Exploring the causes of work-related stress and burnout among doctors in Bangladesh: a qualitative study
Pragna Paramita Mondal1, Tasnima Haque1,2, Judith Johnson3,4
1BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Insights
Burnout in Bangladeshi doctors stems from postgraduate pressures, inadequate mental health support, high workloads, and negative public perceptions. Addressing these requires systemic interventions to improve doctor well-being and healthcare sustainability.
Area of Science:
- Medical Sociology
- Occupational Health
- Qualitative Health Research
Background:
- Global healthcare systems face shortages, particularly in low/middle-income countries.
- Bangladesh experiences critical health workforce shortages, increasing doctor workload and burnout risk.
- Limited qualitative research exists on the causes of occupational burnout among Bangladeshi doctors.
Purpose of the Study:
- To investigate the multifaceted factors contributing to occupational burnout among doctors in Bangladesh.
- To provide an in-depth qualitative understanding of the drivers of burnout in this specific context.
- To inform targeted interventions for improving physician well-being.
Main Methods:
- An exploratory qualitative approach using Reflexive Thematic Analysis.
- Fifteen semi-structured interviews conducted with diverse medical specialists in Bangladesh.
- Data analyzed using Atlas.ti version 24, employing a Critical Realist framework.
Main Results:
- Four key themes emerged: postgraduate phase pressures, insufficient mental health awareness and support, high workload and competing demands, and unhelpful public/media attitudes.
- Findings indicate that structural, cultural, and organizational factors significantly contribute to burnout.
- The study highlights the complex interplay of systemic issues affecting doctors' experiences.
Conclusions:
- Systemic and policy-level interventions are essential to address burnout among Bangladeshi doctors.
- Improving mental health support, managing workloads, and enhancing public awareness are critical.
- This research provides the first comprehensive qualitative account of burnout drivers in Bangladesh's medical community, informing future healthcare workforce strategies.
Purpose:
The global shortage of healthcare professionals disproportionately affects low/middle income countries. Bangladesh is facing critical health workforce shortages, exacerbating workload and the risk of doctors' burnout. However, there is a lack of qualitative research into causes of occupational burnout in Bangladeshi doctors. This study investigated the factors contributing to burnout among Bangladeshi doctors.
Methods:
An exploratory approach was employed using Reflexive Thematic Analysis with a Critical Realist approach. Fifteen semi-structured interviews were conducted with Bangladeshi doctors (general practitioners, cardiologists, surgeons, and paediatricians). Data were collected in English or Bangla and analysed using Atlas.ti version 24.
Results:
Four themes were developed: (1) the postgraduate phase is a pressure pinch-point, (2) there is limited awareness of mental health issues and insufficient support, (3) high workload and competing demands, (4) unhelpful public attitudes and media narratives. Findings highlight structural, cultural, and organizational factors driving burnout.
Discussion:
Addressing burnout in Bangladeshi doctors requires systemic and policy-level interventions. Mental health support, workload management strategies, and public awareness initiatives are critical to improving doctors' well-being and sustaining the healthcare workforce in Bangladesh. Overall, the study offers the first in-depth qualitative account of how intersecting structural and cultural pressures shape doctors' experiences of burnout in Bangladesh.
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