BibTex format
@article{Steinhaus:2024:10.1186/s12960-024-00934-9,
author = {Steinhaus, MC and Nicholson, TJ and Pliakas, T and Harper, A and Lilleston, P and Mainga, T and Milimo, D and Jennings, K and Grobbelaar, N and Louis, F and Liebenberg, H and Hayes, RJ and Fidler, S and Ayles, H and Bock, P and Hoddinott, G and Hargreaves, JR and Bond, V and Stangl, AL and HPTN, 071 PopART study team},
doi = {10.1186/s12960-024-00934-9},
journal = {Hum Resour Health},
title = {Prevalence and risk of burnout among HIV service providers in South Africa and Zambia: findings from the HPTN 071 (PopART) trial.},
url = {http://dx.doi.org/10.1186/s12960-024-00934-9},
volume = {22},
year = {2024}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - BACKGROUND: In the high disease burden and resource-constrained contexts of sub-Saharan Africa (SSA), health workers experience a range of psychosocial stressors that leave them vulnerable to developing burnout, which can reduce service quality and negatively impact their own health and wellbeing. As universal testing and treatment (UTT) for HIV scales up across SSA, we sought to understand the implications of this human resource-intensive approach to HIV prevention to inform decision-making about health workforce staffing and support needs. METHODS: Using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), we assessed the prevalence of three domains of burnout-emotional exhaustion, depersonalization, and personal accomplishment-among three cadres of health workers delivering health services in areas receiving a UTT intervention in Zambia and South Africa. These cadres included health facility workers (n = 478), community health workers (n = 159), and a study-specific cadre of community HIV care providers (n = 529). We used linear regression to assess risk factors associated with emotional exhaustion, the only domain with sufficient variation in our sample. RESULTS: The MBI-HSS was completed by 1499/2153 eligible participants (69.6% response rate). Less than 1% of health workers met Maslach's definition for burnout. All groups of health workers reported lower levels of emotional exhaustion than found in previous studies of this type (mean score scores ranged from 10.7 to 15.4 out of 54 across health cadres). Higher emotional exhaustion was associated with higher educational attainment (βadj = 2.24, 95% CI 0.76 to 3.72), greater years providing HIV services (βadj = 0.20, 95% CI 0.03 to 0.36), and testing negative for HIV at last HIV test (βadj = - 3.88 - 95% CI 5.69 to - 2.07). Working as a CHW was significantly associated with lower emot
AU - Steinhaus,MC
AU - Nicholson,TJ
AU - Pliakas,T
AU - Harper,A
AU - Lilleston,P
AU - Mainga,T
AU - Milimo,D
AU - Jennings,K
AU - Grobbelaar,N
AU - Louis,F
AU - Liebenberg,H
AU - Hayes,RJ
AU - Fidler,S
AU - Ayles,H
AU - Bock,P
AU - Hoddinott,G
AU - Hargreaves,JR
AU - Bond,V
AU - Stangl,AL
AU - HPTN,071 PopART study team
DO - 10.1186/s12960-024-00934-9
PY - 2024///
TI - Prevalence and risk of burnout among HIV service providers in South Africa and Zambia: findings from the HPTN 071 (PopART) trial.
T2 - Hum Resour Health
UR - http://dx.doi.org/10.1186/s12960-024-00934-9
UR - https://www.ncbi.nlm.nih.gov/pubmed/38978065
VL - 22
ER -