Level of Household Satisfaction in Community Baesd Health Insurance Beneficiaries on Medical Laboratory Services and Its Associated Factors in Selected Health Centers

Abstract

Background: Community-based health insurance (CBHI) scheme are emerging and growing tool for providing financial protection to deprived individuals against health-related events. And 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.

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.

Methods: Cross sectional study was conducted by using both quantitative collection methods data was collected by structured questionnaire. Quantitative data was entered analyzed using SPSS version Descriptive statistics, bivariate and a multivariable logistic regression analysis 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.

Result: 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 ,There was no significant association between socio-demographic 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 done in selected health centers in Addis Ababa was 53%.

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 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.

Keywords: - community based health insurance, household satisfaction, laboratory service

DOI: 10.7176/FSQM/98-04

Publication date:June 30^th 2020