Ghana recorded its first two cases of COVID-19 on March 12th, 2020. Since then, the epidemic in Ghana has grown exponentially, with 41,212 cases and 215 deaths as of August 10th, 2020, making it the country with the third highest number of cases in Africa and 51st globally [1, 29]. Ghana has a constrained health system, with a population of approximately 30 million, an estimated 1.8 medical doctors and 42 nurses and midwives per 10,000 population, and less than one hospital bed per 1,000 people [23, 3436]. The increasing number of cases within an overburdened healthcare infrastructure is, therefore, a major source of concern for many HCWs. In addition, HCWs have expressed fear of coronavirus infection due to concerns about inadequate PPE and testing, sparking threats of industrial strike actions by nurses and doctors in Ghana [37, 38]. New data on the high number of COVID-19 cases among HCWs, including six deaths, has elevated this fear and, raised renewed concerns about the potential catastrophic effects of a weak health system and lack of HCW preparedness [39, 40].

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