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Introduction This study aims at assessing the level of patient communication satisfaction and its impact on patient adherence among public hospitals in Ethiopia. Methods The study employed a cross-sectional design. Data were obtained using Communication Assessment Tool (CAT) and the Adherence to Refills and Medication Scale (ARMS) administered to 381 patients asking them to evaluate satisfaction with physician-patient communication and report their level of adherence respectively. Both descriptive and inferential statistics were computed. Accordingly, the study used correlation, independent samples t -test, one-way ANOVA, and linear regression to show causal relationships among factors in physician-patient communication and their effect on adherence. Results The findings revealed that the total mean score for communication satisfaction was M = 2.69, showing that the majority of participants were dissatisfied with the physician-patient communication. Further, age and frequency of visits were significantly associated with communication satisfaction, while sex, place of residence, employment, educational level, and marital status failed to produce a systematic effect. The correlation between patient satisfaction with communication scores on the CAT questionnaire was significantly correlated with pharmaceutical adherence (ARMS score) (r = 0.316, p < 0.001), indicating that when patients were satisfied with communication, the level of adherence increased. The regression coefficient also showed that positive relationship was found between communication satisfaction and adherence (b = 1.85, t = 9.759, p < 0.05), indicating that with better quality of communication, the level of adherence also increased. Conclusion The majority of participants were found to be dissatisfied with the physician-patient communication. The more satisfied the patient is with communication the better their adherence.

Natural resource protection in Africa, particularly in rural communities, requires effective communication between resource managers and community residents. Environmental conflict, however, impedes the efficacy of communication strategies. Thus, this study investigates evidence of environmental conflicts as impeding factors for participatory environmental communication in a rural community‐based environment and forest program in Northern Ethiopia, run by Organization for Rehabilitation and Development (ORDA) in Amhara, Ethiopia, a non‐governmental organization seeking to address rural poverty. It also addresses how these factors could be mediated by local cultural institutions. In addition, the article outlines how these factors influence interventions to promote livelihood development, environmental security, and sustainable development. Qualitative data was collected through in‐depth interviews, focus group discussions, document analysis, and observation. Convenience and purposive sampling were used to contact seventeen study participants. Participants were community members and professionals. The information was analyzed thematically. The study finds that environmental conflicts that arise from the community‐based socioeconomic, cultural, and ecological factors constitute a daunting obstacle to the sustainability of community projects, threatening the capacity of the community to manage common pool forest resources. At the same time, cultural interventions to reduce the occurrences, escalations, and prevalence of environmental conflicts are key to the success of participatory environmental communication measures and sustainable community‐based natural resource management in rural Africa, and should be included in implementation strategies by nongovernmental organizations such as ORDA.

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