workers ◽

Cross Sectional Study ◽

Mental Health Status ◽

Sectional Study ◽

Cross Sectional

Download Full-text

Can communication media improve the KAP status of frontline health workers? A cross-sectional study on MCH indicators from Assam, India

South East Asia Journal of Public Health ◽

10.3329/seajph.v5i2.28314 ◽

2016 ◽

Vol 5 (2) ◽

pp. 57-64 ◽

Cited By ~ 1

Author(s):

Lipi B Mahanta ◽

Manisha Choudhury ◽

Sikha Borthakur ◽

Ritul Bhagabati ◽

Partha Gogoi

Keyword(s):

Public Health ◽

Maternal Health ◽

Child Health ◽

Delivery System ◽

Health Workers ◽

Cross Sectional Study ◽

Communication Media ◽

Sectional Study ◽

Cross Sectional ◽

Frontline Health Workers

Frontline health workers are now key component in any public health delivery system, providing essential information on basic components of health, nutrition and sanitation for improving the utilization of primary health care delivery system by the community. This study was conducted to find out the Knowledge Attitude and Practices (KAP) of Accredited Social Health Activist (ASHA) workers on maternal health and child health components, service delivery system and to find out the association of different communication media on KAP status regarding above components. It is a cross-sectional study. Data was collected using a pre-tested structured questionnaire from 264 ASHA workers from 8 blocks of 5 districts of Assam selected randomly. Multiple regression analysis has been used to associate various findings and variables. The overall KAP status of most of the ASHAs (72%) was found to be 'Good'. It was observed that 70.45% had good KAP regarding maternal health components, 82.2% had good KAP on child health components, and 78.79% on common diseases. Communication media like TV, radio and mobile have also been found to have significant effect on certain KAP by ASHAs. Most of the ASHAs have been found competent in some aspects of health and nutrition components which have direct impact on child survival and maternal health. But at the same time average to poor knowledge level have been seen in some other important indicators. Hence proper training and timely re-orientation and information sharing through different suitable medium would be helpful for improving the KAP status of ASHAs.South East Asia Journal of Public Health Vol.5(2) 2015: 57-64

Download Full-text

Knowledge, attitude and practices of frontline health workers in relation to detection of brucellosis in rural settings of Tanzania: a cross-sectional study

One Health Outlook ◽

10.1186/s42522-021-00056-5 ◽

2022 ◽

Vol 4 (1) ◽

Author(s):

Belinda Joseph Mligo ◽

Calvin Sindato ◽

Richard B. Yapi ◽

Coletha Mathew ◽

Ernatus M. Mkupasi ◽

...

Keyword(s):

Health Workers ◽

Clinical Signs ◽

Clinical Manifestations ◽

Cross Sectional Study ◽

Diagnostic Tools ◽

Human Brucellosis ◽

Causative Organism ◽

Sectional Study ◽

Cross Sectional ◽

Frontline Health Workers

Abstract Background Brucellosis an important zoonotic disease worldwide, which frequently presents as an undifferentiated febrile illness with otherwise varied and non-specific clinical manifestations. Despite its importance, there are few reports on its awareness among frontline health workers. This study aimed at assessing the baseline knowledge, attitude and practice (KAP) related to detection and management of brucellosis among frontline health workers (FHWs) namely; healthcare workers (HWs) and community health workers (CHWs). Methods A cross-sectional study was conducted from December 2019 to January 2020 in Kilosa and Chalinze districts of Tanzania. Data on demographic characteristics, knowledge, attitude and practices regarding brucellosis were collected from the study participants using a structured questionnaire. Interviews were conducted with 32 HWs and 32 CHWs who were systematically selected in study districts. Chi square/fisher Exact was used to assess the association between sociodemographic variables and those related to knowledge, attitude and practices. Results Overall, a total of 30 (93.8%) HWs and nine (28.1%) CHWs from the study districts heard about brucellosis, with (34.4%) of HWs having knowledge about the causative organism. Overall, knowledge showed almost half (46.9%) HWs and (28.1%) CHWs were aware of the symptoms, clinical signs, diagnosis and control regarding brucellosis. Knowledge difference was statistically significant with HWs’ age (p = 0.016). Almost half (46.9%) HWs and less than quarter (12.5%) CHWs had good practices regarding brucellosis control. Almost three quarters (71.9%) of HWs and (21.9%) CHWs had positive attitude regarding brucellosis control; overall attitude was statistically significant with CHWs age (p = 0.028) and education level (p = 0.024). Lack of awareness and unavailability of diagnostic tools were the main challenges faced by FHWs in the two districts. Conclusion The majority of participants were not aware of human brucellosis. Moreover, their overall knowledge was inadequate and the common practices were diagnostic tools, and adequate knowledge to manage brucellosis cases. These findings highlight the need to strengthen frontline health workers knowledge, practices and diagnostic capacities related to brucellosis.

Download Full-text