BackgroundSince the onset of the COVID-19 pandemic, both lives and livelihoods have been profoundly impacted, particularly in the healthcare sector. In Ghana, healthcare workers have faced an increased risk of contracting the virus and its potentially fatal consequences due to their close contact with infected patients, leading to significant mental and emotional distress. This study assesses the risk of exposure and the psychological impact of COVID-19 on healthcare workers at the primary level in the Greater Accra Region of Ghana.MethodsThe study employed a cross-sectional design, collecting data from 97 healthcare workers in primary health facilities within the Greater Accra Region. Mental health conditions were assessed using the Patient Health Questionnaire 9-item, the Impact Event Scale 6-item and the Generalized Anxiety Disorder 7-item scale. To assess healthcare workers' risk of exposure to COVID-19, participants responded to a set of questions based on the WHO’s cardinal symptoms of the virus. Data were analysed using STATA version 15, with results presented through frequencies, percentages, and both univariate and multivariate logistic regression. Statistical significance was set at 0.05, with 95% confidence intervals assessed.ResultsHealthcare workers experienced an increased exposure to COVID-19 and were at risk (82.5%) of contracting the COVID-19 pandemic. Yet mental health issues were significantly improved except for depression (71.1%) among healthcare workers. Variables such as family avoidance (physical) (p < 0.01; p < 0.00), alcohol use (p < 0.02), and job categories (such as community health officers (CHOs) (p < 0.04), public health nurses (p < 0.00), and other categories (p < 0.03)) were significantly related to anxiety, depression, and stress among healthcare workers during the peak of the COVID-19 pandemic. Family avoidance (physical) in particular was significant for both anxiety AOR = 8.17 and stress AOR = 25.71.ConclusionThe majority of healthcare workers experienced increased exposure to COVID-19 and were at risk of being infected by the COVID-19 virus. The health system must acknowledge the adverse psychological effects on primary healthcare workers and take practical measures to address them, such as ensuring the availability of Personal Protective Equipment (PPE).
Read full abstract