Assessment of mental health outcomes and associated factors among workers in community-based HIV care centers in the early stage of the COVID-19 outbreak in Mali

Health Policy Open

Fodié Diallo¹  Bintou Dembélé Keïta²  Daniela Rojas Castro³  Mamadou Cissé⁴  Aliou Kamissoko⁴  Adam Yattassaye⁵  Laurent Vidal⁵  Rosemary Delabre⁶  Fabrice Pouradier⁶  Gwenaëlle Maradan⁶  Luis Sagaon-Teyssier⁷  Michel Bourrelly⁷  Bruno Spire⁸ 

[1] ARCAD Santé PLUS, Bamako, Mali;Coalition PLUS, Community-based Research Laboratory, Pantin, France;Corresponding author at: IRD, Quartier Hippodrome, BP 25 28 Bamako, Mali.;;Sociales de la Santé &Traitement de l’Information Médicale, Marseille, France;ARCAD Santé PLUS, Bamako, Mali;;Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques &Coalition PLUS, Community-based Research Laboratory, Pantin, France;

关键词: Mali;    COVID-19;    Mental health;    Healthcare workers;    HIV;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background and objectives: In Mali, the non-governmental association (NGO) ARCAD Santé PLUS launched the CovidPrev program in response to the COVID-19 outbreak to ensure continuity of HIV care-related activities. This study aimed to identify individual and structural factors associated with mental health disorders (MHD) in the NGO’s healthcare workers (HCW) in the early stage of the outbreak. Methods: Data were collected between April 6 and 11, 2020 for 135 HCW in ARCAD Santé PLUS’s 18 community-based HIV care centers. Outcomes corresponded to the PHQ-9, GAD-7 and ISI instruments for depression, anxiety and insomnia, respectively. A general mixture model with a negative binomial distribution was implemented. Results: Most HCW were men (60.7%) and median age was 40 years IQR[33-46]. Symptoms of depression, anxiety and insomnia were declared by 71.9, 73.3, and 77% participants, respectively. Women were at greater risk of MHD. A lack of personal protection equipment and human resources, especially nurses, was associated with a high risk of MHD. Conclusions: Health policy must place non-front line HCW, including those in NGOs, at the core of the healthcare system response to the COVID-19 outbreak, as they ensure continuity of care for many diseases including HIV. The efficacy of public health strategies depends on the capacity of HCW to fully with and competently perform their duties.

【 授权许可】

Unknown