PMID- 33083785
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230629
IS  - 2590-2296 (Electronic)
IS  - 2590-2296 (Linking)
VI  - 1
DP  - 2020 Dec
TI  - Assessment of mental health outcomes and associated factors among workers in 
      community-based HIV care centers in the early stage of the COVID-19 outbreak in 
      Mali.
PG  - 100017
LID - 10.1016/j.hpopen.2020.100017 [doi]
LID - 100017
AB  - BACKGROUND AND OBJECTIVES: In Mali, the non-governmental association (NGO) ARCAD 
      Sante PLUS launched the CovidPrev program in response to the COVID-19 outbreak to 
      ensure continuity of HIV care-related activities. This study aimed to identify 
      individual and structural factors associated with mental health disorders (MHD) 
      in the NGO's healthcare workers (HCW) in the early stage of the outbreak. 
      METHODS: Data were collected between April 6 and 11, 2020 for 135 HCW in ARCAD 
      Sante PLUS's 18 community-based HIV care centers. Outcomes corresponded to the 
      PHQ-9, GAD-7 and ISI instruments for depression, anxiety and insomnia, 
      respectively. A general mixture model with a negative binomial distribution was 
      implemented. RESULTS: Most HCW were men (60.7%) and median age was 40 years 
      IQR[33-46]. Symptoms of depression, anxiety and insomnia were declared by 71.9, 
      73.3, and 77% participants, respectively. Women were at greater risk of MHD. A 
      lack of personal protection equipment and human resources, especially nurses, was 
      associated with a high risk of MHD. CONCLUSIONS: Health policy must place 
      non-front line HCW, including those in NGOs, at the core of the healthcare system 
      response to the COVID-19 outbreak, as they ensure continuity of care for many 
      diseases including HIV. The efficacy of public health strategies depends on the 
      capacity of HCW to fully with and competently perform their duties.
CI  - (c) 2020 The Authors.
FAU - Sagaon-Teyssier, Luis
AU  - Sagaon-Teyssier L
AD  - Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la 
      Sante & Traitement de l'Information Medicale, Marseille, France.
AD  - ARCAD Sante PLUS, Bamako, Mali.
FAU - Kamissoko, Aliou
AU  - Kamissoko A
AD  - ARCAD Sante PLUS, Bamako, Mali.
FAU - Yattassaye, Adam
AU  - Yattassaye A
AD  - ARCAD Sante PLUS, Bamako, Mali.
FAU - Diallo, Fodie
AU  - Diallo F
AD  - ARCAD Sante PLUS, Bamako, Mali.
FAU - Rojas Castro, Daniela
AU  - Rojas Castro D
AD  - Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la 
      Sante & Traitement de l'Information Medicale, Marseille, France.
AD  - Coalition PLUS, Community-based Research Laboratory, Pantin, France.
FAU - Delabre, Rosemary
AU  - Delabre R
AD  - Coalition PLUS, Community-based Research Laboratory, Pantin, France.
FAU - Pouradier, Fabrice
AU  - Pouradier F
AD  - Pole Medecines et structures d'urgence, Hopital Simone Veil, Eaubonne, France.
FAU - Maradan, Gwenaelle
AU  - Maradan G
AD  - ORS PACA, Observatoire regional de la sante Provence-Alpes-Cote d'Azur, 
      Marseille, France.
FAU - Bourrelly, Michel
AU  - Bourrelly M
AD  - Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la 
      Sante & Traitement de l'Information Medicale, Marseille, France.
FAU - Cisse, Mamadou
AU  - Cisse M
AD  - ARCAD Sante PLUS, Bamako, Mali.
FAU - Vidal, Laurent
AU  - Vidal L
AD  - Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la 
      Sante & Traitement de l'Information Medicale, Marseille, France.
FAU - Keita, Bintou Dembele
AU  - Keita BD
AD  - ARCAD Sante PLUS, Bamako, Mali.
FAU - Spire, Bruno
AU  - Spire B
AD  - Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la 
      Sante & Traitement de l'Information Medicale, Marseille, France.
LA  - eng
PT  - Journal Article
DEP - 20201015
PL  - Netherlands
TA  - Health Policy Open
JT  - Health policy OPEN
JID - 101768951
EIN - Health Policy Open. 2022 Nov 05;3:100079. PMID: 37383582
PMC - PMC7560258
OTO - NOTNLM
OT  - COVID-19
OT  - HIV
OT  - Healthcare workers
OT  - Mali
OT  - Mental health
COIS- The authors declare that they have no known competing financial interests or 
      personal relationships that could have appeared to influence the work reported in 
      this paper.
EDAT- 2020/10/22 06:00
MHDA- 2020/10/22 06:01
PMCR- 2020/10/15
CRDT- 2020/10/21 06:05
PHST- 2020/07/21 00:00 [received]
PHST- 2020/10/07 00:00 [revised]
PHST- 2020/10/08 00:00 [accepted]
PHST- 2020/10/22 06:00 [pubmed]
PHST- 2020/10/22 06:01 [medline]
PHST- 2020/10/21 06:05 [entrez]
PHST- 2020/10/15 00:00 [pmc-release]
AID - S2590-2296(20)30015-0 [pii]
AID - 100017 [pii]
AID - 10.1016/j.hpopen.2020.100017 [doi]
PST - ppublish
SO  - Health Policy Open. 2020 Dec;1:100017. doi: 10.1016/j.hpopen.2020.100017. Epub 
      2020 Oct 15.