Abstract
Background: The COVID-19 epidemic has caused serious threats to physical health and human life, including in Indonesia. After the announcement of Indonesia's emergency response to Covid-19 by the central government on March 16, 2020, the number of sufferers of Covid-19 is increase rapidly. Health Care Providers who are at the forefront of handling patients with Covid-19 could be experience psychological distress such as anxiety, stress and depression. Prolonged psychological distress can be contribute to their performance, decision making self-harm in advanced.

Aim: to identify determinant factors of psychological distress experienced by health care providers during the Covid-19 pandemic in Indonesia

Method:This study was a cross sectional survey. Respondents were taken using the snowball sampling technique. Data analysis used Pearson product moment to determine the influence of variables and multiple linear regression to determine the most dominant factor.
Results: Six hundred and eighty two healthcare providers were involved in this study. There was a relationship between sex (p = 0.001), age (p = 0.028), Health Care Providers (p = 0.014) and workplace (p = 0.08) with anxiety levels and there was no relationship between education (p = 0.063) and marital status (p = 0.213) with anxiety levels. There is a relationship between sex (p = 0.007), Health Care Providers (p = 0.012), and marital status (p = 0.011) with stress levels, there is no relationship between age (p = 0.342), Education (p = 0.096) and workplace (p = 0.19) with stress levels. hypertension (p = 0.731) and alcohol consumption (p = 0.169). there is a relationship between workplace and depression level (p = 0.011) and there is no relationship between sex (p = 0.238), age (p = 0.434), education (p = 0.082), Health Care Providers (p = 0.064) and marital status (p = 0.458) with the level of depression of Health Care Providers. Sex was a dominant factor on anxiety, stress, and depression level and has a Beta value of 0.124 for anxiety, stress level has a Beta value of 0.119.

Conclusion: Gender, Health Care Providers and marital status have a significant relationship with the level of stress of Health Care Providers in Indonesia during the Covid-19 pandemic. The workplace has a significant relationship with the level of depression in Indonesia Health Care Providers during the Covid-19 pandemic. Special attention needs to be paid to health care providers by providing free counseling at each health service venue. Improved facilities and tools to improve security for health care providers.

Key words: Covid-19, health care providers, Indonesia, Psychological distress, pandemic