ArticleHuman resources for health2019
Burnout among primary healthcare workers during implementation of integrated mental healthcare in rural Ethiopia: a cohort study.
Article in Human resources for health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Addressing Health Care Workers' Mental Health: A Systematic Review of Evidence-Based Interventions and Current Resources.American journal of public health · 2024Pooled it
- What is the impact of integrated care on the job satisfaction of primary healthcare providers: a systematic review.Human resources for health · 2023Pooled it
- Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis.Bulletin of the World Health Organization · 2022Pooled it
- Burnout among Nurses Working in Ethiopia.Behavioural neurology · 2020Pooled it
- Burnout Risk Among Providers of an Integrated Care Program Supporting Transitions Between the Hospital and Home: A Descriptive Mixed Methods Evaluation.International journal of environmental research and public health · 2026Article
- A digital adaptation of the WHO's Self-Help Plus psychological intervention to alleviate stress among community health workers: a mixed-methods evaluation of the SAMBHAV program in rural India.Health policy and planning · 2026Article
- Urban-rural differences in determinants of mental health among primary healthcare workers in China.Epidemiology and psychiatric sciences · 2026Article
- Demographic Variances of Burnout Prevalence Among Healthcare Workers of a Tertiary Hospital in Ghana.Health services insights · 2026Article
- Article
- Claiming justice in the health sector of Nepal: Exploring causes and consequences of protests among health care workers.Dialogues in health · 2025Article
- Occupational burnout among healthcare workers in Central Asia during the COVID-19 pandemic.Scientific reports · 2025Article
- Towards person-centred maternal and newborn care in Ethiopia: a mixed method study of satisfaction and experiences of care.BMC pregnancy and childbirth · 2025Article
- Strengthening primary health care in Ethiopia: A scoping review of successes, challenges, and pathways towards universal health coverage using the WHO monitoring framework.PLOS global public health · 2025Article
- Evaluation of a Positive Psychological Intervention to Reduce Work Stress among Rural Community Health Workers in India: Results from a Randomized Pilot Study.Journal of happiness studies · 2025Article
- Prevalence of burnout and associated factors among nurses working in public hospitals, southern Ethiopia: a multi-center embedded mixed study.Scientific reports · 2024Article
- Factors affecting healthcare workers burnout and their conceptual models: scoping review.BMC psychology · 2024Article
- Stress Alleviation Methods for community-Based Health ActiVists (SAMBHAV): Development of a digital program for stress reduction for community health workers in rural India.SSM. Mental health · 2023Article
- Depression and Burnout among Health Extension Workers in Ethiopia: A Cross-Sectional Study.Ethiopian journal of health sciences · 2023Article
- The Association between Burnout, Social Support, and Psychological Capital among Primary Care Providers in Togo: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2023Article
- Workplace wellbeing among health care workers providing HIV services in primary care in Johannesburg: a mixed methods study.Frontiers in public health · 2023Article
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Abstract
backgroundThe 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.
methodsWe 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.
resultsA 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 < 0.01), experiencing two or more stressful life events (aMD 1.37, 95% CI 0.06, 2.14, p < 0.01), being a community health extension worker vs. facility-based HCW (aMD 5.80, 95% CI 3.21, 8.38, p < 0.01), perceived job insecurity (aMD 0.73, 95% CI 0.08, 1.38, p = 0.03) and older age (aMD 0.36, 95% CI 0.09, 0.63, p = 0.01) were significantly associated with higher levels of emotional exhaustion longitudinally.
conclusionIn the short-term, there was no significant change in the level of burnout in the context of adding mental healthcare to the workload of HCWs. However, longer term and larger scale studies are required to substantiate this. This evidence can serve as baseline information for an intervention development to enhance wellbeing and reduce burnout.
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