Maternity healthcare providers' self-perceptions of well-being during COVID-19: A survey in Tshwane Health District, South Africa.

Journal: African journal of primary health care & family medicine

Volume: 14

Issue: 1

Year of Publication: 2022

Affiliated Institutions:  Department of Family Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa; and, Research Centre for Maternal, Fetal, Newborns and Child Health Care Strategies, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa; and, South African Medical Research Council, Research Unit for Maternal and Infant Health Care Strategies, Faculty of Health Sciences, University of Pretoria, Pretoria. sarie.silberbauer@gmail.com.

Abstract summary 

Mental health manifestations such as depression and anxiety disorders became more marked during the coronavirus disease 2019 (COVID-19) pandemic as frontline healthcare workers struggled to maintain high-quality intrapartum care and essential health services.This study aimed to identify maternity healthcare providers' self-perceptions of changes in their feelings of mental well-being.Ten midwife obstetric units and the labour wards of four district hospitals in Tshwane Health District, South Africa.We conducted an anonymous, cross-sectional survey amongst a convenience sample of 114 maternity healthcare workers to gauge the changes in healthcare workers' experience and perceptions of well-being during the COVID-19 pandemic. Four items measured the perceived changes on a scale of 0-10 for the periods before and during COVID-19, respectively, namely feelings of fear or anxiety, stress, depression and anger.The majority of participants were professional nurses (37%) and advanced midwives (47%). They reported a significant change in well-being from before the pandemic to during the pandemic with regard to all four items (p 0.0001). The biggest 'before-during' difference was in perceptions of fear or anxiety and the smallest difference was in perceptions of anger. A framework was constructed from the open-ended responses to explain healthcare workers' understanding and perceptions of increased negative feelings regarding their mental well-being.The observed trends in the changes in healthcare workers' self-perceptions of their mental well-being highlight the need for further planning to build resilient frontline healthcare workers and provide them with ongoing mental health support and improved communication pathways.

Authors & Co-authors:  Oosthuizen Sarie S Bergh Anne-Marie AM Silver Antonella A Malatji Refilwe R Mfolo Vivian V Botha Tanita T

Study Outcome 

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Citations :  Abdelbadee AY, Abbas AM. Impact of COVID-19 on reproductive health and maternity services in low resource countries. Eur J Contracept Reprod Health Care. 2020;25(5):402–404. 10.1080/13625187.2020.1768527
Authors :  6
Identifiers
Doi : 3034
SSN : 2071-2936
Study Population
Male,Female
Mesh Terms
COVID-19
Other Terms
COVID-19;anger;anxiety;depression;fear;maternity healthcare workers;mental health;stress;support
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
South Africa