Level of household satisfaction in community based health insurance on medical laboratory services and associated factors in selected health center, Addis Ababa Ethiopia
| dc.contributor.advisor | Nigatu, Alemayehu(MSc,MPH) | |
| dc.contributor.advisor | Hassen, Fatuma(BA, BSC, MSc, PhD Fellow) | |
| dc.contributor.author | Gashaw, Dawit | |
| dc.date.accessioned | 2020-11-18T08:07:11Z | |
| dc.date.accessioned | 2023-11-06T08:56:46Z | |
| dc.date.available | 2020-11-18T08:07:11Z | |
| dc.date.available | 2023-11-06T08:56:46Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | Background: Community-based health insurance (CBHI) scheme are emerging and growing tool for providing financial protection to deprived individuals against health-related events. Community based health insurance an emerging alternatives to increase primary health care accesses. There is an increasing interest in the role of CBHI scheme in improving equity and access to essential health care of the poor society‟s particularly informal sector worker. On CBHI benefit 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 or drug is unavailable at public health facilities. The scheme exclude treatment abroad and treatment with large cosmetics value such as artificial teeth and plastic surgery. The referral procedure 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 half cost of their medical treatment Objective: To assess the level of household satisfaction in community based health insurance beneficiaries 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 data collection methods data was collected by structured questionnaire. Descriptive statistics, bivariate and multivariable logistic regression analyses was performed. A 5-point Likert scale with 1 and 5 indicating the lowest and highest levels of satisfaction, respectively, was used and their weighted average was used to categorize the satisfaction level of the patients. Chi square test was used (taking P<0.05 as the statistically significant level) to find out if any association existed between the level of satisfaction and different attributes. Data were analyzed using SPSS version 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 at selected health center in Addis Ababa. There was no significant association between sociodemographic characteristics and level of satisfaction of patients (P- value < 0.05) In Likert Scale, the overall mean rate of satisfaction of patients with laboratory services selected health center was 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 and comfort of the latrine of 2.79 and 2.96 respectively. Conclusion: The overall Household‟s satisfaction in CBHI beneficiaries on medical laboratory service 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 about diagnostic tests during sample collection ,cleanness and comfort of the latrine, extra payment for laboratory testes out of the health center, interruption of laboratory test services due to electricity and water unavailability also shortage of fuel and lack maintenance for the generator and insufficient waiting area also unavailability of educating and entertaining materials was the main cause of low rating in the overall level of satisfaction in CBHL beneficiaries. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/23373 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Community based health insurance, household satisfaction, laboratory service | en_US |
| dc.title | Level of household satisfaction in community based health insurance on medical laboratory services and associated factors in selected health center, Addis Ababa Ethiopia | en_US |
| dc.type | Thesis | en_US |