Patient Satisfaction with Community Pharmacy Services in Sidama, Ethiopia | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Patient Satisfaction with Community Pharmacy Services in Sidama, Ethiopia Daniel Mengistu Kejela¹ This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7244062/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Community pharmacies play a critical role in healthcare access in Ethiopia’s Sidama Region, yet patient satisfaction and perceptions of these services remain understudied. This study aimed to assess satisfaction with pharmaceutical services across urban (Hawassa) and rural (Bensa, Arore sa) settings using a mixed-methods approach and an adapted SERVQUAL framework, which ev aluated six dimensions: reliability, responsiveness, assurance, empathy, tangibles, and accessibility. A cross-sectional survey of 400patients and in-depth interviews with 20 participants were Co nducted. Results indicated higher mean satisfaction scores in urban areas (M = 4.31, SD = 0.74) compared to rural areas (M = 3.12, SD = 0.88). Regression analysis identified reliability (β = 0.326, *p* < 0.001) and accessibility (β = 0.244, *p* < 0.001) as significant predictors of satisfaction. Qualitative findings highlighted challenges such as language barriers, frequent medicine stockouts, and gender-based discomfort, particularly in rural pharmacies Based on these insights, the study developed a Sidama-specific SERVQUAL model, emphasiz ing the need for culturally and linguistically sensitive pharmaceutical services. The findings provide actionable evidence to inform policies aimed at enhancing equitable access to quality pharmaceutical care in Ethiopia. Scientific Communication patient satisfaction pharmaceutical services SERVQUAL Sidama Region Ethiopia healthcare access Full Text Additional Declarations The authors declare potential competing interests as follows: Daniel mengistu (PhD candidate)Dr. Zerai Hagos Supplementary Files DeidentifiedPatientSatisfactionDataset.xlsx Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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