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

Overview

Journal Health Policy Open

Specialty Health Services

Date 2020 Oct 21

PMID 33083785

Citations 20

Authors

Luis Sagaon-Teyssier

Aliou Kamissoko

Adam Yattassaye

Fodie Diallo

Daniela Rojas Castro

Rosemary Delabre

Fabrice Pouradier

Gwenaelle Maradan

Michel Bourrelly

Mamadou Cisse

Laurent Vidal

Bintou Dembele Keita

Bruno Spire

Affiliations

Soon will be listed here.

Abstract

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.

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References

Spoorthy M, Pratapa S, Mahant S . Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian J Psychiatr. 2020; 51:102119. PMC: 7175897. DOI: 10.1016/j.ajp.2020.102119. View

McAlonan G, Lee A, Cheung V, Cheung C, Tsang K, Sham P . Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can J Psychiatry. 2007; 52(4):241-7. DOI: 10.1177/070674370705200406. View

Jaja I, Anyanwu M, Jaja C . Social distancing: how religion, culture and burial ceremony undermine the effort to curb COVID-19 in South Africa. Emerg Microbes Infect. 2020; 9(1):1077-1079. PMC: 7336991. DOI: 10.1080/22221751.2020.1769501. View

Eubanks A, Keita B, Anoma C, Dah T, Mensah E, Maradan G . Reaching a Different Population of MSM in West Africa With the Integration of PrEP Into a Comprehensive Prevention Package (CohMSM-PrEP ANRS 12369-Expertise France). J Acquir Immune Defic Syndr. 2020; 85(3):292-301. DOI: 10.1097/QAI.0000000000002453. View

Pellecchia U, Baert S, Nundwe S, Bwanali A, Zamadenga B, Metcalf C . "We are part of a family". Benefits and limitations of community ART groups (CAGs) in Thyolo, Malawi: a qualitative study. J Int AIDS Soc. 2017; 20(1):21374. PMC: 5467612. DOI: 10.7448/IAS.20.1.21374. View

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

Altman D, Royston P . The cost of dichotomising continuous variables. BMJ. 2006; 332(7549):1080. PMC: 1458573. DOI: 10.1136/bmj.332.7549.1080. View

Stekelenburg J, Kyanamina S, Wolffers I . Poor performance of community health workers in Kalabo District, Zambia. Health Policy. 2003; 65(2):109-18. DOI: 10.1016/s0168-8510(02)00207-5. View

Chersich M, Gray G, Fairlie L, Eichbaum Q, Mayhew S, Allwood B . COVID-19 in Africa: care and protection for frontline healthcare workers. Global Health. 2020; 16(1):46. PMC: 7227172. DOI: 10.1186/s12992-020-00574-3. View

10.

Mai Q, Jacobs A, Schieman S . Precarious sleep? Nonstandard work, gender, and sleep disturbance in 31 European countries. Soc Sci Med. 2019; 237:112424. DOI: 10.1016/j.socscimed.2019.112424. View

11.

Micoulaud-Franchi J, Lagarde S, Barkate G, Dufournet B, Besancon C, Trebuchon-Da Fonseca A . Rapid detection of generalized anxiety disorder and major depression in epilepsy: Validation of the GAD-7 as a complementary tool to the NDDI-E in a French sample. Epilepsy Behav. 2016; 57(Pt A):211-216. DOI: 10.1016/j.yebeh.2016.02.015. View

12.

Godderis L, Boone A, Bakusic J . COVID-19: a new work-related disease threatening healthcare workers. Occup Med (Lond). 2020; 70(5):315-316. PMC: 7197525. DOI: 10.1093/occmed/kqaa056. View

13.

Fenichel E . Economic considerations for social distancing and behavioral based policies during an epidemic. J Health Econ. 2013; 32(2):440-51. PMC: 3659402. DOI: 10.1016/j.jhealeco.2013.01.002. View

14.

Agyeman A, Laar A, Ofori-Asenso R . Will COVID-19 be a litmus test for post-Ebola sub-Saharan Africa?. J Med Virol. 2020; 92(9):1373-1375. PMC: 7228244. DOI: 10.1002/jmv.25780. View

15.

Sagaon-Teyssier L, Yattassaye A, Bourrelly M, Keita B, Spire B . The COVID-19 response must integrate people living with HIV needs in Sub-Saharan Africa: the case of Mali. Trop Med Health. 2020; 48:41. PMC: 7268587. DOI: 10.1186/s41182-020-00228-5. View

16.

Singh M, Sharda S, Gautam M, Hawa R . Optimal sleep health among frontline healthcare workers during the COVID-19 pandemic. Can J Anaesth. 2020; 67(10):1471-1474. PMC: 7232925. DOI: 10.1007/s12630-020-01716-2. View

17.

Akpuh N, Ajayi I, Adebowale A, Idris Suleiman H, Nguku P, Dalhat M . Occupational exposure to HIV among healthcare workers in PMTCT sites in Port Harcourt, Nigeria. BMC Public Health. 2020; 20(1):451. PMC: 7132882. DOI: 10.1186/s12889-020-08528-5. View

18.

Gold J . Covid-19: adverse mental health outcomes for healthcare workers. BMJ. 2020; 369:m1815. DOI: 10.1136/bmj.m1815. View

19.

Lancee W, Maunder R, Goldbloom D . Prevalence of psychiatric disorders among Toronto hospital workers one to two years after the SARS outbreak. Psychiatr Serv. 2008; 59(1):91-5. PMC: 2923654. DOI: 10.1176/ps.2008.59.1.91. View

20.

Chahoud M, Chahine R, Salameh P, Sauleau E . Reliability, factor analysis and internal consistency calculation of the Insomnia Severity Index (ISI) in French and in English among Lebanese adolescents. eNeurologicalSci. 2017; 7:9-14. PMC: 5721555. DOI: 10.1016/j.ensci.2017.03.003. View