ASSESSMENT OF COMMUNITY BASED HEALTH INSURANCE WOMEN PATIENTS’ SATISFACTION AND ASSOCIATED FACTORS AT FELEGE HIWOT REFERRAL HOSPITAL, NORTHWEST, ETHIOPIA By

Aragaw, Birhanu

dc.contributor.author	Aragaw, Birhanu
dc.date.accessioned	2019-10-21T05:04:21Z
dc.date.available	2019-10-21T05:04:21Z
dc.date.issued	2019-10-21
dc.identifier.uri	http://hdl.handle.net/123456789/9954
dc.description.abstract	Community Based Health Insurance (CBHI) is not a profit type of health insurance that has been used by poor people to protect them against the financial risk of illness. In CBHI schemes, members regularly pay small premiums into a collective fund, which is then used to pay for health costs if they require services. The Ethiopian government launched a pilot CBHI scheme in 13 districts of the country in 2011.Currently; it is implemented in five regions and Adis Abeba city administration with 328 woredas. Amhara region is therefore implemented on 156 woredas. However, women patients’ satisfaction and associated factors on CBHI service was not well studied in Ethiopia especially in the study area. Therefore, this study aimed to assess women patients’ satisfaction and associated factors on CBHI service at Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia. This study was conducted from October 1st to 19th /2019 by using a mixed approach with explanatory concurrent design. Data was collected using pre tested structured questionnaire and semi-structured interview. For the quantitative data, a total of 317 study participants were selected and proportionally allocated to the outpatient and inpatient departments by considering the case flow. For the qualitative study, 12 CBHI women patients’ and five key informants were selected by using purposive sampling technique. The collected quantitative data was analyzed by using logistic regression. Association between dependent and independent variable was investigated by binary logistic regression. Significance was interpreted by using P < 0.05 and odds ratio with 95% CI. The qualitative data was analyzed by applying thematic analysis technique. The study found out that the satisfaction of CBHI women patients’ was 50.2%. Preinformation about the hospital (AOR: 3.797, 95% CI: (1.581-10.01 2), P = 0.003)), patients’ who were waiting <= 50 minutes (AOR: 5.153, 95% CI: (2.211-12.010), P = .000)) and those who were waiting 51-100 minutes (AOR: 3.655, 95% CI: (1.571-8.504), P = .003)) were significantly associated with CBHI women patients’ satisfaction. Other factors like service of counseling, access to prescribed medications, cleanness of the toilet and availability of sign and direction indicators were identified. To improve CBHI women patients’ satisfaction the hospital shall better to designed strategies. Key words: CBHI, Women, Patients’ Satisfaction, FHRH	en_US
dc.language.iso	en_US	en_US
dc.subject	Gender and Development	en_US
dc.title	ASSESSMENT OF COMMUNITY BASED HEALTH INSURANCE WOMEN PATIENTS’ SATISFACTION AND ASSOCIATED FACTORS AT FELEGE HIWOT REFERRAL HOSPITAL, NORTHWEST, ETHIOPIA By	en_US
dc.type	Thesis	en_US