Evidence map›Paper›PMID 34108174›Full record

ArticleBMJ open2021

Mental health disorders among healthcare workers during the COVID-19 pandemic: a cross-sectional survey from three major hospitals in Kenya.

Jasmit Shah, Aliza Monroe-Wise, Zohray Talib, Alphonse Nabiswa, Mohammed Said, Abdulaziz Abeid, Mohamed Ali Mohamed, Sood Mohamed, Sayed K Ali

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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  9. Telemedicine as an Approach to the Mental Health of Healthcare Workers in Angola.International journal of environmental research and public health · 2025
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  14. The burden of insomnia among public health sector nurses in KwaZulu-Natal, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Jasmit ShahDepartment of Internal Medicine, Aga Khan University Hospital, Nairobi, Kenya.
Aliza Monroe-WiseDepartment of Global Health, University of Washington Seattle Campus, Seattle, Washington, USA.ORCID 0000-0002-8843-3462
Zohray TalibDepartment of Medical Education, California University of Science and Medicine, San Bernardino, California, USA.
Alphonse NabiswaDepartment of Internal Medicine, Aga Khan University Hospital, Nairobi, Kenya.
Mohammed SaidAvenue Hospital, Nairobi, Kenya.
Abdulaziz AbeidCoast General Teaching and Referral Hospital, Nairobi, Kenya.
Mohamed Ali MohamedCoast General Teaching and Referral Hospital, Nairobi, Kenya.
Sood MohamedCoast General Teaching and Referral Hospital, Nairobi, Kenya.
Sayed K AliDepartment of Internal Medicine, Aga Khan University Hospital, Nairobi, Kenya sayed.karar@aku.edu.ORCID 0000-0003-0750-2903
Aga Khan University Hospital Nairobi · KECalifornia State University, San Bernardino · USNairobi Hospital · KEUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 is an international global health emergency and has posed a great challenge to mental well-being and resilience. Little is known about the mental health impact of COVID-19 among healthcare workers (HCWs) in sub-Saharan Africa or other low-resource settings.

methodsWe conducted a cross-sectional study between August and November 2020 among HCWs recruited from three major hospitals in Kenya. The survey questionnaire consisted of six components: demographic and work title characteristics; information regarding care of patients with COVID-19; and symptoms of depression, anxiety, insomnia, distress and burnout, measured using standardised questionnaires. Multivariable logistic regression analysis was performed to identify factors associated with mental health disorders.

resultsA total of 433 (65.2% response rate) individuals participated in the survey. Median age was 32.75 years, 58.4% were females and 68.8% were front-line workers. Depression, anxiety, insomnia, distress and burnout were reported in 53.6%, 44.3%, 41.1%, 31.0% and 45.8% of all participants, respectively. Front-line HCWs, females and doctors were at higher risk of mental health symptoms. Nearly half of participants reported inadequate resources or training to care for patients with COVID-19, and those in the government hospital were more likely to report mental health symptoms.

conclusionsThis is among the first studies examining mental health outcomes among HCWs during the COVID-19 pandemic in Kenya. Similar to other studies from around the world, HCWs directly involved with patients with COVID-19 reported higher rates of mental health symptoms. Mitigating strategies specific to Kenyan HCWs are urgently needed to help them cope with mental health symptoms during the pandemic.

Indexed as

COVID-19PandemicsAdultAnxietyCross-Sectional StudiesDepressionFemaleHealth PersonnelHospitalsHumansKenyaMaleMental HealthSARS-CoV-2COVID-19depression & mood disordersmental healthpublic health

Identifiers

PMID34108174
PMCPMC8190985
OpenAlexW3169137936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.