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Caring Until It Hurts: The Silent Frontline: Caring for Kenya’s Caregivers

By Benjamin Mutuku, Clinical Psychologist and Wellness Trainer, Wellness Speaker, and Professional Life Coach. For collaborations or speaking engagements, reach out via LinkedIn or +254 757 277 501

“You cannot pour from an empty cup.” This timeless truth resonated in my mind during the peak of the COVID-19 pandemic. I was not in the ICU. I wasn’t running labs. But I was in the thick of it—supporting healthcare staff emotionally and mentally as they cared for patients who often didn’t make it home.

I sat with teams to break bad news to families, and tried my best to appear strong. Day after another, I sat with weeping nurses, clinicians, doctors… debriefed and even prayed with them.

I Listened to staff who had lost loved ones, and supported others who had to quarantine alone, unsure if they were next. And still, I never thought of myself as someone who also needed help.

This is the untold story of countless caregivers in Kenyan hospitals and care centres. The ones who tend to everyone else while quietly falling apart.

The Many Faces of Care

Kenya’s healthcare system is not just about doctors and nurses. It includes clinical officers, lab technicians, psychologists, occupational therapists, radiographers, nutritionists, social workers, pharmacists, CHVs, support staff, and even chaplains and administrators. Each of these roles is a cog in the health wheel—and many experience trauma and burnout just as deeply.

But how many systems truly care for the carers?

The Burnout Epidemic

Globally, burnout is now recognised as an occupational phenomenon by the WHO. Kenya is not exempt.

  • A 2023 study by the Kenya Medical Practitioners and Dentists Council revealed that nearly 53% of healthcare workers reported high levels of stress and burnout.
  • The 2022 Kenya Mental Health Investment Case noted that 1 in 4 healthcare workers struggles with a common mental health disorder.
  • During COVID-19, the Ministry of Health reported a spike in psychological distress across health facilities, yet support systems remained fragmented.

Burnout isn’t just exhaustion. It’s emotional depletion, depersonalisation, and a deep erosion of purpose.

“Compassion fatigue is the cost of caring.”

– Charles Figley

But this cost shouldn’t be paid in silence.

What Has Been Done (And Must Be Strengthened)

Kenya has taken major strides:

  • The Mental Health Policy 2015–2030 set the tone for systemic mental wellness across the nation.
  • The Kenya Mental Health Action Plan (2021–2025) prioritises wellness at all system levels, including health workers.
  • The National Psychosocial Support Guidelines guide structured mental health support during emergencies.
  • The Kenya Mental Health Investment Case (2021)—supported by WHO and Ministry of Health—highlights the ROI of investing in prevention, early detection, and support for mental illness, including staff care.

The Ministry of Health—especially through the Division of Mental Health—has laid a strong foundation. From deploying mental health focal persons in counties to building integrated care within primary health systems, Kenya is making bold moves.

But this work needs backup.

Time to Widen the Circle of Support

It is time for public and mission hospitals, private facilities, and community centres to go beyond duty and build cultures of empathy, healing, and care—for the caregivers.

  • Design workplace mental wellness programs—not one-off sessions.
  • Train managers on psychological safety.
  • Build peer-support groups and reflective debriefing routines.
  • Employ counsellors, psychologists, and wellness champions.
  • Integrate chaplaincy and pastoral support with clinical care—mission hospitals can offer models here.
  • Structured clinical and emotional supervision reduces vicarious trauma.
  • Teach staff how to self-regulate and recover from intense caseloads.
  • Mental rest should be institutionalised.
  • Create policies that allow frontline workers to take paid mental health days.
  • NGOs, faith-based organisations, corporate wellness providers, and professional bodies can co-create more inclusive support ecosystems.

The 2nd National Mental Health Conference 2025: A Call to Action

This year’s upcoming 2nd National Mental Health Conference in Nairobi, themed “Securing the Future: A Holistic Approach to Mental Health for Generations,” provides an opportunity to scale up support for healthcare workers across Kenya.

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Benjamin Mutuku CPM

Clinical Psychologist & Organisational Wellbeing Consultant | 15+ Years | Helping Organisations Build Mentally Healthy Workplaces | Founder, Beracah Wellness Services | National Suicide Prevention Task Force, Kenya

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