Psychological health of workers in Primary Health Care centres in Akoko North East, Ondo State, Nigeria

Background: Psychological health among healthcare workers is critical for effective service delivery and staff retention. Workers in Primary Health Care (PHC) centres, especially in rural areas like Akoko North East, Ondo State, often operate under challenging conditions, potentially leading to psychological stress and related health issues. This study assesses the psychological health status of PHC workers and explores factors influencing their mental well-being. Methods: A descriptive cross-sectional study was conducted among 280 PHC workers in Akoko North East using a validated structured questionnaire that incorporated the General Health Questionnaire (GHQ-28). Data on socio-demographic characteristics, job stress, and psychological health indicators were analyzed using SPSS version 26. Descriptive statistics and chi-square tests were applied. Ethical clearance was obtained. Results: respondents characteristics shows that female were (59.6%); 36-45 years of age were (60.7%) while 67.5% were high on psychological health. The breakdown of psychological health indicates that tiredness was (62.3%); and loss of concentration was (44.7%). Statistically significant associations (p<0.05) were found between psychological distress and job stress, working hours, and tenure. Nurses and those with >10 years of service reported better psychological outcomes than junior cadres or newly employed workers. Conclusion: Psychological health challenges are prevalent among PHC workers in Akoko North East, with significant associations with job stress and working conditions. Institutional interventions to enhance work conditions, promote stress management, and provide mental health support are recommended.