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Burnout and mental distress among community health workers in low- and middle-income countries: a scoping review of studies during the COVID-19 pandemic

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Global Health Journal 2024年第4期8卷 162-171页

作者： Oluchi I.Ndulue Anand Chukka john a.naslund Department of Global Health and Social Medicine Harvard Medical SchoolBostonMassachusettsUSA Harvard Medical School BostonMassachusettsUSA

Community health workers(CHWs)represent the backbone of primary health systems,especially in many low-and middle-income countries(LMICs).The coronavirus disease 2019(COVID-19)pandemic stretched health sys-tems and increased the workload for *** objective of this scoping review was to identify the mental health symptoms experienced among CHWs in LMICs during the COVID-19 *** searched PubMed for published literature,from January 1,2020 to December 31,2022 that focused on documenting the experiences of burnout,distress,and mental health symptoms among CHWs in *** quality of included studies was assessed using the Joanna Briggs Institute Critical Appraisal *** studies were grouped into the follow-ing broad thematic categories:(1)symptoms experienced;(2)drivers of different mental health symptoms;and(3)strategies for coping with different *** identified 10 cross-sectional,qualitative,and observational studies from 11 LMICs in South and Southeast Asia,South America,and Eastern/Southern Africa that assessed the mental health burden CHWs faced during the *** studies identified disorders and symptoms such as depression,anxiety,fear,burnout,worsened stress,and *** factors included increased work-load,financial constraints,and an understaffed and underequipped *** reported using different adaptive responses like humor,support from family and colleagues,denial,and substance use,and asked for recommended regular mental health checkups and *** research and policies should be targeted to-wards promoting the mental wellbeing of CHWs to help ensure responsive and resilient health systems in LMICs in the face of future emerging public health threats.

关键词： Community health worker Burnout Stress Coronavirus disease 2019(COVID-19) Low-and middle-income countries(LMICs) Mental health distress

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