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Introduction: Many low and middle income countries keep on searching for different ways of financing their health systems. In order to ensure accessibility to quality health services by those in the rural areas, a Community Based Health Insurance Scheme was initiated which aim to integrate both human and financial resources within the rural communities to provide basic healthcare services to its resident. In recent years, level of patient satisfactions have been identified as one of the major yardsticks to measure quality of healthcare. This study was conducted to compare enrollees satisfaction of public and private providers of community based health insurance scheme in Edu Local Government Area of Kwara State, Nigeria.
Materials and Methodology: A descriptive cross sectional study was carried out among eight hundred respondents that were selected using multistage sampling technique. Data was collected using a semi-structured interviewer administered questionnaire and Focus Group Discussion. Analysis was done with EPI info software and confidence level was held at 95% and a p-value of less than 0.05 was considered as statistically significant.
Results: The satisfaction level with private facility (4.28±0.35) was higher than that with public facilities (4.12 ±0.48). The difference was significant at a p-value of <0.001. Private providers had a higher satisfaction level than the public providers in the domains of empathy, tangibles, assurance and timeliness. The difference was statistically significant as the p-value was less than 0.05. No differences in level of satisfaction in responsiveness among the respondents of both providers as the p-value was 0.295. There was an association between marital status and satisfaction in public providers while an association occur between type of marriage and satisfaction in private provider. There was an association for both providers in occupation level, level of education and length of enrolment.
Conclusion and Recommendation: There was a higher overall satisfaction among enrollees of private providers than the public providers of Community Based Health Insurance Scheme. Health care delivery by private providers is of good quality and as such private facilities should be maintained as part of the providers of Community Based Health Insurance Scheme. Government should also strengthen monitoring and supervision to ensure good quality of health care delivery to the enrollees especially in the public health facilities.
McPake B. User charges for health services in developing countries. Social Science and Medicine. 1993;36(11):1397-1405.
Obansa SA, Orimisan A. Health care financing in Nigeria prospect and challenges. Meditererranean Journal of Social Science. 2013;4(1):221-236.
Melitta Jakab, Chitra Krishnan. Community involvement in health care financing, Impact, strength and weakness. A synthesis of literature; 2015.
Last access 23/7/2019
Sitzia J, Wood N. Patient satisfaction a review of issues and concepts. Soc Sci Med.1997;45:1829-43.
Nayeri ND, Aghajani M. Patients privacy and satisfaction in the emergency department, A descriptive analytical studies. Nurs Ethic.2010;17:167-77.
Wisnieski M. Using SERVQUAL to assess customer satisfaction with public sector services. Managing Service Quality. 2001;11(6):380-388.
Parasuraman A, Berry LL, Zeithami VA. Refinement and reassessment of the
SERVQUAL scale. Journal of Retailing. 1991;64:420-50.
National population commission 2006 Census Report. Official Gazette of the
federal Republic of Nigeria. 2007;94(4):47-53.
Araoye MO. Research methodology with statistics for health and social science,
mathadex publishers. 2003;(1):118-120.
Babatunde Enitan Ogunnowo, Tolulope Florence Olufunmilayo, Salami Suberu. Client perception of service quality at the outpatient clinic of General Hospital in Lagos, Nigeria. Pan Afr Med J. 2015:22-68.
Babatunde OA,. Babatunde OO, Salaudeen .AG, Aderibigbe SA, Adewoye K.R, Alao TA, Idowu. OA, Atoyebi OA. Knowledge of community health insurance among household heads in rural communities of Ilorin. .International. Journal of Science management. 2014;3(3):800 – 810.
Christian Ogbe. Knowledge and perception of Rural communities in Abuja, Nigeria on community based health insurance scheme. South American .Journal of Public Health. 2014;2(4):534-560.
Bamidele JO, Adebimpe WO. Awareness, attitude and willingness of. Artisan in Osun state, south western Nigeria to participate in community based health insurance. Journal of .Community .Medicine and .Primary Health Care. 2013;24(1&2):1-11.
Devadasan N, Criel B, WM Van Damme, Pierr Lefevre S, Man haran and patrick vander stuyft: Community HEALTH INSURANCE scheme and patient satisfaction evidence from India. Indian J. Med. Res. 2011;133(1):40-49.
Shafiu: understanding client satisfaction with a health insurance scheme in Nigeria factor and enrollee experience health Res. Policy Sys. 2011;9:20-29.
Tayue Tateke, Mirkuzie Woldie, Shimeless Ololo. Determinant of perceived health care provider empathy at public and private hospital in Central Ethiopia. Science Journal of Public Health. 2013;1(3):156-164.