Factors associated with Household Satisfaction with Community Based Health Insurance and Policy Implication in Southern Ethiopia: A cross-sectional Study

Abstract

Ethiopia has been implementing the CBHI program since 2011 in an effort to increase access to healthcare and improve universal health coverage by lowering costs for low-income families. Research on household satisfaction with health care is still lacking. The major objective of this study is to assess the level of household satisfaction with community-based health insurance services and related factors. A multistage sampling procedure was used to select participating families. In each of the selected kebeles, 406 households participating in the CBHI program were selected by simple random sampling according to the population proportional to sample size (PPS). Primary information was collected using a pre-tested questionnaire completed by an interviewer. Bivariate and multivariable logistic regression analysis as well as descriptive statistics were carried out. To identify independent predictors of household satisfaction with the CBHI, p-values <0.05 and 95% confidence intervals were used. The finding of this study showed that, household satisfaction with the CBHI scheme was moderate in Southern Ethiopia. Age, marital status, payment fairness, healthcare coverage, waiting time, service quality, and drug availability were significant predictors of satisfaction with CBHI service. This study recommends that comprehensive health care coverage, e.g., for non-communicable diseases (chemotherapy, kidney disease, diabetes, hypertension, and others) and major surgeries, as well as improvements in overall services and their quality, are critical to increasing satisfaction in the region Aggregate-associated carbon, Aggregate stability, Soil conservation, Soil glomalin, Soil organic carbon