Client Satisfaction Toward Community Based Health Insurance And Associated Factors At Chancho Hospital, North Shewa, Oromia, Ethiopia.

Abstract

Background: Client satisfaction is a critical strategic weapon to Community based health insurance that can make the already enrolled members to be retained, new members attracted and increases program sustainability. The purpose of this study was to evaluate the community-based health insurance's client satisfaction and its associated factors. Objective: To assess client satisfaction toward community based health insurance and associated factors at Chancho hospital, North Shewa, Oromia, Ethiopia, 2022. Methods: An institutional based cross-sectional study was conducted from August 1 to September 15/2022. A total of 392 study participants were included in the study using a systematic random sampling technique. Data were collected using structured questionnaire with a patient exit interview. Data entry was done using Epi Info version 7, and exported to SPSS version 25 for statistical analysis. Descriptive statistics was carried out to calculate frequency and percentage. Bi-variable and multivariable logistic regression analyses were used to identify factors associated with community-based health insurance client satisfaction. The strength of association was measured using odd ratios with 95% confidence interval and a p-value <0.05 was used to indicate statistically significant variable on final model. Results: In this study, the overall satisfaction level of households with the community based health insurance was found to be 48.7% at (95% CI: 43.6, 53.8). Costs from public health institutions (AOR=4.33, 95% CI: 1.35, 13.96), received the correct prescribed drugs (AOR=2.17, 95% CI: 1.06, 4.42), occupation (AOR=4.31, 95% CI: 1.48, 12.59) and got respect from health service providers (AOR=2.09, 95% CI: 1.02, 4.28) were significantly associated with Community based health insurance client satisfaction. Conclusions: Overall, the Chancho hospital's Community based health insurance client satisfaction rate was low compared to other researches done before. Occupation, only costs from public health institutions, received the correct prescribed drugs and got respect from health service providers were significantly associated with client satisfaction.