Preventing, Diagnosing, and Treating Postpartum Haemorrhage: A Practical Summary of WHO 2025 Recommendations Introduction Postpartum haemorrhage (PPH) remains the leading cause of maternal mortality globally , accounting for nearly one in five maternal deaths worldwide. The majority of these deaths are preventable through timely prevention, early diagnosis, and standardised treatment. Recognising persistent gaps in care, the World Health Organisation (WHO), in collaboration with the International Federation of Gynaecology and Obstetrics (FIGO) and the International Confederation of Midwives (ICM), released consolidated evidence-based guidelines in 2025 to harmonise global practice and accelerate reductions in maternal deaths. This article summarises the key recommendations for the prevention, diagnosis, and treatment of postpartum haemorrhage , translating the guideline table into practical guidance for frontline health workers and health ...
Mental Health Problems Among Healthcare Providers in Kenya
The healthcare sector plays a critical role in any society, ensuring the well-being and survival of its population. In Kenya, healthcare providers are the backbone of a system often under immense pressure. However, while they work tirelessly to care for others, their own mental health frequently goes unnoticed, leading to severe repercussions for both providers and the patients they serve. This article explores the growing issue of mental health challenges among healthcare professionals in Kenya, shedding light on causes, impacts, and solutions.
Understanding the Scope of Mental Health Challenges
Healthcare providers in Kenya face significant mental health risks, compounded by the demanding nature of their work. Studies have indicated high levels of stress, anxiety, depression, and burnout among medical professionals, with many struggling to seek help due to stigma and fear of professional repercussions. Limited mental health resources exacerbate the mental health crisis among healthcare workers, making it a silent epidemic that demands urgent attention.
Prevalence of Mental Health Issues
Recent surveys have revealed alarming statistics about mental health problems among healthcare workers in Kenya. Over 40% of healthcare providers report experiencing burnout, while nearly 30% have symptoms of clinical depression. These figures are significantly higher than those in other professions. Frontline workers, especially those in high-pressure environments such as emergency departments, are at a greater risk of developing Post-Traumatic Stress Disorder (PTSD) due to the constant exposure to trauma and death.
Key Causes of Mental Health Problems Among Healthcare Providers
1. Overwork and High Patient Loads
Kenya faces a chronic shortage of healthcare workers, with a doctor-to-patient ratio far below the World Health Organization’s recommendations. This shortage places immense pressure on the available professionals, forcing them to work long hours with minimal rest. The physical and emotional exhaustion that follows often leads to burnout.
2. Insufficient Mental Health Support
Despite the evident need, mental health services for healthcare workers remain inadequate. Many hospitals lack structured counselling or mental health programs. Furthermore, there is a persistent stigma around seeking help, with many professionals fearing it could affect their credibility or job security.
3. Workplace Violence
Violence against healthcare providers, both verbal and physical, is a rising concern in Kenya. Many professionals report harassment from patients, their families, or even colleagues. This hostile environment further deteriorates their mental well-being, creating a toxic workplace culture.
4. Poor Compensation and Resources
Low wages and lacking basic resources, such as adequate medical supplies and proper facilities, exacerbate frustration and helplessness. Many healthcare providers feel undervalued, leading to stress and dissatisfaction that affect their mental health.
5. Exposure to Trauma
Healthcare workers, particularly those in emergency and critical care, are routinely exposed to traumatic events. Witnessing suffering, and death, and dealing with medical complications regularly takes a toll, often leading to symptoms of secondary trauma.
The Impact of Mental Health Challenges on the Healthcare System
Mental health problems among healthcare providers directly impact the quality of care they deliver. Burnout and fatigue often lead to errors, reduced patient satisfaction, and compromised safety standards.
2. Increased Turnover
The stress and dissatisfaction resulting from poor mental health contribute to high attrition rates. Many healthcare providers leave their jobs or migrate to other countries for better working conditions, worsening Kenya's healthcare worker shortage.
3. Personal Consequences
On a personal level, untreated mental health issues can lead to substance abuse, strained relationships, and in severe cases, suicidal tendencies. Tragically, there have been increasing reports of suicide among healthcare workers in Kenya, highlighting the dire need for intervention.
Strategies to Address Mental Health Problems
1. Raising Awareness
Education campaigns targeting both healthcare workers and the general public can help reduce the stigma surrounding mental health. Normalizing conversations about mental well-being in the workplace is critical.
2. Implementing Workplace Wellness Programs
Hospitals and clinics should establish employee wellness programs, offering regular counselling, peer support groups, and stress management workshops. Creating a supportive environment encourages healthcare workers to seek help without fear of judgment.
3. Strengthening Mental Health Policies
The Kenyan government needs to prioritize mental health policies that address the unique challenges healthcare providers face. This includes increasing funding for mental health services and ensuring all hospitals have access to qualified mental health professionals.
4. Addressing Workforce Shortages
Hiring more healthcare workers can help reduce the workload on existing staff. Additionally, ensuring fair wages and better working conditions can alleviate financial stress and boost morale.
5. Building Resilience Through Training
Equipping healthcare workers with resilience-building skills can help them better cope with the demands of their profession. Training programs focused on mental health first aid, self-care, and emotional intelligence are valuable tools.
Conclusion
Mental health problems among healthcare providers in Kenya are a significant issue that requires immediate attention. Addressing this challenge involves a multifaceted approach, including better mental health resources, workplace support, and systemic changes to reduce burnout and stress. Healthcare workers dedicate their lives to caring for others; society must take care of their mental well-being.
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