Level of Household Satisfaction in Community Based Health Insurance on Medical Laboratory Services and Associated Factors in Selected Health Center, Addis Ababa Ethiopia
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Date
2020
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Addis Abeba University
Abstract
Background: Community-based health insurance (CBHI) scheme are emerging and growingtool for providing financial protection to deprived individuals against health-related events. Community based health insurance an emerging alternatives to increase primary health careaccesses. There is an increasing interest in the role of CBHI scheme in improving equity andaccess to essential health care of the poor society‟s particularly informal sector worker. On CBHIbenefit package including both outpatient and in-patient services utilization at public facilities,enrolled household may not seek care in private health facilities unless a particular services ordrug is unavailable at public health facilities. The scheme exclude treatment abroad andtreatment with large cosmetics value such as artificial teeth and plastic surgery. The referralprocedure requires members should be to visit health centers before they may be refer to hospital(district or regional). Those who do not follow this referral procedure must need to cover halfcost of their medical treatment
Objective: To assess the level of household satisfaction in community based health insurancebeneficiaries on medical laboratory services and associated factors in selected health center,Addis Ababa Ethiopia December 2019 to February 2020 G.C.
Methods: Cross sectional study was conducted by using both quantitative and qualitative datacollection methods data was collected by structured questionnaire. Descriptive statistics,bivariate and multivariable logistic regression analyses was performed. A 5-point Likert scalewith 1 and 5 indicating the lowest and highest levels of satisfaction, respectively, was used andtheir weighted average was used to categorize the satisfaction level of the patients. Chi squaretest was used (taking P<0.05 as the statisticallysignificant level) to find out if any associationexisted between the level of satisfaction and different attributes. Data were analyzed using SPSSversion 22.
Results: Among the 366 CHBI beneficiaries, 194(53%%) were satisfied, 111(30.3%%) were Neutral and 61(16.7%%) were dissatisfied with general Laboratory service provided atselected health center in Addis Ababa. There was no significant association between sociodemographic characteristicsandlevel of satisfaction of patients(P-value< 0.05)InLikertScale,theoverall mean rate of satisfaction of patients with laboratory services selected health centerwas 3.5 out of the 5 points. The lowest mean rating of satisfaction were given availability of service provider explained about diagnostic test during sample collection and Cleanliness andcomfort of the latrine of 2.79 and 2.96 respectively.
Conclusion: The overall Household‟s satisfaction in CBHI beneficiaries on medical laboratoryservice in selected health centers in Addis Ababa was moderate.The level of satisfaction of the patients was no statistically significant association by age, sex,educational level, marital status and religion. The availability of service provider explained aboutdiagnostic tests during sample collection ,cleanness and comfort of the latrine, extra payment forlaboratory testes out of the health center, interruption of laboratory test services due to electricityand water unavailability also shortage of fuel and lack maintenance for the generator andinsufficient waiting area also unavailability of educating and entertaining materials was the maincause of low rating in the overall level of satisfaction in CBHL beneficiaries.
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Keywords
Community based health insurance, household satisfaction, laboratory service