title: High rates of burnout among maternal health staff at a referral hospital in Malawi: A cross-sectional study.
abstract: BACKGROUND
  Burnout among maternal healthcare workers in sub-Saharan Africa may have a negative effect on services provided and efforts to mitigate high maternal mortality rates. In Malawi, research on burnout is limited and no empirical research has been conducted specifically among maternal health staff. Therefore, the aims of the study were to examine the prevalence and degree of burnout reported by healthcare workers who provide antenatal, intrapartum, and postnatal services in a district referral hospital in Malawi; and, to explore factors that may influence the level of burnout healthcare workers experience.
  
  
  METHODS
  In the current cross-sectional study, levels of burnout among staff working in obstetrics and gynaecology at a referral hospital in Malawi were examined, in addition to individual and job characteristics that may be associated with burnout.
  
  
  RESULTS
  In terms of the three dimensions of burnout, of the 101 participants, nearly three quarters (72%) reported emotional exhaustion, over one third (43%) reported depersonalization while almost three quarters (74%) experienced reduced personal accomplishment.
  
  
  CONCLUSIONS
  Based on these findings, burnout appears to be common among participating maternal health staff and they experienced more burnout than their colleagues working in other medical settings and countries. Further research is needed to identify factors specific to Malawi that contribute to burnout in order to inform the development of prevention and treatment within the maternal health setting.
authors: Department of Community Medicine, University of Oslo, Oslo, Norway. v.c.thorsen@medisin.uio.no.
authors: Viva Combs
authors: VC
authors: Thorsen
authors: Andra L Teten
authors: AL
authors: Tharp
authors: Tarek
authors: T
authors: Meguid
references: JAMA. 2002 Oct 23-30;288(16):1987-93
references: 12387650
references: Soc Psychiatry Psychiatr Epidemiol. 1990 Mar;25(2):81-6
references: 2336581
references: Curr Opin Crit Care. 2007 Oct;13(5):482-8
references: 17762223
references: J Adv Nurs. 2008 Jan;61(1):100-106
references: 18034813
references: Hum Resour Health. 2009 Feb 19;7:13
references: 19228391
references: J Appl Psychol. 1990 Dec;75(6):743-7
references: 1981064
references: Am J Respir Crit Care Med. 2007 Apr 1;175(7):698-704
references: 17110646
references: J Clin Nurs. 2008 Dec;17(24):3286-95
references: 19146587
references: Int Arch Occup Environ Health. 2009 Feb;82(3):291-303
references: 18512068
references: Psychooncology. 2009 May;18(5):543-8
references: 18942658
references: J Nurse Midwifery. 1986 Jan-Feb;31(1):3-15
references: 3633976
references: J Nurs Manag. 2009 Apr;17(3):331-9
references: 19426369
references: Rocz Akad Med Bialymst. 2005;50 Suppl 1:216-9
references: 16119670
references: Health Care Manage Rev. 2008 Jan-Mar;33(1):29-39
references: 18091442
references: J Appl Psychol. 1986 Nov;71(4):630-40
references: 3804935
references: Health Policy Plan. 2007 May;22(3):139-48
references: 17400577
references: Psychol Rep. 1995 Jun;76(3 Pt 2):1083-90
references: 7480470
references: Annu Rev Psychol. 2001;52:397-422
references: 11148311
references: J Health Hum Serv Adm. 1997 Spring;19(4):442-66
references: 10175522
references: Reprod Health Matters. 2006 May;14(27):27-39
references: 16713877
references: Int J Nurs Stud. 2003 Nov;40(8):807-27
references: 14568363
references: S Afr Med J. 2006 Nov;96(11):1162-8
references: 17167700
references: Reprod Health Matters. 2006 May;14(27):40-50
references: 16713878
references: Occup Med (Lond). 1998 May;48(4):237-50
references: 9800422
references: Lancet. 2004 Nov 27-Dec 3;364(9449):1984-90
references: 15567015
references: Arch Intern Med. 2005 Dec 12-26;165(22):2595-600
references: 16344416
references: Nurs Ethics. 2002 May;9(3):269-78
references: 12035432
references: Ann Intern Med. 2002 Mar 5;136(5):358-67
references: 11874308
references: Occup Med (Lond). 2009 Jan;59(1):8-13
references: 18796698
references: J Occup Health Psychol. 2006 Oct;11(4):343-57
references: 17059298
references: Afr J Med Med Sci. 2003 Sep;32(3):297-302
references: 15030092
references: Laryngoscope. 2005 Nov;115(11):2056-61
references: 16319624
references: J Adv Nurs. 2007 Feb;57(4):392-403
references: 17291203