The Magnitude of Satisfaction and Associated Factors Among Household Heads Who Visited Health Facilities with Community-Based Health Insurance Scheme in Anilemo District, Hadiya Zone, Southern Ethiopia

Addise, Teketel; Alemayehu, Tadesse; Assefa, Nega; Erkalo, Desta

doi:10.2147/rmhp.s290671

Cited by 13 publications

(19 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 This variation may be due to the study settings, socio-demographic characteristics of respondents and duration of study period. 18 Participation in community-based health insurance schemes related meetings were significantly associated with satisfaction of HHs on CBHI schemes in the study area. The possible explanation were respondents who attend the meetings may have basic understanding of the role of CBHI; how the CBHI scheme works and know what is being offered by the scheme.…”

Section: Discussionmentioning

confidence: 90%

“…19 This variation may be due to the study settings, socio-demographic characteristics of respondents and duration of study period. 18…”

Section: Discussionmentioning

confidence: 99%

“…From district health office up to health post level, it is staffed with 73 health workers with different professions, 37 health extension workers and 48 non-technical staffs with a total human power of 158. 18 The district made contractual agreement with Sire primary hospital, Ethiopia and CBHI beneficiaries are allowed to access hospital without penalty with a health center referral. The study was conducted from November 1-30, 2020.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Household heads satisfaction and associated factors on community-based health insurance scheme in Gudeya Bila District, Oromia, Ethiopia

Asfaw

Etana

Mulatu

et al. 2023

Journal of Public Health Research

View full text Add to dashboard Cite

Background: Community-Based Health Insurance (CBHI) scheme refers to a non-profit type of health insurance for the informal sector. There is a paucity of information on this topic in Gudeya Bila, Ethiopia. This study aimed to assess the level of household (HH) satisfaction with the CBHI scheme and its associated factors. Method: A community-based cross-sectional study design was employed from November 1–30, 2020, and a sample of 630 HHs who enrolled in the CBHI scheme were included. A multi-stage sampling and systematic random sampling were employed. Data was entered into Epidata version 3.1 and analyzed using SPSS for windows program version 25. A 95% CI was calculated and variables having p-value < 0.05 were considered statistically significant. Descriptive statistics, bivariate, and multivariable logistic regression analyses were performed. Result: All HHs heads (630) with a response rate of 100% were involved in the study. The overall HH satisfaction on CBHI was 56.2%. Attending CBHI scheme-related meetings (AOR = 1.948, 95% CI = 1.16–3.27), healthcare provider respectfulness (AOR = 9.209, 95% CI = 2.73–31.06), able to get the ordered laboratory test service (AOR = 2.143, 95% CI = 1.127–4.072) and having paid extra money for drug supply at private health facilities (AOR = 0.492, 95% CI = 0.285–0.847) were independent predictors. Conclusion: HH satisfaction level on CBHI scheme was moderate. Attending CBHI scheme-related meetings, health-care provider respectfulness, being able to get the ordered laboratory test services and extra payments for drug supply were significant predictors of satisfaction with CBHI. Therefore, attention should be given to increasing the satisfaction of HHs with CBHI through improving the quality of health services.

show abstract

Section: Discussionmentioning

confidence: 90%

“…19 This variation may be due to the study settings, socio-demographic characteristics of respondents and duration of study period. 18…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Household heads satisfaction and associated factors on community-based health insurance scheme in Gudeya Bila District, Oromia, Ethiopia

Asfaw

Etana

Mulatu

et al. 2023

Journal of Public Health Research

View full text Add to dashboard Cite

show abstract

“…4 Another study conducted in the Anilemo district Hadiya zone in southern Ethiopia also reported that the magnitude of household satisfaction with the CBHI scheme was 54.1%. 29 However, another study done in the Damotwoyde district of the Wolyta zone in SNNP reported that the satisfaction of members toward the CBHI scheme was found to be 91.4%. 23 The possible reason for this discrepancy might be due to the difference in the socio-demographic characteristics of the respondents, the tools used to measure the satisfaction level of households, and the time difference of the study.…”

Section: Discussionmentioning

confidence: 94%

“…93). The possible reason as mentioned by Addise et al 29 might be due to households who enrolled and did not get the right prescribed drugs in a public health facility were obliged to pay additional costs for private pharmacies which might be the causes of dissatisfaction with the CBHI scheme.…”

Section: Discussionmentioning

confidence: 99%

Household satisfaction with a pilot community-based health insurance scheme and associated factors in Addis Ababa

Balcha

Endeshaw

Mebratie

2023

Journal of Public Health Research

View full text Add to dashboard Cite

Background: Many countries introduce CBHI as their healthcare financing system to ensure healthcare access. Understanding the level of satisfaction and factors associated with it is essential to ensure the sustainability of the program. Therefore, this study aimed to assess household satisfaction with a CBHI scheme and its associated factors in Addis Ababa. Design and methods: Institutional-based cross-sectional study was conducted in the 10 health centers found in the 10 sub-cities of Addis Ababa. Both quantitative and qualitative methods were used. Logistic regression analysis was carried out to identify its associated factors and thematic analysis was used for qualitative data. Finally, variables with a p-value of <0.05 have been considered statistically significant. Results: In this study, the overall satisfaction level of households with CBHI was 46.3%. Satisfaction was associated with valid CBHI management regulations (AOR = 1.96, 95% CI: 1.12, 3.46), participants who received the right drug (AOR = 1.77, 95% CI: 1.08, 2.93), households who got immediate care (AOR = 4.95, 95% CI: 2.72, 8.98), those who agreed with the adequacy of medical equipment (AOR = 1.65, 95% CI: 1.02, 2.69), and households who agreed with qualification of health personnel (AOR = 1.89, 95% CI: 1.12, 3.20) were more satisfied with the scheme than their counterparts. The challenges mentioned by the discussants were the shortage of drugs, poor attitude of health professionals, absence of kenema pharmacy, lack of laboratory services, lack of awareness about the CBHI scheme, and tight payment schedule. Conclusions: the satisfaction level of households was low. To achieve a better result, the concerned bodies should work to improve the availability of medication, and medical equipment and improve the attitude of healthcare workers.

show abstract

Household satisfaction and associated factors with community-based health insurance scheme in Ethiopia: systematic review and meta-analysis

Worede,

Tariku,

Asresie

et al. 2023

glob health res policy

View full text Add to dashboard Cite

Background Community-based health insurance (CBHI) schemes are crucial for households to avoid financial hardship, improve healthcare quality, and engage in health policies. Household satisfaction is a key indicator for assessing healthcare quality and identifying service gaps. However, research on household satisfaction with CBHI in Ethiopia is limited. Therefore, this study aimed to evaluate household satisfaction and associated factors with CBHI schemes in Ethiopia. Methods A comprehensive search of relevant literature was conducted using multiple databases, including PubMed, Google Scholar, Africa Journal Online, and Ethiopian Universities' institutional open-access online repositories. The search was carried out between January 25, 2023, and February 28, 2023. Twelve primary studies, including eight published and four unpublished, were identified and included in the analysis with a total sample size of 5311 participants. A protocol with the registration number CRD20531345698 is recorded on the Prospero database. Two authors, DT and MK, independently extracted the required data using a standardized form. The extracted data were then analyzed using STATA version 17 software. Heterogeneity was assessed using the Cochrane Q-test and I2 tests. Finally, a random-effect model was employed to calculate the overall household satisfaction with CBHI and to determine the associated factors. Results The meta-analysis showed that the overall household satisfaction with CBHI in Ethiopia was 62.26% (95% CI 53.25–71.21%). The study found regional variations in household satisfaction, with 63.40% in Oromia, 64.01% in Amhara, 49.58% in Addis Ababa, and 66.76% in SNNPs. The study identified several factors associated with household satisfaction and the CBHI scheme, including the availability of drugs (OR 2.13, 95% CI 1.47–2.78), friendly services (OR 3.85, 95% CI 1.60–6.10), affordability of premium (OR 2.80, 95% CI 1.97–3.63), and knowledge/awareness of CBHI (OR 2.52, 95% CI 1.73–3.33). Conclusions The study provides valuable insights into household satisfaction with CBHI in Ethiopia, with a considerable proportion of enrolees being satisfied. The finding highlights regional variations in household satisfaction and underscores the need for tailored interventions and monitoring to enhance CBHI sustainability and effectiveness. The results suggest that healthcare providers and policymakers should prioritize the availability of drugs, friendly services, affordable premiums, and education to improve household satisfaction with CBHI schemes.

show abstract

The Magnitude of Satisfaction and Associated Factors Among Household Heads Who Visited Health Facilities with Community-Based Health Insurance Scheme in Anilemo District, Hadiya Zone, Southern Ethiopia

Cited by 13 publications

References 11 publications

Household heads satisfaction and associated factors on community-based health insurance scheme in Gudeya Bila District, Oromia, Ethiopia

Household heads satisfaction and associated factors on community-based health insurance scheme in Gudeya Bila District, Oromia, Ethiopia

Household satisfaction with a pilot community-based health insurance scheme and associated factors in Addis Ababa

Household satisfaction and associated factors with community-based health insurance scheme in Ethiopia: systematic review and meta-analysis

Contact Info

Product

Resources

About