“Experiences, impacts, and coping strategies during COVID-19: a qualitative study of frontline health care workers in a zonal hospital in northern Tanzania”

The COVID-19 pandemic significantly changed the daily routines of frontline health workers (FLHWs), particularly those directly caring for COVID-19 patients. The aim of this study was to explore Frontline Health Care workers experiences of the impact of COVID-19 and the coping strategies they used while providing care to patients with COVID-19 and their relatives. The study used a qualitative exploratory descriptive design. Participants were purposively selected from KCMC hospital departments that were directly involved in COVID-19 care. Retrospective accounts of the experiences during COVID-19 through qualitative interviews and analyzed thematically. Four key themes emerged; initial response to COVID-19 pandemic, psychological impact of COVID-19, Impact of COVID-19 on professionalism, and Coping strategies employed during pandemic. Frontline Healthcare workers experienced fear, stress, and stigma associated with infection risks, demanding work and interactions within their families and communities. Professional challenges included thoughts of quitting, absenteeism and avoidance of COVID-19 duties Coping strategies varied and included acceptance, faith, family support, rest, and, the use of recreational substances. Findings highlight the need for psychological support, effective communication, adequate training, and resources for FLHWs before, during and after pandemics. Experience of infection prevention, resilience and navigating the rapidly changing demands of COVID-19 highlighted the importance of preparedness for future public health emergencies.