ArticleComprehensive psychiatry2022
Psychological distress among healthcare workers accessing occupational health services during the COVID-19 pandemic in Zimbabwe.
Article in Comprehensive psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 25 citations in OpenAlex.
- Effect of data-collection method on reporting of common mental disorder symptoms and intimate partner violence in Zimbabwe: a cluster-randomized trial.International journal of epidemiology · 2026Trial
- Psychological and Burnout Effects of the COVID-19 Pandemic on Individuals.Immunity, inflammation and disease · 2025Article
- Ontario healthcare workers who sought treatment for their mental health during the first five waves of the COVID-19 pandemic: a snapshot of self-referrals across the province.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Article
- Psychological status of healthcare workers in the post-COVID 19 period in China: a retrospective multicentric cross-sectional study.Frontiers in psychiatry · 2025Article
- Occupational health and safety regulations in China: development process, enforcement challenges, and solutions.Frontiers in public health · 2025Review
- The mental health toll among healthcare workers during the COVID-19 Pandemic in Malawi.Scientific reports · 2024Article
- Evaluation of a comprehensive health check offered to frontline health workers in Zimbabwe.PLOS global public health · 2024Article
- Prevalence of chronic conditions and multimorbidity among healthcare workers in Zimbabwe: Results from a screening intervention.PLOS global public health · 2024Article
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Authors and funding
17 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundHealthcare workers (HCWs) have experienced anxiety and psychological distress during the COVID-19 pandemic. We established and report findings from an occupational health programme for HCWs in Zimbabwe that offered screening for SARS-CoV-2 with integrated screening for comorbidities including common mental disorder (CMD) and referral for counselling.
methodsQuantitative outcomes were fearfulness about COVID-19, the Shona Symptom Questionnaire (SSQ-14) score (cutpoint 8/14) and the number and proportion of HCWs offered referral for counselling, accepting referral and counselled. We used chi square tests to identify factors associated with fearfulness, and logistic regression was used to model the association of fearfulness with wave, adjusting for variables identified using a DAG. Qualitative data included 18 in-depth interviews, two workshops conducted with HCWs and written feedback from counsellors, analysed concurrently with data collection using thematic analysis.
resultsBetween 27 July 2020-31 July 2021, spanning three SARS-CoV-2 waves, the occupational health programme was accessed by 3577 HCWs from 22 facilities. The median age was 37 (IQR 30-43) years, 81.9% were women, 41.7% said they felt fearful about COVID-19 and 12.1% had an SSQ-14 score ≥ 8. A total of 501 HCWs were offered referral for counselling, 78.4% accepted and 68.9% had ≥1 counselling session. Adjusting for setting and role, wave 2 was associated with increased fearfulness over wave 1 (OR = 1.26, 95% CI 1.00-1.60). Qualitative data showed high levels of anxiety, psychosomatic symptoms and burnout related to the pandemic. Mental wellbeing was affected by financial insecurity, unmet physical health needs and inability to provide quality care within a fragile health system.
conclusionsHCWs in Zimbabwe experience a high burden of mental health symptoms, intensified by the COVID-19 pandemic. Sustainable mental health interventions must be multisectoral addressing mental, physical and financial wellbeing.
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