Factors associated with burnout amongst healthcare workers providing HIV care in Malawi

Autoři: Maria H. Kim aff001;  Alick C. Mazenga aff001;  Xiaoying Yu aff003;  Katie Simon aff001;  Phoebe Nyasulu aff001;  Peter N. Kazembe aff001;  Thokozani Kalua aff004;  Elaine Abrams aff005;  Saeed Ahmed aff001
Působiště autorů: Baylor College of Medicine Children’s Foundation Malawi, Lilongwe, Malawi aff001;  Baylor College of Medicine International Paediatric AIDS Initiative, Texas Children’s Hospital, Houston, Texas, United States of America aff002;  University of Texas Medical Branch at Galveston, Galveston, Texas, United States of America aff003;  Ministry of Health, Department of HIV and AIDS, Lilongwe, Malawi aff004;  ICAP at Columbia University, Mailman School of Public Health, New York, New York, United States of America aff005;  College of Physicians and Surgeons, Columbia University, New York, New York, United States of America aff006
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: 10.1371/journal.pone.0222638



High rates of burnout have been reported in low and medium income countries and can detrimentally impact healthcare delivery. Understanding factors associated with burnout amongst health care workers providing HIV care may help develop interventions to prevent/treat burnout.


We sought to understand factors associated with burnout amongst health care workers providing HIV care in Malawi.


This was a sub-study of a larger cross-sectional study measuring burnout prevalence amongst a convenience sample of healthcare workers providing HIV care in 89 health facilities in eight districts in Malawi. Burnout was measured using the Maslach Burnout Inventory. Anonymously administered surveys included questions about sociodemographics, work characteristics (work load, supervisor support, team interactions), depression, life stressors, assessment of type D personality, and career satisfaction. We performed univariable and multivariable regression analyses to explore associations between variables and burnout.


We received 535 responses (response rate 99%). Factors associated with higher rates of burnout on multivariable regression analyses included individual level factors: male gender (OR 1.75 [CI 1.17, 2.63]; p = 0.007), marital status (widowed or divorced) (OR 3.24 [CI 1.32, 7.98]; p = 0.011), depression (OR 3.32 [CI 1.21, 9.10]; p = 0.020), type D personality type (OR 2.77 [CI 1.50, 5.12]; p = 0.001) as well as work related factors: working at a health center vs. a rural hospital (OR 2.02 [CI 1.19, 3.40]; p = 0.009); lack of a very supportive supervisor (OR 2.38 [CI 1.32, 4.29]; p = 0.004), dissatisfaction with work/team interaction (OR 1.76 [CI 1.17, 2.66]; p = 0.007), and career dissatisfaction (OR 0.76 [CI 0.60, 0.96]; p = 0.020).


This study identified several individual level vulnerabilities as well as work related modifiable factors. Improving the supervisory capacity of health facility managers and creating conditions for improved team dynamics may help reduce burnout amongst healthcare workers proving HIV care in Malawi.

Klíčová slova:

Careers – Finance – Malawi – Personality – Psychological stress – Supervisors – Burn management


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