Evidence map›Paper›PMID 42203293›Full record

ArticleBMJ open2026

Health system responsiveness and associated factors among outpatients in primary healthcare units in Southern Ethiopia: a facility-based cross-sectional study.

Habtamu Esubalew Bezie, Zeleke Hailemariam, Mustefa Glagn, Biniyam Demisse Andarge, Tsegazeab Ayele Meshesha, Edlework Wondmagegn Atlaw, Kidus Temesgen Worsa, Sayih Mehari Degualem, Habtamu Wondmagegn Atlaw

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Article in BMJ open, 2026. 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Habtamu Esubalew BezieDepartment of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia habtamubezie130@gmail.com.ORCID http://orcid.org/0000-0002-0546-7297
Zeleke HailemariamDepartment of Public Health, College of Medicine and Health Sciences, Wachemo University, Hosaena, Ethiopia.
Mustefa GlagnDepartment of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Biniyam Demisse AndargeDepartment of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Tsegazeab Ayele MesheshaDepartment of Anatomy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.ORCID http://orcid.org/0000-0003-3848-6686
Edlework Wondmagegn AtlawDepartment of Oncology, St Paul's Millennium Medical College, Addis Ababa, Ethiopia.
Kidus Temesgen WorsaDepartment of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Sayih Mehari DegualemDepartment of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Habtamu Wondmagegn AtlawDepartment of Anatomy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the level of health system responsiveness (HSR) and its associated factors among outpatients attending primary healthcare units (PHCU) in Arba Minch, South Ethiopia.

designFacility-based cross-sectional study.

settingThree PHCUs (one primary hospital and two health centres) in Arba Minch town, Southern Ethiopia.

participantsA total of 379 outpatients aged 18 years and above were selected using a systematic random sampling. OUTCOME MEASURES:

resultsThe overall HSR was 59.4%. The highest-performing domains were confidentiality (73.9%) and dignity (70.7%), while the choice of healthcare provider was rated lowest (34.6%). In multivariable linear regression analysis, factors significantly associated with HSR score were travel time to reach the health facility on foot (β = -0.26, 95% CI -0.37 to -0.14); out-of-pocket payment for transport (β = -6.51, 95% CI -8.33 to -4.70); patient satisfaction score (β=1.57, 95% CI 1.27 to 1.88) and perceived quality of healthcare score (β=0.32, 95% CI 0.14 to 0.49).

conclusionHSR among outpatients in PHCU was moderate, with several individual and service-related factors associated with patient experiences. These findings suggest the need for focused interventions to improve responsiveness domains, although more research is required to demonstrate causal relationships.

Indexed as

Health Services AccessibilityOutpatientsPatient SatisfactionPrimary Health CareQuality of Health CareAdolescentAdultConfidentialityCross-Sectional StudiesEthiopiaFemaleHumansLinear ModelsMaleMiddle AgedYoung AdultEPIDEMIOLOGIC STUDIESHealth Services AccessibilityPrimary Health Care

Identifiers

PMID42203293
PMCPMC13218095

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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.