Articlenpj health systems2026
Healthcare satisfaction and associated factors between insured and uninsured women in the Sidama region, Ethiopia.
Article in npj health systems, 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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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.
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Authors and funding
3 authors.
Funding
Abstract
Ethiopia's community-based health insurance (CBHI) improves financial protection and access to healthcare for women. This study compared satisfaction between 1060 insured and uninsured women in Central Sidama (February to April 2024). Data were analyzed using a zero-truncated negative binomial multilevel model with adjusted prevalence ratios (APR), 95% confidence intervals (CI), and p-values. CBHI membership was associated with increased satisfaction (APR = 1.04; 95% CI: 1.01-1.07; p = 0.012). Higher community autonomy raised satisfaction for insured (APR = 1.10; 95% CI: 1.03-1.16; p = 0.003) and uninsured women (APR = 1.07; 95% CI: 1.00-1.14; p = 0.037). High community poverty decreased satisfaction among insured (APR = 0.90; 95% CI: 0.84-0.97; p = 0.007). Non-governmental facilities increased satisfaction (APR = 1.18; 95% CI: 1.10-1.28; p < 0.001), while disability after treatment lowered it (APR = 0.53; 95% CI: 0.31-0.90; p = 0.019). Richest women reported lower satisfaction than poorest (insured: APR = 0.82; 95% CI: 0.76-0.89; p < 0.001; uninsured: APR = 0.80; 95% CI: 0.74-0.86; p < 0.001). Policies should reduce economic inequalities and enhance healthcare access to improve satisfaction.
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Registered trials
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