Prevalence and Related Factors of Common Mental Disorder Among Individual Nusantara Sehat (NSI) Staff in Remote Primary Health Care

Abstract

Data from the national health survey (Riskesdas), Ministry of Health Republic of Indonesia showed there's increasing the proportion of risk common mental disorders (CMD) in people aged > 15 years from 6.0% (in 2013) to 9.8% (in 2018). This study is to determine the prevalence of CMD among health worker after joined as individual Nusantara Sehat (NSI) staff di remote primary health care and also to determine the relationship between socio-demographic factors, work stressors, and CMD. A cross-sectional study involving the target population NSI in remote primary health care was conducted on December 2018. A socio-demographic, the 20-item self-reporting questionnaire (SRQ), the 30 item-survey diagnostic stress (SDS) questionnaire were self-administered. The presence of CMD was considered when the subject answers "yes" to 6 statements or more in SRQ-20. The χ2 test was used to analyze data statistically. In total, 449 NSI staff participated in the study. Generally, the prevalence of CMDs among NSI staff was 21.4% (n=96). Nurses are known to tend to have a lower prevalence while the dentists tend to have the highest prevalence compared with other group types of health worker in terms of CMD. The results of statistical tests showed that marital status has a significant affect to CMD (p<0.05) and 5 from 6 stressors were assessed was statistically associated with CMD (p<0.01). Intervention for NSI is needed to restore their mental health conditions in order to better working conditions. An in-depth analysis of the causes of stress is needed, especially in the health workers with high CMD to reduce work stressors. As an addition, Ministry of Health should develop a coping stress management guidelines for health workers and strengthened stress monitoring implementation to support sustainable health services in remote areas.