DOI: 10.11648/j.ijsts.20241206.13 ISSN: 2330-7420

Household Satisfaction with Community Health Insurance Scheme and Associated Factors in Adama Woreda, East Shewa Zone, Ethiopia

Jemal Nebi, Belay Tadesse
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Understanding the level of satisfaction and factors associated with it is essential to ensure the sustainability of the community- based health insurance (CBHI) program. Therefore, this study aimed to assess household satisfaction with a community-based health insurance scheme and its associated factors in the Adama district. A community-based cross-sectional study was conducted in households of Adama district from February 15-30, 2023. The Systematic random sampling technique under multi-stage sampling was used to select study participants. A face-to-face interview with a total of 620 households was conducted by using a pre-tested structured questionnaire. Descriptive analysis, bivariable, and multivariable logistic regression analysis were conducted. Variables with p-value < 0.05 were considered statistically significant to determine independent predictors of household satisfaction with the CBHI scheme. The level of household satisfaction with the CBHI scheme was found to be 61.1%. Satisfaction was found significantly associated with male household heads (AOR=0.545; 95% C.I 0.358-0.831), households with the educational level of able to read and write, grade 1-4 and grade 5-8,(AOR=0.281; 95% C.I 0.131-0.603; AOR=0.533; 95% C.I 0.311-0.915 and, AOR=0.409; 95% C.I 0.191-0.877) respectively, followers of waqefeta religion (AOR=2.123; 95% C.I 0.858-5.262), occupation of government employment (AOR=3.493; 95% C.I 1.949-6.262), those who strongly agreed with immediate care (AOR=0.508; 95% C.I 0.270-0.957), those who strongly agree and disagree with CBHI scheme office opining time (AOR=0.157; 95% C.I 0.044-0.556; AOR=-0.049; 95% C.I 0.006-0.384) and those who disagree with payment of premium schedule (AOR=150.66; 95% C.I 6.171-3678.207). This study showed that the overall satisfaction of households in the Adama district with the CBHI scheme was very good. Male households, waqefeta region followers, occupation of government employees, educational level, immediate care, BBHI office opening time, and premium schedule paying were significant factors of satisfaction with CBHI. Consideration should be given to increasing the accessibility of immediate health care, improving the educational level of households, and improving enrollee’s knowledge of CBHI benefit packages.

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