COVID19 has affected and continues to alter the entire world, and Nicaragua is no exception. We are a developing country that has been severely affected in its mental and social health since the socio-political crisis that started in 2018. This has generated: half a million people have been fired or suspended from their jobs, more than 40 thousand have had to leave the country in search of solutions to their problems, a reduction of more than 600 thousand tourists a year, a reduction in sources of employment, a declining economy and a 29.6% of the population in poverty would go to a 38.9%. The economy contracted 3.8 percent in 2018. According to the latest forecasts, for 2019 growth is expected to fall to -5.0 percent. Poverty will increase by more than 3 percentage points between 2016 and 2019. The aforementioned is reflected with social effects, economic effects, psychological effects, impact on health services, limited delivery of health services, among other problems.
The violence of the last year, the loss of jobs and a fall in consumer and business confidence, added to a decline in sectors such as tourism and construction, have had a high social and economic cost, threatening the extensive efforts made to reduce poverty
The vulnerability of people in this context, especially health personnel, is a priority since a considerable proportion of health workers report having experienced symptoms of depression, anxiety, insomnia and anxiety, especially women, nurses, and Frontline health care workers directly involved in the diagnosis, treatment, or care of patients with suspected or confirmed COVID-19,
These conclusions suggest that, among health care workers attending health services and exposed to COVID-19, physicians, women, nurses, and front-line health care workers are at high risk of developing outcomes of Unfavorable mental health and may need psychological support or interventions.
We need to act now.