Prevalence and factors associated with burnout among healthcare providers at Kasulu district in Kigoma region, 2024: an analytical cross-sectional study in a primary healthcare setting

Background Burnout among healthcare providers affects their well-being and quality of care. Despite its importance, limited data exist on burnout among primary healthcare providers in Tanzania.Objectives To determine the prevalence of burnout and associated factors among healthcare providers in Kasu...

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Main Authors: Omary Ubuguyu, Godbless Henry Mfuru, Khadija I Yahya-Malima
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/12/e094520.full
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author Omary Ubuguyu
Godbless Henry Mfuru
Khadija I Yahya-Malima
author_facet Omary Ubuguyu
Godbless Henry Mfuru
Khadija I Yahya-Malima
author_sort Omary Ubuguyu
collection DOAJ
description Background Burnout among healthcare providers affects their well-being and quality of care. Despite its importance, limited data exist on burnout among primary healthcare providers in Tanzania.Objectives To determine the prevalence of burnout and associated factors among healthcare providers in Kasulu district, Kigoma region, 2024.Study design Analytical cross-sectional study conducted from January to June 2024.Study setting Primary health facilities at Kasulu district in Kigoma region.Participants Healthcare providers working in Kasulu district for more than 6 months before study.Primary outcome Burnout.Results Among 266 healthcare providers with a response rate of 99%, 59.4% were male. The median age was 32 years (IQR 27–37). Burnout prevalence was 54.5% (95% CI 48.5% to 60.4%), higher among nurses (61.3%), those living off-site (69.6%) and those considering leaving their careers (86.2%). Significant factors included age 21–30 years (adjusted prevalence ratio (aPR) 1.55, 95% CI 1.06 to 2.27), nursing profession (aPR 2.19, 95% CI 1.07 to 4.48), off-site residence (aPR 1.23, 95% CI 1.02 to 1.49), 6 months to 2 years of experience (aPR 1.44, 95% CI 1.12 to 1.86), dissatisfaction with salary (aPR 1.77, 95% CI 1.02 to 3.07), poor colleague relationships (aPR 1.25, 95% CI 1.03 to 1.51), ≥4 night shifts/week (aPR 2.54, 95% CI 1.33 to 4.86), attending ≥41 patients per day (aPR 1.52, 95% CI 1.06 to 2.19) and lack of academic growth opportunities (aPR 1.62, 95% CI 1.15 to 2.29).Conclusion Rural settings like Kasulu face unique challenges, including limited resources and heavy workloads, exacerbating burnout among healthcare providers. Over half of healthcare providers experienced burnout, with younger providers, nurses, those living off-site, less experienced staff, poor colleague relationships and high patient loads at higher risk. To mitigate burnout, authorities should provide career counselling, onsite housing, mental health support and increased staffing.
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spelling doaj-art-eb592f51c2d549ca81f3f241c07b2ed82025-01-14T13:45:10ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-094520Prevalence and factors associated with burnout among healthcare providers at Kasulu district in Kigoma region, 2024: an analytical cross-sectional study in a primary healthcare settingOmary Ubuguyu0Godbless Henry Mfuru1Khadija I Yahya-Malima22 Directorate of Curative Services, Ministry of Health, Non-Communicable Section, Dodoma, Tanzania, United Republic of1 Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic of3 Department of Nursing Management, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic ofBackground Burnout among healthcare providers affects their well-being and quality of care. Despite its importance, limited data exist on burnout among primary healthcare providers in Tanzania.Objectives To determine the prevalence of burnout and associated factors among healthcare providers in Kasulu district, Kigoma region, 2024.Study design Analytical cross-sectional study conducted from January to June 2024.Study setting Primary health facilities at Kasulu district in Kigoma region.Participants Healthcare providers working in Kasulu district for more than 6 months before study.Primary outcome Burnout.Results Among 266 healthcare providers with a response rate of 99%, 59.4% were male. The median age was 32 years (IQR 27–37). Burnout prevalence was 54.5% (95% CI 48.5% to 60.4%), higher among nurses (61.3%), those living off-site (69.6%) and those considering leaving their careers (86.2%). Significant factors included age 21–30 years (adjusted prevalence ratio (aPR) 1.55, 95% CI 1.06 to 2.27), nursing profession (aPR 2.19, 95% CI 1.07 to 4.48), off-site residence (aPR 1.23, 95% CI 1.02 to 1.49), 6 months to 2 years of experience (aPR 1.44, 95% CI 1.12 to 1.86), dissatisfaction with salary (aPR 1.77, 95% CI 1.02 to 3.07), poor colleague relationships (aPR 1.25, 95% CI 1.03 to 1.51), ≥4 night shifts/week (aPR 2.54, 95% CI 1.33 to 4.86), attending ≥41 patients per day (aPR 1.52, 95% CI 1.06 to 2.19) and lack of academic growth opportunities (aPR 1.62, 95% CI 1.15 to 2.29).Conclusion Rural settings like Kasulu face unique challenges, including limited resources and heavy workloads, exacerbating burnout among healthcare providers. Over half of healthcare providers experienced burnout, with younger providers, nurses, those living off-site, less experienced staff, poor colleague relationships and high patient loads at higher risk. To mitigate burnout, authorities should provide career counselling, onsite housing, mental health support and increased staffing.https://bmjopen.bmj.com/content/14/12/e094520.full
spellingShingle Omary Ubuguyu
Godbless Henry Mfuru
Khadija I Yahya-Malima
Prevalence and factors associated with burnout among healthcare providers at Kasulu district in Kigoma region, 2024: an analytical cross-sectional study in a primary healthcare setting
BMJ Open
title Prevalence and factors associated with burnout among healthcare providers at Kasulu district in Kigoma region, 2024: an analytical cross-sectional study in a primary healthcare setting
title_full Prevalence and factors associated with burnout among healthcare providers at Kasulu district in Kigoma region, 2024: an analytical cross-sectional study in a primary healthcare setting
title_fullStr Prevalence and factors associated with burnout among healthcare providers at Kasulu district in Kigoma region, 2024: an analytical cross-sectional study in a primary healthcare setting
title_full_unstemmed Prevalence and factors associated with burnout among healthcare providers at Kasulu district in Kigoma region, 2024: an analytical cross-sectional study in a primary healthcare setting
title_short Prevalence and factors associated with burnout among healthcare providers at Kasulu district in Kigoma region, 2024: an analytical cross-sectional study in a primary healthcare setting
title_sort prevalence and factors associated with burnout among healthcare providers at kasulu district in kigoma region 2024 an analytical cross sectional study in a primary healthcare setting
url https://bmjopen.bmj.com/content/14/12/e094520.full
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