Resilience outcomes and associated factors among workers in community-based HIV care centres during the Covid-19 pandemic: A multi-country analysis from the EPIC program
Introduction: Community health workers (CHW) were integral in the COVID-19 response, particularly concerning services for populations vulnerable to HIV. Little is known regarding the mental health of CHW during the COVID-19 crisis. The objective of this study was to study resilience of CHW working i...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Health Policy Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590229623000175 |
| _version_ | 1797385113266290688 |
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| author | Marion Di Ciaccio Nicolas Lorente Virginie Villes Axel Akpaka Maxence Claudia Marcela Vargas Pelaez José Rafael Guillen Ingrid Castillo Cinta Folch Rokhaya Diagne Lucas Riegel Rosemary M. Delabre Daniela Rojas Castro |
| author_facet | Marion Di Ciaccio Nicolas Lorente Virginie Villes Axel Akpaka Maxence Claudia Marcela Vargas Pelaez José Rafael Guillen Ingrid Castillo Cinta Folch Rokhaya Diagne Lucas Riegel Rosemary M. Delabre Daniela Rojas Castro |
| author_sort | Marion Di Ciaccio |
| collection | DOAJ |
| description | Introduction: Community health workers (CHW) were integral in the COVID-19 response, particularly concerning services for populations vulnerable to HIV. Little is known regarding the mental health of CHW during the COVID-19 crisis. The objective of this study was to study resilience of CHW working in HIV non-governmental organizations. Methods: An anonymous online, cross-sectional questionnaire was implemented during 2021 among CHW in Benin, Colombia, Guatemala, and Spain. Three scales were used to assess mental health: the 6-item Brief-Resilience Scale, the 9-item Patient Scale Questionnaire and the 7‐item Generalized-Anxiety-Disorder scale. Logistic regression models were used to identify factors associated with “low” resilience vs “normal” or “high” resilience. Results: Among 295 respondents, the median standardized resilience score was 58.33 (IQR = [50.0–75.0], n = 267), 18.52 (IQR = [7.4–33.3], n = 282) for standardized depression score and 19.05 (IQR = [4.8–33.3], n = 274) for standardized anxiety score. Standardized resilience score was negatively correlated with standardized anxiety score (rho = -0.49, p < 0.001, n = 266) and standardized depression score (rho = -0.44, p < 0.001, n = 267). Conclusions: Normal or high level of resiliency in the HIV CHW were observed during the COVID-19 crisis. Self-efficacy, through COVID-19 prevention training, was a factor associated with resilience. Health policy must place CHW at the core of the healthcare system response to Covid‐19 and to future health emergencies, as they ensure continuity of care for many diseases including HIV among vulnerable populations. |
| first_indexed | 2024-03-08T21:49:28Z |
| format | Article |
| id | doaj.art-d1bc9111cc574670be574bbc8d63b1d9 |
| institution | Directory Open Access Journal |
| issn | 2590-2296 |
| language | English |
| last_indexed | 2024-03-08T21:49:28Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Health Policy Open |
| spelling | doaj.art-d1bc9111cc574670be574bbc8d63b1d92023-12-20T07:36:50ZengElsevierHealth Policy Open2590-22962023-12-015100105Resilience outcomes and associated factors among workers in community-based HIV care centres during the Covid-19 pandemic: A multi-country analysis from the EPIC programMarion Di Ciaccio0Nicolas Lorente1Virginie Villes2Axel Akpaka Maxence3Claudia Marcela Vargas Pelaez4José Rafael Guillen5Ingrid Castillo6Cinta Folch7Rokhaya Diagne8Lucas Riegel9Rosemary M. Delabre10Daniela Rojas Castro11Community-based Research Laboratory, Coalition PLUS, Pantin, France; Corresponding author.Community-based Research Laboratory, Coalition PLUS, Pantin, France; Centre Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT) Departament de Salut, Generalitat de Catalunya, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), SpainCommunity-based Research Laboratory, Coalition PLUS, Pantin, FranceBénin Synergie Plus, BéninFUNDACIÓN IFARMA, ColombiaRed Somos, ColombieCAS, GuatemalaCentre Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT) Departament de Salut, Generalitat de Catalunya, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), SpainCommunity-based Research Laboratory, Coalition PLUS, Pantin, FranceCommunity-based Research Laboratory, Coalition PLUS, Pantin, FranceCommunity-based Research Laboratory, Coalition PLUS, Pantin, FranceCommunity-based Research Laboratory, Coalition PLUS, Pantin, France; Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM, Marseille, FranceIntroduction: Community health workers (CHW) were integral in the COVID-19 response, particularly concerning services for populations vulnerable to HIV. Little is known regarding the mental health of CHW during the COVID-19 crisis. The objective of this study was to study resilience of CHW working in HIV non-governmental organizations. Methods: An anonymous online, cross-sectional questionnaire was implemented during 2021 among CHW in Benin, Colombia, Guatemala, and Spain. Three scales were used to assess mental health: the 6-item Brief-Resilience Scale, the 9-item Patient Scale Questionnaire and the 7‐item Generalized-Anxiety-Disorder scale. Logistic regression models were used to identify factors associated with “low” resilience vs “normal” or “high” resilience. Results: Among 295 respondents, the median standardized resilience score was 58.33 (IQR = [50.0–75.0], n = 267), 18.52 (IQR = [7.4–33.3], n = 282) for standardized depression score and 19.05 (IQR = [4.8–33.3], n = 274) for standardized anxiety score. Standardized resilience score was negatively correlated with standardized anxiety score (rho = -0.49, p < 0.001, n = 266) and standardized depression score (rho = -0.44, p < 0.001, n = 267). Conclusions: Normal or high level of resiliency in the HIV CHW were observed during the COVID-19 crisis. Self-efficacy, through COVID-19 prevention training, was a factor associated with resilience. Health policy must place CHW at the core of the healthcare system response to Covid‐19 and to future health emergencies, as they ensure continuity of care for many diseases including HIV among vulnerable populations.http://www.sciencedirect.com/science/article/pii/S2590229623000175CHWCOVID-19 crisisMental healthResilienceHIV |
| spellingShingle | Marion Di Ciaccio Nicolas Lorente Virginie Villes Axel Akpaka Maxence Claudia Marcela Vargas Pelaez José Rafael Guillen Ingrid Castillo Cinta Folch Rokhaya Diagne Lucas Riegel Rosemary M. Delabre Daniela Rojas Castro Resilience outcomes and associated factors among workers in community-based HIV care centres during the Covid-19 pandemic: A multi-country analysis from the EPIC program Health Policy Open CHW COVID-19 crisis Mental health Resilience HIV |
| title | Resilience outcomes and associated factors among workers in community-based HIV care centres during the Covid-19 pandemic: A multi-country analysis from the EPIC program |
| title_full | Resilience outcomes and associated factors among workers in community-based HIV care centres during the Covid-19 pandemic: A multi-country analysis from the EPIC program |
| title_fullStr | Resilience outcomes and associated factors among workers in community-based HIV care centres during the Covid-19 pandemic: A multi-country analysis from the EPIC program |
| title_full_unstemmed | Resilience outcomes and associated factors among workers in community-based HIV care centres during the Covid-19 pandemic: A multi-country analysis from the EPIC program |
| title_short | Resilience outcomes and associated factors among workers in community-based HIV care centres during the Covid-19 pandemic: A multi-country analysis from the EPIC program |
| title_sort | resilience outcomes and associated factors among workers in community based hiv care centres during the covid 19 pandemic a multi country analysis from the epic program |
| topic | CHW COVID-19 crisis Mental health Resilience HIV |
| url | http://www.sciencedirect.com/science/article/pii/S2590229623000175 |
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