ArticleJournal of public health research2025
Community-based health insurance service satisfaction and experiences of beneficiaries and health professionals in North Gondar Zone, Ethiopia.
Article in Journal of public health research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Community-based health insurance services (CBHI) are important for supporting families in accessing affordable health services in government health institutions in Ethiopia. However, beneficiaries and health professionals have been challenged with accessing and delivering these services, respectively. Therefore, this study aimed to assess the community-based health insurance-related satisfaction of beneficiaries and the experiences of both beneficiaries and health professionals. Design and methods: A convergent parallel mixed-method study design was employed, combining a quantitative cross-sectional study with an exploratory qualitative case study. Descriptive statistics and bivariate and multivariate logistic regression analyses were used. SPSS version 26 was used for quantitative data analysis. We analyzed the qualitative data manually after verbatim transcription and translation. Variables with Results: We collected data on 414 community-based health insurance beneficiaries, with a 98.1% response rate. Five beneficiaries and three health professionals were also included in the qualitative inquiry. The magnitude of beneficiaries' community-based health insurance service satisfaction was 65.7%. The length of enrollment, availability of prescribed drugs, availability of adequate medical equipment, participation in CBHI-related meetings, and CBHI-related knowledge of respondents were factors associated with satisfaction with CBHI services. Conclusion: The degree of community-based health insurance service satisfaction is still low. There are multiple experiences faced by both beneficiaries and health professionals related to community-based health insurance that urge the need for large community awareness programs for sustainability.
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