Evidence map›Paper›PMID 39425215›Full record

ReviewCost effectiveness and resource allocation : C/E2024

Beneficiaries' satisfaction with community-based health insurance services and associated factors in Ethiopia: a systematic review and meta-analysis.

Ewunetie Mekashaw Bayked, Husien Nurahmed Toleha, Segenet Zewdie, Asnakew Molla Mekonen, Birhanu Demeke Workneh, Mesfin Haile Kahissay

Abstract readReview
In one paragraph

Review in Cost effectiveness and resource allocation : C/E, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ewunetie Mekashaw BaykedDepartment of Pharmacy, College of Medicine and Health Sciences (CMHS), Wollo University, Dessie, P.O. Box: 1145, Ethiopia. emebirhan7@gmail.com.ORCID http://orcid.org/0000-0002-8060-3922
Husien Nurahmed TolehaDepartment of Pharmacy, College of Medicine and Health Sciences (CMHS), Wollo University, Dessie, P.O. Box: 1145, Ethiopia.ORCID http://orcid.org/0000-0002-9460-087X
Segenet ZewdieDepartment of Pharmacy, College of Medicine and Health Science, Injibara University, Injibara, Ethiopia.
Asnakew Molla MekonenDepartment of Health Systems and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Birhanu Demeke WorknehDepartment of Pharmacy, College of Medicine and Health Sciences (CMHS), Wollo University, Dessie, P.O. Box: 1145, Ethiopia.ORCID http://orcid.org/0000-0002-4294-9594
Mesfin Haile KahissayDepartment of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.ORCID http://orcid.org/0000-0002-9899-014X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe viability of community-based health insurance programs depends on beneficiary satisfaction, and healthcare systems evaluate performance through patient reports and ratings to ensure effectiveness and service quality. To our knowledge, Ethiopia lacks national pooled data on the satisfaction of community-based health insurance beneficiaries and related factors. As a result, this review aimed to evaluate the level of beneficiaries' satisfaction with the scheme's services and associated factors in Ethiopia.

methodsDatabase searches on Scopus, Hinari, PubMed, Google Scholar, and Semantic Scholar were conducted on September 1st, 2022. Thirteen studies were chosen for review from the search results. Checklists from the Joan Briggs Institute were used to evaluate the risk of bias for the included studies. The data were extracted using a 2019 Microsoft Excel spreadsheet and analyzed using Stata 17. The odds ratios at p-values less than 0.05 with a 95% confidence interval were used to evaluate the effect estimates.

resultsThe pooled satisfaction of beneficiaries with community-based health insurance was found to be 66.0% (95% CI = 57-76%) and was found to be influenced by socio-demographic, health service-related, the scheme's related factors, and the beneficiaries' knowledge of it. The beneficiary satisfaction levels were highest in the Amhara region, at 69.0% (95% CI = 59-79%), followed by Southern Nations Nationalities and Peoples' Region (SNNPR) at 67.0% (95% CI = 40-94%), Oromia at 63.0% (95% CI = 58-68%), and Addis Ababa at 53.0% (95% CI = 45-62%).

conclusionEven though there was a moderate level of satisfaction, there are indications that the quality of health services and the coverage of the entire population lag behind, necessitating greater efforts to achieve universal health coverage.

Indexed as

BeneficiariesCommunity-based health insuranceEthiopiaFactorsSatisfaction

Identifiers

PMID39425215
PMCPMC11487762

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.