Prevalence of anxiety, depression, stress and insomnia among healthcare professionals during COVID-19 in Africa: umbrella review of existing meta-analyses

PeerJ. 2024 Oct 30:12:e18108. doi: 10.7717/peerj.18108. eCollection 2024.

Abstract

Introduction: In Africa, healthcare professionals experienced various mental health problems during COVID-19. However, very little was done on the extensive evidence regarding mental disorders. The purpose of this umbrella review is to provide comprehensive data on the prevalence of anxiety, depression, stress, and insomnia among healthcare professionals during the COVID-19 pandemic in Africa.

Materials and methods: Systematic searches of databases African Journals Online, MedRxiv, PubMed, and Google Scholar were used to identify studies from the occurrence of COVID-19 from December 2019 to March 2023 were included. To pool the gathered data for results with a 95% confidence interval (CI), DerSimonian-Laird random effects meta-analysis was used. For heterogeneity examination, I2 was used. The quality assessment was evaluated by using the Joanna Briggs Institute (JBI) critical appraisal checklist.

Results: A total of five studies reported the prevalence of depression, the pooled prevalence was 53.75% (95% CI [40.80-66.70], I2 = 63.6%, p = 0.027). In a total of four studies, the pooled prevalence of anxiety was 49.97% (95% CI [34.71-65.23], I2 = 71.26%, p = 0.014). From a total of two studies, the pooled prevalence of stress was 57.27% (95% CI [42.28-72.25], I2 = 58.9%, p = 0.119). From a total of four studies, the pooled prevalence of insomnia was 45.16% (95% CI [32.94-57.39], I2 = 50.8%, p = 0.107).

Conclusions: The COVID-19 pandemic highly affects the mental health of healthcare professionals in Africa. Stress, depression, anxiety, and insomnia symptoms were representing the most common based on evidences from existing meta-analyses. This evidence can help experts when executing specific interventions that address mental health problems among healthcare professionals during future public health crises.

Keywords: Africa; Anxiety; COVID-19; Depression; Healthcare professionals; Insomnia; Mental disorders; Mental health; Stress; Umbrella review.

Publication types

  • Systematic Review

MeSH terms

  • Africa / epidemiology
  • Anxiety* / epidemiology
  • Anxiety* / psychology
  • COVID-19* / epidemiology
  • COVID-19* / psychology
  • COVID-19* / therapy
  • Depression* / epidemiology
  • Depression* / psychology
  • Health Personnel* / psychology
  • Health Personnel* / statistics & numerical data
  • Humans
  • Meta-Analysis as Topic
  • Pandemics / statistics & numerical data
  • Prevalence
  • Sleep Initiation and Maintenance Disorders* / epidemiology
  • Sleep Initiation and Maintenance Disorders* / psychology
  • Stress, Psychological* / epidemiology
  • Stress, Psychological* / psychology

Grants and funding

The authors received no funding for this work.