Continued disruptions in health care services and mental health among health care providers during the Covid-19 pandemic in five sub-Saharan African countries

Datos Bibliográficos

ID19550312
AutoresNega Assefa (0000-0003-0341-2329, Haramaya University, autor de correspondencia), Yasir Y Abdullahi (0000-0003-3402-0029, Haramaya University), Elena C Hemler (0000-0001-6986-9474, Harvard Global Health Institute), Bruno Lankoandé (Université Joseph Ki-Zerbo), Dongqing Wang (0000-0003-3369-5972, Harvard University), Isabel Madzorera (0000-0001-7226-5997, Harvard University), Ourohiré Millogo (0000-0002-2552-8122, Centre de Recherche en Santé de Nouna), Livesy Abokyi (University for Development Studies), Livesy Naafoe Abokyi, Dielbeogo Dasmane (Université Joseph Ki-Zerbo), Kassoum Dianou (0009-0006-0795-3447, Université Joseph Ki-Zerbo), Angela Chukwu (0000-0001-5596-573X, University of Ibadan), Firehiwot Workneh (0000-0003-1529-987X, Addis Continental Institute of Public Health), Frank Mapendo (0000-0002-0067-7113, Africa Academy for Public Health), Abbas Ismail (0000-0002-6720-7212, The University of Dodoma), Sulemana Watara Abubakari (0000-0002-3448-9938, Ghana Health Service), Emily Smith (0000-0002-2633-5189), Emily R Smith (0000-0001-5715-9459, Milken Institute), Ayo Oduola (University of Ibadan), Abdramane Soura (0000-0002-1539-6357, Institut Superieur Des Sciences De La Population), Ali Sié (0000-0002-3959-2520, Centre de Recherche en Santé de Nouna), Japhet Killewo (0000-0001-6998-6750, Muhimbili University of Health and Allied Sciences), Mary Mwanyika‐Sando (0000-0002-8079-5960, Africa Academy for Public Health), Mary Mwanyika-Sando (Africa Academy for Public Health, Dar es Salaam, Tanzania), Said Vuai (0000-0003-0187-1206, Harvard Global Health Institute), Said Ali Hamad Vuai, Till Baernighausen (Heidelberg University), Kwaku Poku Asante (0000-0001-9158-351X, Heidelberg University), Tajudeen Raji (0000-0001-9849-5088, Africa Centres for Disease Control and Prevention), Yemane Berhane (0000-0002-2527-1339, Addis Continental Institute of Public Health), Wafaie W Fawzi (0000-0002-2908-600X, Harvard University)
Año2022
Volumen12
Páginas05046-05046
Fecha de publicación2022-11-12
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Global Health (JOURNAL)
Identificadores de la revistaISSN: 2047-2978 • E-ISSN: 2047-2986
EditorialInternational Society of Global Health (PUBLISHER • GB)
DOI10.7189/jogh.12.05046
PMID36370415
OpenAlexW4309084241
IdiomaEN
Citas recibidas2
Referencias citadas44

Background: Continuous monitoring of the pandemic's impact on health service provision and mental health, COVID-19 perceptions, and compliance with prevention measures among health care providers (HCPs) can help with mitigating the pandemic's negative effects. Methods: A computer-assisted telephone interviewing (CATI) survey was conducted among 1499 HCPs in Burkina Faso (Ouagadougou), Ethiopia (Addis Ababa), Nigeria (Lagos and Ibadan), Tanzania (Dar es Salaam), and Ghana (Kintampo). Self-reported mental health, perceptions of the COVID-19 pandemic, and prevention measures available in the workplace were assessed. HCPs' responses to questions regarding the impact of COVID-19 on nine essential health services were summed into a score; high service disruption was defined as a score higher than the total average score across all sites. Modified Poisson regression was used to identify potential factors related to high service disruption. Results: Overall, 26.9% of HCPs reported high service disruption, with considerable differences across sites (from 1.6% in Dar es Salaam to 45.0% in Addis Ababa). A considerable proportion of HCPs reported experiencing mild psychological distress (9.4%), anxiety (8.0%), and social avoidance or rejection (13.9%) due to their profession. Participants in Addis Ababa (absolute risk ratio (ARR) = 2.10; 95% confidence interval (CI) = 1.59-2.74), Lagos (ARR = 1.65; 95% CI = 1.24-2.17), and Kintampo (ARR = 2.61; 95% CI = 1.94-3.52) had a higher likelihood of reporting high service disruption compared to those in Ouagadougou. Reporting ever-testing for COVID-19 (ARR = 0.82; 95% CI = 0.69-0.97) and the presence of COVID-19 guidelines in the workplace (ARR = 0.63; 95% CI = 0.53-0.77) were both associated with lower reported health service disruption among HCPs. Conclusion: The COVID-19 pandemic continues to disrupt essential health services and present a challenge to HCPs' mental health, with important differences across countries and settings; interventions are needed to mitigate these negative effects of the pandemic

Anxiety · Confidence interval · Disease · Environmental health · Family medicine · Geography · Health care · Mental health · Pandemic · Poisson regression · Population · Psychiatry · Psychological intervention · Relative risk · Tanzania · COVID-19 and Mental Health · Medicine · Mental Health Treatment and Access · Nursing · Telemedicine and Telehealth Implementation