21 January 2022 | Nina Ashley O. Dela Cruz and Raymond Gaspar
Nina Ashley O. Dela Cruz is a consultant involved in the formulation of evidence and gap maps at the Campbell Collaboration in New Delhi.
Raymond E. Gaspar is a policy research specialist at the United Nations Development Programme Bangkok Regional Hub.
The coronavirus disease (COVID-19) pandemic has taken a toll on the psychological and social well-being of many
Filipinos. Stay-at-home orders have left many in isolation and experiencing feelings of fear and anxiety, largely over
economic hardship and uncertainty. The Philippines’ National Center for Mental Health has been receiving an average of
as much as 400 calls per month related to depression and mental health during the pandemic—a steep increase from an
average of 80 hotline calls per month observed before the imposition of community quarantines and social distancing
guidelines (WHO Philippines 2020).
When all classes went online, the prevailing digital divide put poor students, especially those in more remote areas, at
a disadvantage. Amid workplace closures, a large group of workers, particularly part-time employees and those whose work
cannot be feasibly done at home, have either been furloughed or have faced reduced working hours with negative
consequences on their income and finances. Women, especially mothers, have been taking on a greater domestic burden of
housework and childcare during the pandemic, while the elderly have long been restricted from going outside due to their
vulnerability to the virus.
Using a weekly online survey collected from the Philippines by the Imperial College London-YouGov Covid 19 Behaviour Tracker Data Hub between 31 March and 30 September 2020, we examined the state of mental health among Filipinos during the pandemic and
how it is influenced by sentiments toward the government’s handling of the pandemic and confidence in the national
healthcare system.
Our measures of mental health are consistent with the standard depression and anxiety screening tools, i.e., Patient
Health Questionnaires (PHQ-2) and Generalized Anxiety Disorder (GAD-2). We empirically linked these measures with
individuals’ perceptions on how well the government is handling the pandemic and their confidence in the public
healthcare system.
We found robust evidence of women having higher odds of experiencing considerable mental health concerns. Women,
especially mothers, face a greater challenge of juggling paid work and domestic responsibilities. In a rapid gender
assessment conducted in the National Capital Region from 15 April to 27 May 2020, Dizon and Medina (2020) found that
Filipino women, on average, were spending 7 hours on housework from only 4 hours before the pandemic.
Our findings also revealed that young adults aged 18–25 are relatively more at risk of episodes of psychological
distress. Shaikh et al. (2021) also found a high incidence of stress, anxiety, and depression among Filipino young
adults aged 18–30. Fernandez (2021) showed that accumulating worries associated with missing traditional milestones and
losing economic opportunities and vital relationships are leading young adults into mental distress amid the ongoing
crisis.
Another group of individuals who are disproportionately feeling the brunt of the pandemic are part-time employees and
the unemployed. Due to workplace closures, reduced working hours, and irregular wages and salaries, these individuals
face much higher economic uncertainty, which could lead to a deterioration in their mental state.
Further, our analysis strongly links individuals’ states of mental health and their perceived trust and confidence in
the government and public healthcare system. On average, individuals expressing strong public trust and confidence in
the national healthcare system are less likely to suffer from depression and anxiety. Citizens who are confident in the
capability, reliability, and efficiency of institutions to resolve issues related to the pandemic can have peace of mind
and a feeling of assurance. The success of healthcare authorities in mobilizing scientific expertise to tackle rising
forms of misinformation about the virus and measures, such as vaccination programs, also play a crucial role.
Our empirical analyses lend support to formulating targeted policy initiatives for young adults, women, part-time
employees, the unemployed, and those suffering from pre-existing health conditions, which relate to adopting strategic
solutions and guidelines for handling the pandemic. While vaccination programs are ramped up, the Philippines’ COVID-19
Inter-Agency Task Force for the Management of Emerging Infectious Diseases should facilitate the safe reopening of
schools and face-to-face classes and forge strategic partnerships with the business sector to ensure the welfare of
workers. If feasible, labor market interventions, such as career guidance and skills training should enable individuals
to navigate into a more digitized economic environment.
Evidently, with the ongoing pandemic, building public trust makes policy sense and should always be considered when
formulating public initiatives for addressing mental health issues. A trusted government and public authorities could
effectively demand a cooperative and considerate attitude and compliant behavior from the public, which we have observed
in many safety instructions and practices, such as hand washing and sanitizing practices, stay-at-home orders, and
social distancing. The relevant public authorities should, therefore, show strong and capable governance in setting
clear directions and guidelines. Government actions should be transparent, collaborative, consistent, and credible. In
partnership with the scientific community and relevant private sectors, public health authorities should dismantle any
form of misinformation and conspiracy regarding COVID-19 and vaccines.
Indeed, as Mazzucato and Kattel (2020) argued, governments have a very important role to play in this pandemic era,
which involves strengthening their capacity to adapt and learn, align public services and citizen needs, and govern data
and digital platforms. In the medium-to-long run, the country needs to effectively overcome the existing challenges of
the insufficient availability of medical treatments, appropriate facilities, and mental health professionals.
References
Dizon, A., and K. Medina. 2020. Rapid Gender Analysis Philippines: Metro Manila. https://reliefweb.int/sites/reliefweb.int/files/resources/Report-HQ-CARE-Philippines-Rapid-Gender-Analysis-COVID-19_.pdf
Fernandez, M. E. 2021. COVID-19 Mental Health Crisis is Hitting Young Adults. American Heart Association News. 5 March. https://www.heart.org/en/news/2021/03/05/covid-19-mental-health-crisi-is-hitting-young-adults
Mazzucato, M., and R. Kattel. 2020. COVID-19 and Public-Sector Capacity. Oxford Review of Economic Policy 36(S1): S256–S269.
Shaikh, A., E. Peprah, R. H. Mohamed, A. Asghar, N. V. Andharia, N. A. Lajot, and M. F. H. Qureshi. 2021. COVID-19 and
Mental Health: A Multicountry Study—The Effects of Lockdown on the Mental Health of Young Adults. Middle East Current Psychiatry 28(51): 1–10. https://doi.org/10.1186/s43045-021-00116-6
WHO Philippines. 2020. DOH and WHO Promote Holistic Mental Health Wellness in Light of World Suicide Prevention Day. WHO News Release, 10 September. https://www.who.int/philippines/news/detail/10-09-2020-doh-and-who-promote-holistic-mental-health-wellness-in-light-of-world-suicide-prevention-day