College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, United States of America.
J Glob Health. 2022 Nov 12;12:05046. doi: 10.7189/jogh.12.05046.
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.
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.
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.
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.
持续监测大流行对卫生服务提供和心理健康的影响、对 COVID-19 的认知以及卫生保健提供者（HCPs）对预防措施的遵守情况，有助于减轻大流行的负面影响。
在布基纳法索（瓦加杜古）、埃塞俄比亚（亚的斯亚贝巴）、尼日利亚（拉各斯和伊巴丹）、坦桑尼亚（达累斯萨拉姆）和加纳（金塔波）的 1499 名 HCPs 中进行了计算机辅助电话访谈（CATI）调查。评估了 HCPs 的心理健康自我报告、对 COVID-19 大流行的认知以及工作场所提供的预防措施。HCPs 对九项基本卫生服务受到 COVID-19 影响的问题的回答被汇总成一个分数；高服务中断被定义为总分高于所有地点的总平均值。采用修正泊松回归来确定与高服务中断相关的潜在因素。
总体而言，26.9%的 HCPs 报告服务中断较高，各地点差异较大（从达累斯萨拉姆的 1.6%到亚的斯亚贝巴的 45.0%）。由于职业原因，相当一部分 HCPs 报告经历了轻度心理困扰（9.4%）、焦虑（8.0%）和社交回避或拒绝（13.9%）。与瓦加杜古相比，亚的斯亚贝巴（绝对风险比（ARR）=2.10；95%置信区间（CI）=1.59-2.74）、拉各斯（ARR=1.65；95%CI=1.24-2.17）和金塔波（ARR=2.61；95%CI=1.94-3.52）的参与者报告服务中断较高的可能性更高。报告曾接受 COVID-19 检测（ARR=0.82；95%CI=0.69-0.97）和工作场所存在 COVID-19 指南（ARR=0.63；95%CI=0.53-0.77）均与 HCPs 报告的健康服务中断率较低相关。
COVID-19 大流行继续扰乱基本卫生服务，并对 HCPs 的心理健康构成挑战，各国和各地区存在重要差异；需要采取干预措施来减轻大流行的这些负面影响。
