The Magnitude of Satisfaction and Associated Factors Among Household Heads Who Visited Health Facilities with Community-Based Health Insurance Scheme in Anilemo District, Hadiya Zone, Southern Ethiopia

Abstract

Background: Community-based health insurance (CBHI) schemes are an emerging strategy for providing financial protection against healthcare-related poverty. In Ethiopia, CBHI is being piloted in 13 districts, but community experience and satisfaction with the scheme have yet to be studied.

Objective: To assess the magnitude of satisfaction and associated factors among household heads who visited health facilities with community-based health insurance schemes in the Anilemo district Hadiya Zone Southern Ethiopia.

Methods: A community-based cross-sectional study design was conducted for 627 household heads in the Anilemo district, from March 1-30, 2020. Study participants were selected using stratified random sampling for kebeles and systematic sampling for study households. Data were collected by trained data collectors using a pre-tested structured questionnaire. Descriptive statistics, bivariate, and multivariate logistic regression analyses were performed. P values less than 0.05 with 95% confidence intervals were used to determine associations between independent and dependent variables.

Results: The magnitude of household heads' satisfaction was 54.1%. Household heads age [AOR=1.70;95% CI 1.09-2.67], households income [AOR=0.19; 95% CI 0.11-0.35], knowledge of CBHI benefit packages [AOR=3.15; 95% CI 1.97-5.03], agreement with laboratory services [AOR=2.25; 95% CI 1.40-3.62], and got and agreed with prescribed drugs [AOR=2.69; 95% CI 1.66-4.37] were significantly associated with the magnitude of household heads satisfaction with community-based health insurance.

Conclusion: About half of the household heads who visited health facilities with CBHIS were satisfied. Age, household's income, knowledge of CBHI benefit packages, agreement with laboratory service provision, availability and agreement with prescribed drugs were significant predictors of satisfaction with CBHI. Therefore, much effort could be required to increase the magnitude of the household head's satisfaction with the scheme.

Keywords: community-based health insurance; household heads; satisfaction.