Client satisfaction on community based health insurance scheme and associated factors at Boru Meda Hospital, Northeast, Ethiopia: institutional based cross-sectional study

Abstract

Background Community-based health insurance systems are usually voluntary and characterized by community members pooling funds and protecting themselves against the high costs of seeking medical care and treatment for illness. Client satisfaction with health service provision during the implementation of health insurance schemes has often been neglected. This study aimed to determine client satisfaction with the community-based health insurance scheme and associated factors. Methods An institutional-based cross-sectional study design was applied from February 22–March 11 /2019. A total of 420 study participants were included in the study using a systematic random sampling technique. Data were collected using a pretested semi-structured interviewer-administered questionnaire with a patient exit interview. Bivariate and multivariate logistic regression analyses were used to identify factors associated with Community-based Health Insurance of client satisfaction. Statistical significance was decided at a p-value less than 0.05. Result A total of 420 community-based health insurance clients of health service users participated in the study with a 100% response rate. The overall client satisfaction was 80% at 95% Cl (76.1, 83.9), respondents who have perceived that partially or none availability of prescribing drugs were 0.09 times less likely satisfied as compared to full availability of prescribing drugs (AOR =0.09; 95% Cl: (0.04, 0.19)). Besides, study participants waiting time to consult service providers within 30 min were more satisfied than those who were delayed 60 min and above (AOR =3.16; 95% Cl: (1.19, 8.41)). Conclusion Community-based health insurance client satisfaction provided in the present study was 80% indicating low proportion. Full availability of prescribing drugs, clients renewed their community-based health insurance membership, and preference of clients to use the hospital for future health care need were positively associated with client satisfaction while the perception of waiting time before physician consultation negatively affected client’s satisfaction. Therefore, the hospital management members and service providers need to give attention to reduce waiting time preceding consultation, improve drug availability, and sustain the hospital preference by the client.

Satisfaction of beneficiaries with community-based health insurance and associated factors in Legambo District, North-East Ethiopia: a cross-sectional study

“…Regarding health service provision, the overall satisfaction of the respondents was 57.26%, and having laboratory, referral, and immediate care services was significantly associated with satisfaction. This satisfaction level was a little higher than the studies in Ethiopia (54.1%) ( 35 ) and Turkey (55.9%) ( 33 ), but lower than most of the studies in Ethiopia: 63.4% ( 38 ), 79.4% ( 39 ), and 80% ( 40 ), and in Nigeria: 73.1% ( 41 ), 80.6% ( 42 ) and (75.5%) ( 31 ). The beneficiaries’ satisfaction could be dependent on various domains: duration, process, availability, access, continuity, and quality of services; and the attitude of health personnel (humaneness) ( 33 , 42 ); availability of doctors and medicines; and the patient’s recovery being the main reasons ( 15 ).…”

The effects of individual and community-level factors on community-based health insurance enrollment of households in Ethiopia

“…Community-based health insurance (CBHI) is a type of volunteer health insurance that has been adopted all over the world in which people of the community pool funds to protect themselves from the high costs of seeking medical care and treatment for the disease. It improves healthcare utilization and protects households from out-of-pocket costs [ 1 – 3 ]. For a long time, Universal Health Coverage (UHC) has been a global concern.…”

“…CBHI schemes have been adopted in African countries, including Ethiopia and developed countries, as the first steps toward achieving national health insurance coverage. It has become one of the most important risk-mitigation programs and is expected to play a significant role in assisting the country’s transition to universal health care [ 1 , 10 ]. In several parts of Sub-Saharan Africa, the CBHI scheme showed some promise in improving access to healthcare for the predominantly disadvantaged rural populations and informal sector [ 5 , 11 , 12 ].…”

Qualitative evaluation of the health insurance program in Nepal: Expectations beyond limitations

“…Availability of prescribed drugs was associated with higher enrollee satisfaction, whereas waiting for more than an hour made insurees frustrated in Ethiopia (Hailie et al, 2021). Individual characteristics were also associated with satisfaction.…”