AUTHOR=Kassahun Eskeziaw Abebe , Kassie Belayneh Ayanaw , Tilahun Sewbesew Yitayih , Bizuneh Asmamaw Demis 

TITLE=Depression, anxiety and stress, during COVID-19 pandemic among midwives in ethiopia: A nationwide cross-sectional survey

JOURNAL=Frontiers in Psychiatry

VOLUME=13

YEAR=2022

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.867040

DOI=10.3389/fpsyt.2022.867040

ISSN=1664-0640

ABSTRACT=<sec><title>Introduction</title><p>COVID-19 has rapidly crossed borders, infecting people throughout the whole world, and has led to a wide range of psychological sequelae. Midwives who come close in contact with women while providing care are often left stricken with inadequate protection from contamination with COVID-19. Therefore, this study aimed to assess the level of depression, anxiety, and stress (DASS) among midwives in Ethiopia.</p></sec><sec><title>Methods</title><p>A cross-sectional study was conducted from 20 June to 20 August 2020, among 1,691 practicing midwives in Ethiopia. A simple random sampling technique was used to select study participants. Data were collected through a structured telephone interview. A 21-item depression, anxiety, and stress scale (DASS-21) was used. Data were entered using the Google forms platform and were analyzed with SPSS version 24. Both bivariate and multivariable logistic regression analyses were employed. Variables with a <italic>p-</italic>value &lt; 0.05 in the final model were declared statistically significant. Adjusted odds ratio (<italic>AOR</italic>) with the corresponding 95% confidence interval (95% <italic>CI</italic>) was used to determine independent predictors.</p></sec><sec><title>Results</title><p>The prevalence of DASS among midwives in Ethiopia was 41.1, 29.6, and 19.0%, respectively. Being female [<italic>AOR</italic> = 1.35; 95% <italic>CI</italic>: 1.08, 1.69], working in rural areas [<italic>AOR</italic> = 1.39; 95% <italic>CI</italic>: 1.06, 1.82], having poor knowledge of COVID-19 [<italic>AOR</italic> = 1.40; 95% <italic>CI</italic>: 1.12, 1.75], having poor preventive practice [<italic>AOR</italic> = 1.83; 95% <italic>CI</italic>: 1.47, 2.28], and substance use [<italic>AOR</italic> = 0.31; 95% <italic>CI</italic>: 0.17, 0.56] were significantly associated with depression; while, working in the governmental health facility [<italic>AOR</italic> = 2.44; 95% <italic>CI</italic>: 1.24, 4.78], having poor preventive practice [<italic>AOR</italic> = 1,47; 95% <italic>CI</italic>: 1.16, 1.85], and having poor attitude [<italic>AOR</italic> = 2.22; 95% <italic>CI</italic>: 1.04, 1.66] were significantly associated with anxiety. Furthermore, working in rural areas [<italic>AOR</italic> = 0.57; 95% <italic>CI</italic>: 0.39, 0.83], substance use [<italic>AOR</italic> = 2.06; 95% <italic>CI</italic>: 1.51, 2.81], having poor knowledge [<italic>AOR</italic> = 1.44; 95% <italic>CI</italic>: 1.20, 1.90], and having poor preventive practice [<italic>AOR</italic> = 1.60; 95% <italic>CI</italic>: 1.23, 2.10] were associated with stress.</p></sec><sec><title>Conclusion</title><p>In this study, the overall magnitude of depression, anxiety, and stress were high. Addressing knowledge gaps through information, training, and safety protocols on COVID-19 and the provision of adequate personal protective equipment (PPE) is essential to preserve the mental health of Midwives during COVID-19.</p></sec>