The impact of Covid-19 on self-reported burnout and health and mental health services in Nampula, Mozambique

Bibliographic Data

ID22091648
AuthorsPaulino Feliciano (corresponding author), Jennifer J Mootz (0000-0001-8201-4518, New York Psychoanalytic Society and Institute), António Suleman, Austin Y Su (Columbia University), Saida Khan (0000-0001-9512-5751, Ministry of Health), Lídia Gouveia (0000-0001-9746-8627, Ministry of Health), Palmira Santos (0000-0001-7623-8056, Ministry of Health), Milton L Wainberg (0000-0002-9390-4652, New York Psychoanalytic Society and Institute), Annika C Sweetland (0000-0002-1727-6316, New York Psychoanalytic Society and Institute)
Year2022
Volume10
Pages951270-951270
Publication date2022-08-17
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.951270
PMID36062081
OpenAlexW4292318431
LanguageEN
Citations received1
References cited22

Background: The purpose of this study was to examine the impact of the COVID-19 pandemic on self-reported burnout of health workers, quality of care, and perceptions of COVID-19-related stigma in Mozambique. Method: We conducted a cross-sectional quantitative assessment of 170 frontline health workers in Nampula District, Mozambique, including 149 (87.6%) primary care providers and 21 (12.4%) mental health specialists. Results: Of the 170 frontline workers, only 10.1% of frontline workers were experiencing more professional burnout, whereas 33.3% felt it had lessened. The perceived impact on quality of care also varied, without any significant differences by sex, education level, or mental health training background. Compared to the beginning of the COVID-19 pandemic in March 2020, 42.3 and 38.1% providers felt that their ability to provide mental health and general health care, respectively, had worsened, compared to 57.7 and 61.9% who believed that either there was no change, or that the work had become easier. Likewise, 26.8% of providers felt that their ability to meet patients' needs had gotten more difficult, whereas 43.4% reported no change and 29.8% reported that it was easier. Twenty-two percent of providers reported an overall increase in caseloads since before the pandemic whereas the majority (67.9%) reported a decrease. Providers believed that 57.1% of people in general were afraid of people with COVID-19, 27.5% were afraid of a person recovered from COVID-19, and 39.9% were afraid of a person with family members with COVID-19. The perceived stigma about healthcare professionals was also low; only 27.4% believed that people in general were afraid of healthcare providers who deliver care to people with COVID-19. Conclusion: In contrast with other global studies, many healthcare workers in our sample reported a reduction in burnout, which may be associated with the lower overall caseloads seen during this period. Similarly, the quality of care was minimally impacted. More research is needed to determine whether the experience in Mozambique is unique, or similarly observed in other low-resource settings

2019-20 coronavirus outbreak · Burnout · Disease · Environmental health · Mental health · Outbreak · Psychiatry · Clinical Psychology · COVID-19 and Mental Health · Healthcare professionals’ stress and burnout · Long-Term Effects of COVID-19 · Medicine · Psychology · Virology

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