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ORIGINAL RESEARCH article

Front. Public Health
Sec. Public Health Policy
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1275233
This article is part of the Research Topic Women in Science: Public Health Policy 2023 View all 5 articles

Public satisfaction with the Ethiopian healthcare system: a mixed-method approach

Provisionally accepted
Genanew Kassie Getahun Genanew Kassie Getahun *Bemnet D. Demissie Bemnet D. Demissie Semere G. Baraki Semere G. Baraki
  • Kotebe University of Education, Addis Ababa, Ethiopia

The final, formatted version of the article will be published soon.

    The public's satisfaction with the healthcare system of Ethiopia is a crucial but unanswered question. This is an essential issue since recent trends indicate that the demographic and epidemiological makeup of the population is changing. Therefore, the aim of this study was to assess the overall satisfaction of the public with the Ethiopian healthcare system in Addis Ababa, Ethiopia, in 2022.A community-based convergent parallel mixed-method study was conducted.Bivariable and multivariable logistic regression analysis were used to determine the factors associated with public satisfaction. A 95% confidence interval along with a p-value of less than 0.05 was deemed sufficient to declare a significant association. For the qualitative component we used thematic analysis.The vast majority, 77.2% (95% CI: 76.18-78.22%) of respondents were dissatisfied with the existing health-care system. Moreover, Community Based Health Insurance (CBHI) enrolment 2.35 (95% CI: 1.32-4.19), poor linkage to social capital 0.46 (95% CI: 0.25-0.83), poor access to healthcare services 0.39 (95% CI: 0.21-0.76), and absence of satisfactory responses to complaints 0.11 (95% CI: 0.04-0.27) were significantly associated with public dissatisfaction.The public satisfaction with the Ethiopian healthcare system was low.Furthermore, it was affected by different factors including enrollment in the CBHI, linkage to social capital, accessibility to healthcare, and satisfactory response. Therefore, the government of Ethiopia should enhance CBHI coverage, access, and an immediate compliant solution strategy.

    Keywords: public satisfaction, social ecological model, Healthcare system, Ethiopia, Mixed method study

    Received: 09 Aug 2023; Accepted: 10 Sep 2024.

    Copyright: © 2024 Getahun, Demissie and Baraki. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Genanew Kassie Getahun, Kotebe University of Education, Addis Ababa, Ethiopia

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