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Background:
Andhra Pradesh (AP) has high prevalence of HIV/AIDS in India. Estimates show a prevalence of 0.90% among adult and this contributes to 21% of total of People Living with HIV/AIDS (PLHA) in India.
Objective:
The study aimed to study the level and factors determining occupational stress among the health care workers of HIV/AIDS in the government settings in the state of Andhra Pradesh.
Methods:
Quantitative cross sectional survey was conducted among the 308 healthcare workers of HIV/AIDS care delivery across the state of AP. A self administered, structured questionnaire was administered with an informed consent form from the respondents which included Maslach Burnout Inventory (MBI), AIDS Stress Scale(ASS) and questions (socio and demographic) pertaining to the predictors of stress..
Results:
118 health care workers out of 308(38%) were experiencing moderate to high degree of burnout (high emotional exhaustion and depersonalization and low personal accomplishment). On MBI score, 100(32.4%) showed high emotional exhaustion, while 125(40.7%) showed high Depersonalization and 102( 33% ) showed low personal accomplishment. The mean score of ASS was 2.08 with SD of 0.45 and showed significant correlations with Depersonalization and Personal Accomplishment. Multivariate analysis shown being a female worker, temporary nature of job, social ostracism due to nature of job and non availability of other job options were significant predictors for high burnout.
Conclusion:
The prevalence of burnout is found to be high in AP, which is more than any other part of the world. Stress reported was associated with modifiable risk factors such as socio-demographical factors, and work related factors. This suggests an urgent need for improving the working environment for healthy workforce in HIV/AIDS sector.
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Learning Objectives: India carries a significant burden of HIV/AIDS ; 0.34% of world prevalence.The resultant is the exponential growth in number of diagnosis and number of people seeking AIDS care. So is the increase in the work burden among the health care providers of HIV/AIDS with increase number of facilities. In the current scenario, There is a lack of data on prevalence of burnout syndrome in AIDS care givers in India. The data present has been obtained exclusively in developed country, with the reference of estimated work load vs actual workload, so it was worth exploring the level of work related stress in Indian conditions. Furthermore, health care workers in general perception are never considered stresses. The findings of the research is useful to the policy makers and the donors of HIV/AIDS to deal with the problems of attrition which is prevailing.