ArticleHarvard public health review (Cambridge, Mass.)2020
Psychological Impact of COVID-19 Pandemic on Frontline Health Workers in Low- and Middle-Income Countries.
Article in Harvard public health review (Cambridge, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed.
- Predictors of dropout in cognitive behavior and interpersonal online brief psychotherapies for essential professionals during the COVID-19 pandemic.Scientific reports · 2024Trial
- The role of sense of coherence in the relationship between posttraumatic stress, depression and anxiety among nurses in South Africa.Journal of health psychology · 2026Article
- Psychological Distress, Resilience, and Immunoinflammatory Signatures in Healthcare Workers During COVID-19.Stress and health : journal of the International Society for the Investigation of Stress · 2026Article
- Anxiety and depression among healthcare workers during the COVID-19 pandemic in Khujand, Tajikistan.Frontiers in public health · 2026Article
- Using the Community Perception Tracker (CPT) to inform COVID-19 response in Lebanon and Zimbabwe: a qualitative methods evaluation.BMC public health · 2025Article
- Unmasking Distress: An Analysis of COVID-19's Mental Health Impact on Nurses in South Africa.Western journal of nursing research · 2025Article
- The well-being of polish general practitioners during the COVID-19 pandemic-cross-sectional questionnaire-based study.BMC primary care · 2025Article
- Well-being and quality of life of Kenyan nurses, midwives and community health volunteers: Measurement properties and correlates of the BBQ and WHO-5.PLOS global public health · 2025Article
- Article
- Lessons for Strengthening a Resilient Health System from the View of Health Facilities During the COVID-19 Pandemic: A Qualitative Study.Risk management and healthcare policy · 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
- Assessment of COVID-19 management and its consequences on healthcare professionals: a cross-sectional study from Bangladesh.BMJ open · 2023Article
- Evaluation of an Online Training Program on COVID-19 for Health Workers in Papua New Guinea.Tropical medicine and infectious disease · 2023Article
- Cross-sectional study to assess depression among healthcare workers in Lusaka, Zambia during the COVID-19 pandemic.BMJ open · 2023Article
- Tackling the First COVID-19 Wave at the Cape Town Hospital of Hope: Why Was It Such a Positive Experience for Staff?Healthcare (Basel, Switzerland) · 2023Article
- Mental health, risk perception, and coping strategies among healthcare workers in Egypt during the COVID-19 pandemic.PloS one · 2023Article
- Psychological Resilience, Anxiety, and Well-Being of Health Care Providers During the COVID-19 Pandemic.Journal of multidisciplinary healthcare · 2023Article
- Burnout in emergency department staff: The prevalence and barriers to intervention.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023Article
- Navigating fear and care: The lived experiences of community-based health actors in the Philippines during the COVID-19 pandemic.Social science & medicine (1982) · 2022Article
- An intervention package for supporting the mental well-being of community health workers in low, and middle-income countries during the COVID-19 pandemic.Comprehensive psychiatry · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Healthcare systems in many countries have been overwhelmed by the coronavirus disease (COVID-19) pandemic, with increasing demands to contain and respond to the virus. The result has been increased pressure on frontline health workers. As the pandemic unfolds, the impact on health systems in low-income and middle-income countries (LMICs) is becoming apparent. In lower resource settings, the detrimental effects on frontline health workers will likely be significant due to fragmented infrastructure, low compensation, and significant shortages of necessary resources such as personal protective equipment. These high stress conditions, coupled with risk of infection and fears and anxieties among patients, can result in grave psychosocial consequences for frontline health workers, who play a vital role in delivering the bulk of primary care services in LMICs. In this narrative review, we consider the psychological impact of the COVID-19 pandemic on frontline health workers in LMICs. We describe the important role of frontline health workers, summarize existing literature on burnout and risks to mental health in this essential workforce, and consider how public health emergencies exacerbate these concerns to showcase their vulnerability to mental health impacts of COVID-19. We explore emerging research on the detrimental effects of the COVID-19 pandemic on health workers and consider possible approaches to mitigate these consequences. This review draws from existing studies and emerging evidence to highlight the critical need to consider the wellbeing of frontline health workers, and to address these challenges as health systems respond to the pandemic.
Identifiers
33409499PMC7785092What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.