Humanitarian aid workers in Uganda show signs of stress, depression, and burnout

Latest research points to the high risk for mental health problems among staff working in humanitarian organizations in northern Uganda, due in large part to their work environment. A new study by researchers at Columbia's Mailman School of Public Health examined the mental health of 376 Ugandan workers at 21 humanitarian aid agencies and found that a significant number of the staff at these organizations experienced high levels of symptoms for depression (68%), anxiety disorders (53%), and posttraumatic stress disorder (PTSD) (26%), respectively.

Research up to now has focused on international or expatriate staff; the new study looks at humanitarian workers who are nationals of the country where they work. Workers in Gulu, Northern Uganda, are of particular interest because of their high exposure to chronic and traumatic stress following many years of conflict between the Lord's resistance Army (LRA) and the Government of Uganda forces.

Findings are published in the .

The study, based on self-reported symptoms, showed that female workers reported significantly more symptoms of anxiety, depression, PTSD, and than males. Between one-quarter and one-half of all respondents reported symptom levels associated with high risk for burnout. Chronic stressors such as financial hardship, uncertainty whether peace will continue, separation from close family, and unequal treatment of expatriate and national staff were among those cited for causing these adverse effects.

"While women reported higher levels of distress than men on four of the outcomes, greater risk of among women has been indicated by a number of studies in northern Uganda," says Alastair Ager, PhD, Professor of Clinical Population and Family Health and the study author. Therefore, he cautions against interpreting this trend purely in relation to the demands and exposures of humanitarian work.

Workers with the United Nations and its related agencies reported fewest overall symptoms. In comparison, those working for international NGOs reported significantly more signs of depression. Dr. Ager points to the structure of the UN and related organizations that serves as a protective function for national humanitarian workers.

"Although increased exposure to stressors is an inevitable consequence of working in humanitarian contexts, these findings clearly demonstrate that the characteristics of the organizational environment significantly influence the mental health and wellbeing of staff in such settings," noted Dr. Ager, who is also Director of the Program in Leadership in Global Health and Humanitarian Systems at the Mailman School.

The findings also show that over 50% of workers experienced five or more categories of traumatic events. Higher levels of social support, stronger team cohesion, and reduced exposure to chronic stressors were associated with improved mental health.

There are therefore a number of practical measures that the humanitarian agencies can do to help lessen the adverse mental health reported by workers and fortify social support mechanisms, according to Dr. Ager. These actions are:

  • enabling access to the telephone or Internet for personal communications
  • discouraging "presenteeism" and excessive hours spent at work
  • training managers to explicitly recognize good work performance, resolve conflict within teams, and show a commitment to employee welfare

add to favorites email to friend print save as pdf

Related Stories

Mental health workers: The overlooked victims of 9/11

Mar 27, 2012

We've all heard about the stress experienced by victims of 9/11, but have we ever paused to think about the effect of those terrorist attacks on mental health clinicians who provided care to the victims? A new study by Mary ...

Recommended for you

Discovery hints at why stress is more devastating for some

2 hours ago

Some people take stress in stride; others are done in by it. New research at Rockefeller University has identified the molecular mechanisms of this so-called stress gap in mice with very similar genetic backgrounds—a ...

Family dinners reduce effects of cyberbullying in adolescents

14 hours ago

Sharing regular family meals with children may help protect them from the effects of cyberbullying, according to a study by McGill professor Frank Elgar, Institute for Health and Social Policy. Because family meal times represent ...

The Edwardians were also fans of brain training

20 hours ago

Brain-training programmes are all the rage. They are part of a growing digital brain-health industry that earned more than US$1 billion in revenue in 2012 and is estimated to reach US$6 billion by 2020. The extent to which they actually improve brain function re ...

Report advocates improved police training

Aug 29, 2014

A new report released yesterday by the Mental Health Commission of Canada identifies ways to improve the mental health training and education that police personnel receive.

User comments