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

Autor:	Asfaw A; Gudeya Bila District Health Office, Oromia, Ethiopia., Etana B; Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Oromia, Ethiopia., Mulatu B; Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Oromia, Ethiopia., Babure ZK; East Wollega Zonal Health Department, Nekemte, Oromia, Ethiopia.
Jazyk:	angličtina
Zdroj:	Journal of public health research [J Public Health Res] 2023 Jun 10; Vol. 12 (2), pp. 22799036231181181. Date of Electronic Publication: 2023 Jun 10 (Print Publication: 2023).
DOI:	10.1177/22799036231181181
Abstrakt:	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. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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