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Selamu_et_al-2019-Human_Resources_for_Health.pdf (522.06 kB)

Burnout among primary healthcare workers during implementation of integrated mental healthcare in rural Ethiopia: a cohort study

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posted on 2023-06-09, 18:29 authored by Medhin Selmau, Charlotte Hanlon, Girmay Medhin, Graham Thornicroft, Abe WassieAbe Wassie
Background The short-term course of burnout in healthcare workers in low- and middle-income countries has undergone limited evaluation. The aim of this study was to assess the short-term outcome of burnout symptoms in the context of implementation of a new mental health programme in a rural African district. Methods We followed up 145 primary healthcare workers (HCWs) working in 66 rural primary healthcare (PHC) facilities in Southern Ethiopia, where a new integrated mental health service was being implemented. Burnout was assessed at baseline, i.e. when the new service was being introduced, and after 6 months. Data were collected through self-administered questionnaires, including the Maslach Burnout Inventory (MBI) and instruments measuring professional satisfaction and psychosocial factors. Generalised estimating equations (GEE) were used to assess the association between change in the core dimension of burnout (emotional exhaustion) and relevant work-related and psychosocial factors. Results A total of 136 (93.8%) of HCWs completed and returned their questionnaires at 6 months. There was a non-significant reduction in the burnout level between the two time points. In GEE regression models, high depression symptom scores (adjusted mean difference (aMD) 0.56, 95% CI 0.29, 0.83, p?

History

Publication status

  • Published

File Version

  • Published version

Journal

Human Resources for Health

ISSN

1478-4491

Publisher

BMC

Issue

58

Volume

17

Page range

1-9

Department affiliated with

  • Global Health and Infection Publications

Research groups affiliated with

  • Wellcome Trust Brighton and Sussex Centre for Global Health Research Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2019-07-23

First Open Access (FOA) Date

2019-07-23

First Compliant Deposit (FCD) Date

2019-07-22

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