Client satisfaction and associated factors among insured and uninsured adult clients visiting public health institution in Enrage enawga woreda, Amhara Regional State North West Ethiopia, 2021: Institution based comparative cross sectional study

Client satisfaction and associated factors among insured and uninsured adult clients visiting public health institution in Enrage enawga woreda, Amhara Regional State North West Ethiopia, 2021: Institution based comparative cross sectional study | 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 Client satisfaction and associated factors among insured and uninsured adult clients visiting public health institution in Enrage enawga woreda, Amhara Regional State North West Ethiopia, 2021: Institution based comparative cross sectional study Yideg Abinew Kebede, Yeshemebet Fenta Kebede, Jemberu Chane Fetene, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-3852987/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 Background Community-Based Health Insurance is an emerging concept for providing financial protection against the cost of illness and improving access to quality health services for rural and urban population. Knowing the factors for patient satisfaction is an important and direct indicator of quality of health care which is essential for providers to fill their gaps. Although few studies have been conducted on patient satisfaction in Ethiopia; but this study aimed to assess patient satisfaction and associated factors in the insured and uninsured clients under Community based health insurance. Objective To assess the level of client satisfaction and associated factors among insured and uninsured adults in Enrage EnawgaWoreda, Amhara Regional state, North West Ethiopia. Methods Institution based comparative cross sectional study was conducted from March 15th 2021 to April 30th, 2021. Over all 770 clients were selected from the health center by using simple random sampling techniques. The data were coded and entered in to Epi-data3.1 and exported to SPSS Version 25 for analysis. Descriptive statistics, bivariate and multivariable logistic regression analyses were performed to identify the factors affect client satisfaction with of p values less than 0.05. Results Out of 753 respondents with a response rate of 97.8% the insured and non-insured patient satisfaction was 215 (56.6%) and 171(45.8%) respectively. The mean score with Standard Deviation of the satisfaction score was 3.6 ± 0.37 among insured and 3.5 ± 0.38 among non-insured under CBHI scheme. Pearson chi-square test showed statistically significant difference between insured patients have a higher mean satisfaction score than their counterpart noninsured with x 2 = 8.67, df = 1, P = 0.003. Conclusions The result shows that insured clients have higher level of satisfaction score compared with non-insured clients. Therefore, to improve patient experiences at health centers and achieve financial risk protection through CBHI, program managers and health care providers should increase the satisfaction at the health facility to insured and non- insured community members. Figures Figure 1 Introduction The principle of patient satisfaction is straightforward with the whole health system, and it is Also the measurement of health system responsiveness( 1 , 2 ). Even though it is challenging to find an agreed- upon definition, patient satisfaction is a measure of the level of healthcare content they receive from their providers ( 3 , 4 ). Client satisfaction is individual subjective evaluation of their cognitive and emotional reaction, as a result of interaction between their expectations and regarding to experience after obtaining service from healthcare providers ( 5 , 6 ). Satisfaction may also directly affect the economical capability of an institution by affecting client choice of health institution. Satisfaction with care is a vital power determining whether a person seeks medical advice, adhered with their treatment, and maintains a continuing relationship with healthcare providers ( 7 ). Patient satisfaction is an indispensable health service outcome measurement which is the perceived fulfillment of patient needs and desires through the delivery of healthcare services( 8 ). It is an integral part of the health system management strategies to assess the performance of the health system for quality assurance and accreditations. It is also the direct measurement of organizational strengths and performance of the provision of the services. Patient satisfaction is evaluated from the dimensions of the health facility environment, patient-physician relationships, and service availability ( 9 ). Universal health coverage (UHC) is a situation, where all people can access the health services they need without incurring financial hardship. Health service equity and quality are important indicators in achieving universal health coverage, to achieve universal health coverage health insurance is a key component for satisfaction( 10 , 11 ).Countries in sub Saharan Africa (SSA) like South Africa, Gabon, Mali, Senegal, Uganda, Tanzania, Nigeria, and Ghana have taken steps towards universal coverage by adopting risk pooling systems to supply financial protection, particularly to the poor and vulnerable in their societies ( 8 , 11 , 12 ). Ethiopian Federal Ministry of Health (FMOH) has been implementing health sector development program (HSDP). It is a 20-year plan which was encouraging improvements in the coverage and utilization of the services over the periods of implementation of the health sector development. Program (HSDP). But, there was still a gap in access and quality of services provided to communities ( 13 ). Therefore, this study was aimed to assess and compare client satisfaction and associated factors among insured and uninsured adults who visit public health facility in Enrage Enawga woreda, Amhara region, North West Ethiopia 2021. Materials and methods Setting and duration of the study The study was conducted at Enrage EnawgaWoreda East Gojam Amhara regional state from March 15th 2021 to April 30th, 2021. It is away from117 km at Debre Markos, 180km from Amhara Regional State and 302 km from the capital city of Ethiopia, Addis Ababa. It consists of 28 rural and 3 urban kebeles. It has 1 primary hospital, 2 urban, 5 rural health center and 2 private clinics. The woreda has a population of 218257 among which 8168 are insured and 2743are noninsured that get service in the seven health center in the last three months (Enarge Enawga woreda health office Health Management Information System (HMIS). Study Design and population Institutional based comparative cross-sectional study was employed among insured and uninsured adults. All adult clients attending public health facility in Enarge Enawga woreda, Amhara region, North West Ethiopia were the source population. And all adult patients who visited public health facilities during data collection period and fulfilled the selection criteria were the study population. Inclusion and exclusion criteria All adult Clients who were got service and visited public health facility were included in this study, whereas those clients who were critically ill, unable to respond to interviews and clients who were use exempted services but they were a member of CBHI excluded from this study. Sample size and sampling procedure A double population proportion formula was used to estimate the sample size required for the study. The sample size calculation assumed the proportion (p1) was proportion satisfaction in insured clients is taken as 54.1% (Southern Ethiopia household heads’ satisfaction) [14], p2-proportion of satisfaction in uninsured clients 75.7% was taken the same study conducted in wollo, north east Ethiopia [10], α - the level of statistical significant 0.05; β = Type II error 0.2 and in consideration of a 10% non-response rate, the final sample size of this study was 770. There are seven fully functional health centers in Enarge Enawga woreda, Amhara region, North West, Ethiopia. All the health centers were included in the study. At first, the calculated sample size was proportionally allocated to each health centers based on the number of number of patients who were seen at the health centers in the last three months, prior to the actual data collection for both groups. Furthermore, simple random sampling method was used to select each adult clients based on proportions to get the desired sample size. Data collection instruments and procedures A pre-tested structured questionnaire face-to-face interview was used to collect data from study participants. The data collection were conducted by using PEIs CBHI tool which were developed by reviewing different kinds of literature and guidelines ( 10 , 11 , 14 ) and it consists of three parts which include: socio-demographic characteristics, experience with service utilization related characteristics, and availability of resource and financial accessibility characteristics. Data were collected by health information technician and data collection processes were supervised by supervisors. Definitions and measurements Patient satisfaction is respondents with average score of less than mean value are classified as dissatisfied, and those with average score of grater and equal to mean value are considered as satisfied ( 15 – 17 ). Data processing and analysis Data were analyzed using SSPS version 23. Data were cleaned by running frequencies to each variable to check outliers, inconsistencies, and missed values. The assumptions for binary logistic regression were checked. Hosmer-Lemeshow statistic and Omnibus tests were done for model fitness. Variables with P < 0.25 in the bivariate analysis and variables that were significant in previous studies were considered to select the candidate variables for the final model. Collinearity statistics (Variance inflation factor (VIF) > 10 and tolerance (T) < 0.1 were considered as suggestive of the existence of multi collinearity. Adjusted Odds Ratio along with 95% CI and Pearson chi-square test was estimated to identify factors affecting insured and uninsured adult clients who visit public health facility. The P-value < 0.05 was considered to declare a result as statistically significant. Then simple frequencies, summary measures, tables, and figures were used to present the information. Data quality management Data collectors and supervisors were provided with a daylong intensive training on the techniques of data collection and components of the data collection tool. Before the actual data collection, the questionnaire was pre-tested on 10% of insured and uninsured adult clients in Debre Markos health center. Based on the findings from the pretest, ambiguous questions were amended. An ongoing formative checkup for completeness and consistency of responses was made by the supervisors daily. Ethics consideration and consent to participate Ethical clearance was issued from the Institutional Review Board of Debre Markos University. Permission was secured from the respective health center administrators. Moreover, Informed consent was taken from participants to participate in the study. Before obtaining the consent of each participant, a letter of support and approval to undertake the research in health facilities was obtained from managers in each public health facility. Privacy, as well as the confidentiality of participants, was asserted. In any case, their right to withdraw from the study at any time was assured. Results Socio-demographic characteristics of the study participants A total of 753 study participants were participated in this study, yielding response rate of 97.8%. The mean age and standard deviation of study participants were 42 ± SD 14.66 years old. Four hundred eleven 411(54.6%) were male and 478(63.5%) were married. More than half of the respondents 520 (69.1%) were live in rural area and 422 (56%) were farmer (Table 1 ). Table 1 Socio-demographic characteristics of the insured and uninsured respondents on level of satisfaction with public health facility and associated factors among adult clients in Enrage EnawgaWoreda, Amhara Regional state, Ethiopian 2021 (n = 753). Insured Uninsured Variable Category Frequency (%) Satisfied dissatisfied Frequency (%) Satisfied Dissatisfied Age 18–33 115(30.3) 79 36 131(35.1) 75 56 34–49 144(37.9) 72 72 115(30.8) 51 64 > − 50 121(31.8) 64 57 127(34.1) 45 82 Sex Male 202(53.2) 111 91 209(56.0) 94 115 Female 178(46.8) 104 74 164(44.0) 77 87 Marital status married 262(68.9) 130 129 216(57.9) 78 138 single 42(11.1) 39 6 84(22.5) 53 31 Divorced 44(11.6) 29 15 48(12.9) 22 26 Widowed 32(8.4) 17 15 25(6.7) 18 7 Family size 1–5 332(87.4) 191 141 320(85.8)5 155 165 > 5 48(12.6) 24 24 3(14.2) 16 37 Residence Rural 280(73.7) 150 130 240(64.3) 92 148 Urban 100(26.3) 65 35 133(35.7) 79 54 Educational status Uneducated 179(47.1) 122 79 136(36.5) 36 100 Educated 201(52.9) 93 86 237(63.5) 135 102 Occupation Farmer 239(62.9) 120 118 183(49.1) 66 117 Housewife 48(12.6) 25 23 36(9.7) 14 22 Merchant 48(12.6) 35 13 99(26.5) 63 36 Daily labor 23(6.1) 14 9 20(5.3) 8 12 Student 22(5.8) 17 6 35(9.4) 20 15 Experience with service utilization of insured and uninsured participants Most of the respondents were visit the health center reputedly 582(77.3%). Health care provider gives health education to more than half of the participant 578(76.8%) and 466(61.9%) of the respondents have pre information about the health facility (Table 2 ). Table 2 Experience with service utilization of the insured and uninsured respondents on level of satisfaction with public health facility and associated factors among adult patient in Enrage EnawgaWoreda, Amhara Regional state, Ethiopian 2021(n = 753). Insured Uninsured variable Category Frequency (%) Satisfied Dissatisfied Frequency (%) satisfied dissatisfied Frequency of visit New 63(16.6) 45 18 108(29.0) 59 49 Reputed 317(83.4) 170 147 265(71.0) 112 153 Reason for visit Cough 62(16.3) 33 29 57(15.3) 19 39 Eye & ear pain 28(7.4) 25 3 39(10.4) 20 19 Stomachache 52(13.7) 34 18 44(11.8) 15 29 Arthritis 53(13.9) 24 29 54(14.5) 22 32 Injury 29(7.6) 27 2 22(5.9) 18 4 Follow up 72(18.9) 31 41 72(19.3) 45 27 Headache 44(11.6) 22 22 47(12.6) 18 29 Other 40(10.6) 19 21 38(10.2) 14 23 Provide service at visit Drug 275(72.4) 152 123 268(71.8) 114 154 Laboratory 60(15.8) 30 30 73(19.6) 33 40 Consultation 8(2.1) 2 6 8(2.1) 4 4 Surgical 37(9.7) 31 6 24(6.5) 20 4 Waiting time 3hr 45(11.8) 15 30 150(40.2) 55 95 Get health education Yes 291(76.6) 163 128 287(76.9) 139 148 No 89(23.4) 52 37 86(23.1) 32 54 Have pre Information Yes 234(61.6) 105 129 232(62.2) 106 126 No 146(38.4) 110 36 141(37.8) 65 76 Availability of resource and financial accessibility Among the respondents more than half were satisfied with cost of service and drug but more than half of respondents were dissatisfied with availability of laboratory service ( Table 3 ). Table 3: Factors related to availability of resource and financial accessibility of the insured and uninsured respondents on level of satisfaction with public health facility and associated factor among adult patient in Enarge Enawga Woreda, East Gojam, Amhara Regional State, Ethiopia 2021(n=753). X 2 -test result To know a significant difference between insured and uninsured Pearson chi-square test was done for 380 insured and 373 uninsured clients (Table 4 ). Table 4 Chi-square result for insured and uninsured respondent on level of satisfaction with public health facility and associated factor among adult patient in Enrage EnawgaWoreda, East Gojam zone, Amhara Regional state, Ethiopian2021(n = 753). Variable category Insurance status Satisfied Dissatisfied X2 p-value Insured 215 165 8.67 0.003 Uninsured 171 202 Level of satisfaction In this study a total of 753 respondents among those 380 insured clients 215(56.6%) and 373 uninsured clients 171(45.8%) were greater than the mean score which level as satisfied ( Fig. 1 ). Factors affect level of satisfaction of insured client After control possible confounders in multivariable logistic regression, pre information about the facility, measuring blood pressure of the client, explain diagnosis to the patient and frequency of visit were having association of level of satisfaction for insured client at p-value < 0.05. Result revealed that clients who have pre information about the health facility service were 0.26 times less likely satisfied with 95% CI: (0.16–0.43), p = 0.00). Clients whose blood pressure measured were 3 times more likely satisfied (AOR = 3.33, with 95% CI: (2.01–5.51)), p = 0.00). Clients who got get explanation about their diagnosis were 2 times more likely satisfied (AOR = 1.74 with 95% CI: (1.03–2.94), p = 0.038)). Clients who visit the health facility once were 2 times more satisfied (AOR = 2.04 with 95% CI: (1.05–3.99), p = 0.036)) (Table 5 ). Table 5 Summary of Bivariable and multivariable analysis of insured level of satisfaction with health facility and associated factor among adult patient in Enarge Enawga woreda, East Gojam zone, Amhara Regional state, Ethiopian 2021(N = 380). Variable Category Satisfied Dissatisfied COR with CI 95% P-value AOR with CI 95% P –Value Age 18–33 79 36 1.95(1.15–3.33) 0.007 1(0.48–2.07) 0.99 34–49 72 72 0.89(0.55–1.45) 0.014 0.7(0.38–1.25) 0.22 > 50 64 57 1 1 Educational status Educated 93 86 0.7(0.5–1.05) 0.09 0.84(0.49–1.42) 0.52 Uneducated 122 79 1 1 Frequency of visit New 45 18 2.16(1.2–3.99) 0.01 2.04(1.05–3.99) 0.036 Repeat 170 147 1 1 Marital status Married 130 129 0.8(0.42–1.86) 0.74 1.38(0.57–3.29) 0.47 Single 39 6 5.74(1.9–17) 0.01 9(2.6–31.7) 0.10 Divorced 29 15 1.7(0.67–4.33) 0.25 2.74(0.94–7.9) 0.64 Widowed 17 15 1 1 Residence Rural 150 130 0.62(0.39-1) 0.05 1(0.49–2.02) 0.97 Urban 65 35 1 1 Occupation Farmer 120 118 0.36(0.14–0.94) 0.04 0.3(0.04–1.85) 0.19 Housewife 25 23 0.38(0.13–1.14) 0.09 0.36(0.05–2.5) 0.31 Merchant 35 13 1(0.31–2.93) 0.9 0.63(0.09–4.4) 0.63 Daily labor 14 9 0.55(0.15–1.92) 0.35 0.38(0.05–2.9) 0.35 Student 17 6 1 1 Pre information Yes 105 129 0.27(0.17–0.42) 0.00 0.26(0.16–0.43) 0.00 No 110 36 1 1 Measured blood pressure Yes 43 67 2.90(1.90–4.42) 0.00 3.33(2.01–5.51) 0.00 No 72 98 1 1 Get explanation about diagnosis Yes 158 87 2.49(1.62–3.82) 0.00 1.74(1.03–2.94) 0.038 No 57 78 1 1 Provider friendly help patients Satisfied 118 62 2.02(1.34–3.06) 0.20 2.05(1.22–3.30) 0.06 Dissatisfied 97 103 1 1 Availability of laboratory service Satisfied 76 48 1.33(0.86–2.06) 0.2 1.4(0.86–2.39) 0.18 Dissatisfied 139 117 1 1 Factors affect level of satisfaction of uninsured As result showed that clients who were educated(able to read and write) 4 times more satisfied (AOR = 4.17, with 95%CI = 2.5–6.9), p = 0.00). Clients who had a family member of 1-5were 2 times more satisfied with (AOR = 2.3 95%CI = 1.13–4.69, p = 0.022).clients who were get explanation about the diagnosis were 3 times more satisfied (AOR = 3.20 with, 95%CI = 1.95–5.27, p = 0.00). At the same time clients who measure their blood pressure were 2 times more satisfied (AOR = 2.43 with 95%CI = 1.47–3.99, p = 0.00) (Table 6 ). Table 6 Summary of bivariable and multivariable analysis of uninsured level of satisfaction with health facility and associated factors among adult patient in Enrage EnawgaWoreda, East Gojam zone, Amhara Regional state, Ethiopian 2021(N = 373). Variable Category Satisfied Dissatisfied COR with CI 95% P-value AOR with CI 95% P-value Age 18–33 75 56 2.44(1.48–4.03) 0.00 1.7(0.9–3.47) 0.10 34–49 51 64 1.45(0.87–2.44) 0.16 1.59(0.84–2.99) 0.15 >-50 45 82 1 1 Residence Urban 79 54 2.35(1.53–3.63) 0.00 1(0.6–1.97) 0.75 Rural 92 148 1 1 Educational status Educated 135 102 3.68(2.32–5.82) 0.00 4.17(2.5–6.9) 0.00 Uneducated 36 100 1 1 Frequency of visit Reapted 112 153 0.61(0.39–0.95) 0.03 0.99(0.56–1.72) 0.99 New 59 49 1 1 Family size 1–5 155 165 2.17(1.16–4.06) 0.015 2.3(1.13–4.69) 0.022 > 5 16 37 1 1 Get health education Yes 139 148 1.59(0.97–2.6) 0.07 1.28(0.7–2.29) 0.40 No 32 54 1 1 Temperature measured No 126 127 1 1 0.23 Yes 45 75 0.6(0.39–0.94) 0.03 0.7(0.4–1.23) Measure blood pressure Yes 122 96 2.75(1.79–4.23) 0.00 2.43(1.47–3.99) 0.00 No 49 106 1 1 Care provider use state scope at examination No 105 154 1 0.12 Yes 66 48 2.02(1.29–3.15) 0.02 1.53(0.89–2.62) Physical exam nation done No 111 156 1 1 0.67 Yes 60 46 1.74(1.16–2.89) 0.01 1.13(0.63–2.05) Get explanation about diagnosis Yes 131 94 3.76(2.4–5.9) 0.00 3.20(1.95–5.27) 0.00 No 40 108 1 1 Waiting time 3hr 55 95 0.33(0.21–0.55) 0.00 0.59(0.34–1.03) 0.67 Asked about present illness Yes 151 186 0.65(0.33–1.30) 0.22 0.9(0.42–2.07) 0.86 No 20 16 1 1 Care provider friendly help Patients Satisfied 104 106 1.41(0.93–2.13) 0.15 1.5(0.98–2.67) 0.06 Dissatisfied 67 96 1 Availability of laboratory service Satisfied 53 36 2.07(1.28–3.36) 0.03 1.69(0.95–3.02) 0.076 Dissatisfied 118 166 1 1 Discussions In this study the level of satisfaction of insured was 56.6% and uninsured was 45.8%. The satisfaction of insured is more than uninsured client. This result is similar to the study conducted Tehuledere district Wollo Amhara region ,Ethiopia 79.4 for insured and 75.7 were uninsured( 10 ). This result is nearly in line with a study conducted in India where 82% of insured and 73% of non-insured clients were satisfied with the services received( 18 ). The findings of this study also reveal that the difference was statistically significant where insured patients have a higher mean of satisfaction score than their counterpart non-insured, and also similar to a study conducted in Ghana that found a statistically significant difference in the satisfaction of insured and non- insured clients ( 19 ). According to the result of this study the level of satisfaction among insured clients was 56.6% with 95%CI (54%, 63%) which is higher than (42.6%,42.1%,50.2%) earlier study done in Sheko district, Anilemo Hadiya and Nigeria respectively( 7 , 17 , 20 ), and also the result was similar to (54.1% and 54.7%) in Felege hiwot referral hospital and Bangladesh ( 21 , 22 ). But it is lower than 82%, 91.3 and 79.4% study done in, South Wollo Amhara Ethiopia, south nation nationality Ethiopia and India ( 10 , 18 ). The possible reason for the difference from the earlier finding may be due to difference in study participant educational status in Zaria Nigeria were university staff who were educated. On the other hand socio cultural difference and study area in India were hospitals( 20 ), as well as Zaria Nigeria and also South Wollo the study participant were only outpatient clients( 23 ). Regarding to uninsured clients the level of satisfaction with health facility was 45.8% with 95%CI (44%, 52%) which is lower than (80.1%, 54.2% 77% ,75.7% and 57.8%) earlier study done in Hawassa University Teaching Hospital, Wolaita Sodo University, Jimma University Specialized Hospital, South Wollo Amhara Ethiopia and Bahir Dar Felege Hiwot referral Hospital( 24 – 26 ).The difference may be due to the difference in study participants in which previous studies were male in Bahir dare Felege Hiwot referral hospital ( 26 ). The other reason could be explained by the experience of patients and cultural values of patients for time, infrastructure. Moreover, the study area may influence patient experience, while this study was conducted in Health Center, other include hospitals. Due to the fact that specialized teaching hospitals are equipped very well and have enough diversity of health professionals, better diagnostic facilities, health service infrastructures, and awareness of service providers of different levels that are expected to demonstrate the standard way of patient examination resulting in higher overall satisfaction level at Jimma and Wolaita Sodo( 25 , 26 ). Many satisfaction studies have tried to relate client satisfaction with socio demographic variables in this study educational status was associated with uninsured client satisfaction. Respondents who were educated 4 times more likely satisfied than they were uneducated (unable to read and write). This result is differ from the study conducted in Jimma university hospital( 26 ). The reason is due to study area. Educational level increase satisfaction also increase because educated person has ability to understood the service they get easily but uneducated will be confused with service ( 27 ). Clients who visit the health facility once were 2 times more likely satisfied than they visit the health facility reputedly. Frequency of health facility visiting in other study is not a predictor variable in Zaria Nigeria, Felege hiwot referral hospital among private wing and Felege hiwot referral hospital among insured women ( 24 , 28 ). The difference might be in study settings and participant selection. Because unfamiliarizes the clients with service. The participant of the current study is insured and uninsured clients of both sexes whereas the study conducted in Felege hiwot was the study participant were insured female and the others were private wing. However; respondents with once visited the health facility is a predictor of insured client in this study. The probable reason might be provision of similar laboratory service and drug prescription of the provider with reapted visit brought dissatisfaction of respondents with health facility service( 13 , 19 ). Patients who have pre information about the health center service were less satisfied than respondent who did not have pre information, this study is similar with a study done in India, whereas disagree to the study with private wing in Felege Hiwot Referral Hospital ( 29 ).Pre information about the health facility is not a predictor variable in Bahir Dare Felege Hiwot Referral Hospital. The difference might be due to the difference in tools and the participants of the study. But pre information is not associated with uninsured client satisfaction. During the time of visit clients who have pre information about health facility service were dissatisfied because they did not get the service they informed before due to different reason( 24 , 30 ). According to the results of the present study consultation on diagnosis is the important factor predicting the levels of patient satisfaction both insured and uninsured. Clients they get explanation about their diagnosis were more likely satisfied than they did not get explanation about diagnosis by health care provider. This study is similar for insured client to the study conducted in earlier in South Wollo Amhara Ethiopia ( 10 ). As health service providers continue consulting their patients on explanation about the diagnosis, patient satisfaction increases. So, it indicates that it is better to give attention to outpatient consultation on diagnosis explanation to improve patient satisfaction ( 13 ). Among uninsured Clients who had a family member of 1-5were more likely satisfied than who had greater than five family members, this is the study similar with in Bangladesh. This might be due to one of the reasons as larger families required more healthcare and made frequent visits to the health facilities, but it is not a predictor variable Lahore, Pakistan ( 10 , 18 , 31 ). In my study Clients who measure their blood pressure were more likely satisfied than patients they were not measure their blood pressure for both insured and uninsured client. This is the new variable which is added to this research but other research not studied including this variable. Measuring the blood pressure of client were increase the satisfaction level of the client both insured and uninsured. The reason is clients know their pressure status early and it is used as psychological treatment. The Limitation of the Study does not address health care providers’ perceptions of effects on access, equity and quality of services. In this study the study design was institution based cross sectional design; therefore, it lacks a cause and effect relationship. Conclusions and recommendations The study finding shows that an insured patient has a higher level of satisfaction score than uninsured. Generally in this study pre information about the facility and frequency of visit were significantly associated with insured clients, whereas family size and educational status were significantly associated with uninsured clients, but give explanation about the diagnosis and measuring blood pressure of the client were associated determinants of both insured and uninsured client’s satisfaction. Health care provider shall be give appropriate information, explain their diagnosis to the patient and measure the blood pressure routinely to enhance client satisfaction at all time. The health center heads should conduct periodic identification of related influencing factor on patient satisfaction and give appropriate pre information about health facility service. The health center managers need to fulfill the availability of essential material to reduce dissatisfaction of insured patients and attract more members to the CBHI scheme. The researcher should be further investigating to fulfill client satisfaction Declarations Acknowledgements The authors are grateful for the study participants and the data collectors for their voluntariness in the data collection process. We are grateful for personnel at hospitals and health centers who have supported us with the facilitation of the data collection. Author contributions Yideg Abinew Kebede : Writing conceptualization, data curation, formal analysis, investigation, methodology, project administration, resources, software and supervision Yeshemebet Fenta Kebede: Writingmethodology, resources, validation and visualization Jemberu Chane Fetene : Writing methodology, tables, figures, validation and visualization Abebe Tadesse Tibebu: Writing introduction, discussion, conclusion and recommendation, review & editing. Funding There was no funding for this research. 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Patient satisfaction and associated factors among outpatient health service users at primary hospitals of North Gondar, Northwest Ethiopia, 2016. Advances in Public Health. 2020;2020. Robyn PJ, Bärnighausen T, Souares A, Savadogo G, Bicaba B, Sié A, et al. Does enrollment status in community-based insurance lead to poorer quality of care? Evidence from Burkina Faso. International journal for equity in health. 2013;12(1):1-13. Aragaw B. ASSESSMENT OF COMMUNITY BASED HEALTH INSURANCE WOMEN PATIENTS’SATISFACTION AND ASSOCIATED FACTORS AT FELEGE HIWOT REFERRAL HOSPITAL, NORTHWEST, ETHIOPIA By 2019. Duku SKO, Nketiah-Amponsah E, Janssens W, Pradhan M. Perceptions of healthcare quality in Ghana: does health insurance status matter? PloS one. 2018;13(1):e0190911. Nageso D, Tefera K, Gutema K. Enrollment in community based health insurance program and the associated factors among households in Boricha district, Sidama Zone, Southern Ethiopia; a cross-sectional study. Plos one. 2020;15(6):e0234028. Devadasan N, Criel B, Van Damme W, Lefevre P, Manoharan S, Van der Stuyft P. Community health insurance schemes & patient satisfaction-evidence from India. The Indian journal of medical research. 2011;133(1):40. Sarker AR, Sultana M, Ahmed S, Mahumud RA, Morton A, Khan JA. Clients’ experience and satisfaction of utilizing healthcare services in a community based health insurance program in Bangladesh. International journal of environmental research and public health. 2018;15(8):1637. Badacho AS, Tushune K, Ejigu Y, Berheto TM. Household satisfaction with a community-based health insurance scheme in Ethiopia. BMC research notes. 2016;9(1):1-10. Asefa A, Kassa A, Dessalegn M. Patient satisfaction with outpatient health services in Hawassa university teaching hospital, southern Ethiopia. Journal of Public Health and Epidemiology. 2014;6(2):101-10. Daramola O, Maduka W, Adeniran A, Akande T. Evaluation of Patients' Satisfaction with Services Accessed under the National Health Insurance Scheme at a Tertiary Health Facility in North Central, Nigeria. Journal of Community Medicine and Primary Health Care. 2017;29(1):11-7. Addise T, Alemayehu T, Assefa N, Erkalo D. The Magnitude of Satisfaction and Associated Factors Among Household Heads Who Visited Health Facilities with Community-Based Health Insurance Scheme in Anilemo District, Hadiya Zone, Southern Ethiopia. Risk Management and Healthcare Policy. 2021;14:145. Sagaro GG, Yalew AW, Koyira MM. Patients’ satisfaction and associated factors among outpatient Department at Wolaita Sodo University Teaching Hospital, Southern Ethiopia: a cross sectional study. Sci J Clin Med. 2015;4(5):109-16. Hailemariam A, Haddis F. Factors affecting unmet need for family planning in southern nations, nationalities and peoples region, Ethiopia. Ethiopian journal of health sciences. 2011;21(2):77-90. Ambelie YA, Demssie AF, Gebregziabher MG. Patients’ satisfaction and associated factors among private wing patients at Bahirdar Felege Hiwot Referral Hospital, North West Ethiopia. Sci J Public Health. 2014;2(5):417-23. Oljira L, Gebre-Selassie S. Satisfaction with outpatient health services at Jimma hospital, South West Ethiopia. Ethiopian Journal of Health Development. 2001;15(3):179-84. Aburayya A, Alshurideh M, Albqaeen A, Alawadhi D, Ayadeh I. An investigation of factors affecting patients waiting time in primary health care centers: An assessment study in Dubai. Management Science Letters. 2020;10(6):1265-76. Asamrew N, Endris AA, Tadesse M. Level of patient satisfaction with inpatient services and its determinants: a study of a specialized hospital in Ethiopia. Journal of environmental and public health. 2020;2020. Dagnew M, Zakus D. Community perception on OPD performance of a teaching hospital in Gondar town. Ethiopian medical journal. 1997;35(3):153-60. Macha J, Kuwawenaruwa A, Makawia S, Mtei G, Borghi J. Determinants of community health fund membership in Tanzania: a mixed methods analysis. BMC Health Services Research. 2014;14(1):1-11 Additional Declarations No competing interests reported. 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. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-3852987","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":269181029,"identity":"c69aa286-2879-461c-b946-d8b5f652b1e7","order_by":0,"name":"Yideg Abinew Kebede","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAzUlEQVRIiWNgGAWjYDACZgYDBgYDGzkQ+8AD4rUUpBmDtSQQaQ9Qy4fDiQ0gJlFaDI4zb3z4xSAtfX7Y4YdAW+zkdBsIaTnMVmwsY2CTu/F2mgFQS7Kx2QGCWnjMpCUM0nI3zk4AaTmQuI0ILea/JQwOpxvOTv9AtBYzxg8GhxPkpXOItEUS6BdpBoM0ww3SOQUHEgyI8Avf+cMbP/74YyMvPzt984cPFXZyBLUoABUw84BcCFZpQEA5CMg3MDAw/oAyRsEoGAWjYBRgBQDeN0gPd6IhBAAAAABJRU5ErkJggg==","orcid":"","institution":"Debark University","correspondingAuthor":true,"prefix":"","firstName":"Yideg","middleName":"Abinew","lastName":"Kebede","suffix":""},{"id":269181030,"identity":"a8e1ec44-97f1-45ad-8888-9ed5ab740527","order_by":1,"name":"Yeshemebet Fenta Kebede","email":"","orcid":"","institution":"Debark University","correspondingAuthor":false,"prefix":"","firstName":"Yeshemebet","middleName":"Fenta","lastName":"Kebede","suffix":""},{"id":269181031,"identity":"6f17c65b-d735-4820-a8cd-8a7f90c12e58","order_by":2,"name":"Jemberu Chane Fetene","email":"","orcid":"","institution":"Debark University","correspondingAuthor":false,"prefix":"","firstName":"Jemberu","middleName":"Chane","lastName":"Fetene","suffix":""},{"id":269181032,"identity":"54e7f340-c3f6-4e9e-8184-21ca1bb0f96f","order_by":3,"name":"Abebe Tadesse Tibebu","email":"","orcid":"","institution":"Debark University","correspondingAuthor":false,"prefix":"","firstName":"Abebe","middleName":"Tadesse","lastName":"Tibebu","suffix":""}],"badges":[],"createdAt":"2024-01-11 09:41:30","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-3852987/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-3852987/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":50385943,"identity":"34cfd845-15b0-44e4-873c-098b19bc4e0f","added_by":"auto","created_at":"2024-01-30 17:39:52","extension":"jpg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":138075,"visible":true,"origin":"","legend":"\u003cp\u003eLevel of satisfaction for insured and uninsured respondent health facility among adult patient in Enarge EnawgaWoreda, East Gojam zone, Amhara Regional state, Ethiopian 2021 (N=753).\u003c/p\u003e","description":"","filename":"figure1.jpg","url":"https://assets-eu.researchsquare.com/files/rs-3852987/v1/54efef4ffa3dcd85d090b6ee.jpg"},{"id":50387331,"identity":"5918d8af-cda0-4b1b-aec9-3c2270b0b1f7","added_by":"auto","created_at":"2024-01-30 17:55:55","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":975696,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-3852987/v1/4983c476-5bd5-4db5-a5e7-3e552437191b.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Client satisfaction and associated factors among insured and uninsured adult clients visiting public health institution in Enrage enawga woreda, Amhara Regional State North West Ethiopia, 2021: Institution based comparative cross sectional study","fulltext":[{"header":"Introduction","content":"\u003cp\u003eThe principle of patient satisfaction is straightforward with the whole health system, and it is Also the measurement of health system responsiveness(\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e). Even though it is challenging to find an agreed- upon definition, patient satisfaction is a measure of the level of healthcare content they receive from their providers (\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e, \u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e). Client satisfaction is individual subjective evaluation of their cognitive and emotional reaction, as a result of interaction between their expectations and regarding to experience after obtaining service from healthcare providers (\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e, \u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e). Satisfaction may also directly affect the economical capability of an institution by affecting client choice of health institution. Satisfaction with care is a vital power determining whether a person seeks medical advice, adhered with their treatment, and maintains a continuing relationship with healthcare providers (\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e).\u003c/p\u003e \u003cp\u003ePatient satisfaction is an indispensable health service outcome measurement which is the perceived fulfillment of patient needs and desires through the delivery of healthcare services(\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e). It is an integral part of the health system management strategies to assess the performance of the health system for quality assurance and accreditations. It is also the direct measurement of organizational strengths and performance of the provision of the services. Patient satisfaction is evaluated from the dimensions of the health facility environment, patient-physician relationships, and service availability (\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eUniversal health coverage (UHC) is a situation, where all people can access the health services they need without incurring financial hardship. Health service equity and quality are important indicators in achieving universal health coverage, to achieve universal health coverage health insurance is a key component for satisfaction(\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e, \u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e).Countries in sub Saharan Africa (SSA) like South Africa, Gabon, Mali, Senegal, Uganda, Tanzania, Nigeria, and Ghana have taken steps towards universal coverage by adopting risk pooling systems to supply financial protection, particularly to the poor and vulnerable in their societies (\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e, \u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e, \u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eEthiopian Federal Ministry of Health (FMOH) has been implementing health sector development program (HSDP). It is a 20-year plan which was encouraging improvements in the coverage and utilization of the services over the periods of implementation of the health sector development. Program (HSDP). But, there was still a gap in access and quality of services provided to communities (\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e). Therefore, this study was aimed to assess and compare client satisfaction and associated factors among insured and uninsured adults who visit public health facility in Enrage Enawga woreda, Amhara region, North West Ethiopia 2021.\u003c/p\u003e"},{"header":"Materials and methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eSetting and duration of the study\u003c/h2\u003e \u003cp\u003eThe study was conducted at Enrage EnawgaWoreda East Gojam Amhara regional state from March 15th 2021 to April 30th, 2021. It is away from117 km at Debre Markos, 180km from Amhara Regional State and 302 km from the capital city of Ethiopia, Addis Ababa. It consists of 28 rural and 3 urban kebeles. It has 1 primary hospital, 2 urban, 5 rural health center and 2 private clinics. The woreda has a population of 218257 among which 8168 are insured and 2743are noninsured that get service in the seven health center in the last three months (Enarge Enawga woreda health office Health Management Information System (HMIS).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eStudy Design and population\u003c/h2\u003e \u003cp\u003eInstitutional based comparative cross-sectional study was employed among insured and uninsured adults. All adult clients attending public health facility in Enarge Enawga woreda, Amhara region, North West Ethiopia were the source population. And all adult patients who visited public health facilities during data collection period and fulfilled the selection criteria were the study population.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003eInclusion and exclusion criteria\u003c/h2\u003e \u003cp\u003eAll adult Clients who were got service and visited public health facility were included in this study, whereas those clients who were critically ill, unable to respond to interviews and clients who were use exempted services but they were a member of CBHI excluded from this study.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eSample size and sampling procedure\u003c/h2\u003e \u003cp\u003eA double population proportion formula was used to estimate the sample size required for the study. The sample size calculation assumed the proportion (p1) was proportion satisfaction in insured clients is taken as 54.1% (Southern Ethiopia household heads\u0026rsquo; satisfaction) [14], p2-proportion of satisfaction in uninsured clients 75.7% was taken the same study conducted in wollo, north east Ethiopia [10], α - the level of statistical significant 0.05; β\u0026thinsp;=\u0026thinsp;Type II error 0.2 and in consideration of a 10% non-response rate, the final sample size of this study was 770. There are seven fully functional health centers in Enarge Enawga woreda, Amhara region, North West, Ethiopia. All the health centers were included in the study. At first, the calculated sample size was proportionally allocated to each health centers based on the number of number of patients who were seen at the health centers in the last three months, prior to the actual data collection for both groups. Furthermore, simple random sampling method was used to select each adult clients based on proportions to get the desired sample size.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003eData collection instruments and procedures\u003c/h2\u003e \u003cp\u003e A pre-tested structured questionnaire face-to-face interview was used to collect data from study participants. The data collection were conducted by using PEIs CBHI tool which were developed by reviewing different kinds of literature and guidelines (\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e, \u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e, \u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e) and it consists of three parts which include: socio-demographic characteristics, experience with service utilization related characteristics, and availability of resource and financial accessibility characteristics. Data were collected by health information technician and data collection processes were supervised by supervisors.\u003c/p\u003e \u003cdiv id=\"Sec8\" class=\"Section3\"\u003e \u003ch2\u003eDefinitions and measurements\u003c/h2\u003e \u003cp\u003e \u003cb\u003ePatient satisfaction\u003c/b\u003e is respondents with average score of less than mean value are classified as dissatisfied, and those with average score of grater and equal to mean value are considered as satisfied (\u003cspan additionalcitationids=\"CR16\" citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e).\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv id=\"Sec9\" class=\"Section2\"\u003e \u003ch2\u003eData processing and analysis\u003c/h2\u003e \u003cp\u003eData were analyzed using SSPS version 23. Data were cleaned by running frequencies to each variable to check outliers, inconsistencies, and missed values. The assumptions for binary logistic regression were checked. Hosmer-Lemeshow statistic and Omnibus tests were done for model fitness. Variables with P\u0026thinsp;\u003cem\u003e\u0026lt;\u003c/em\u003e\u0026thinsp;0.25 in the bivariate analysis and variables that were significant in previous studies were considered to select the candidate variables for the final model. Collinearity statistics (Variance inflation factor (VIF)\u0026thinsp;\u003cem\u003e\u0026gt;\u003c/em\u003e\u0026thinsp;10 and tolerance (T)\u0026thinsp;\u003cem\u003e\u0026lt;\u003c/em\u003e\u0026thinsp;0.1 were considered as suggestive of the existence of multi collinearity. Adjusted Odds Ratio along with 95% CI and Pearson chi-square test was estimated to identify factors affecting insured and uninsured adult clients who visit public health facility. The P-value\u0026thinsp;\u003cem\u003e\u0026lt;\u003c/em\u003e\u0026thinsp;0.05 was considered to declare a result as statistically significant. Then simple frequencies, summary measures, tables, and figures were used to present the information.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec10\" class=\"Section2\"\u003e \u003ch2\u003eData quality management\u003c/h2\u003e \u003cp\u003eData collectors and supervisors were provided with a daylong intensive training on the techniques of data collection and components of the data collection tool. Before the actual data collection, the questionnaire was pre-tested on 10% of insured and uninsured adult clients in Debre Markos health center. Based on the findings from the pretest, ambiguous questions were amended. An ongoing formative checkup for completeness and consistency of responses was made by the supervisors daily.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eEthics consideration and consent to participate\u003c/h2\u003e \u003cp\u003e Ethical clearance was issued from the Institutional Review Board of Debre Markos University.\u003c/p\u003e \u003cp\u003ePermission was secured from the respective health center administrators. Moreover, Informed consent was taken from participants to participate in the study. Before obtaining the consent of each participant, a letter of support and approval to undertake the research in health facilities was obtained from managers in each public health facility. Privacy, as well as the confidentiality of participants, was asserted. In any case, their right to withdraw from the study at any time was assured.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec13\" class=\"Section2\"\u003e\n\u003ch2\u003eSocio-demographic characteristics of the study participants\u003c/h2\u003e\n\u003cp\u003eA total of 753 study participants were participated in this study, yielding response rate of 97.8%. The mean age and standard deviation of study participants were 42\u0026thinsp;\u0026plusmn;\u0026thinsp;SD 14.66 years old. Four hundred eleven 411(54.6%) were male and 478(63.5%) were married. More than half of the respondents 520 (69.1%) were live in rural area and 422 (56%) were farmer (Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e).\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab1\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003eSocio-demographic characteristics of the insured and uninsured respondents on level of satisfaction with public health facility and associated factors among adult clients in Enrage EnawgaWoreda, Amhara Regional state, Ethiopian 2021 (n\u0026thinsp;=\u0026thinsp;753).\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth colspan=\"5\" align=\"left\"\u003e\n\u003cp\u003eInsured\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"3\" align=\"left\"\u003e\n\u003cp\u003eUninsured\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eVariable\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCategory\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eFrequency (%)\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003edissatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eFrequency (%)\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eDissatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"3\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eAge\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e18\u0026ndash;33\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e115(30.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e79\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e36\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e131(35.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e75\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e56\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e34\u0026ndash;49\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e144(37.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e72\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e72\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e115(30.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e51\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e64\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026gt;\u003csub\u003e\u0026minus;\u003c/sub\u003e50\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e121(31.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e64\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e57\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e127(34.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e45\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e82\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eSex\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMale\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e202(53.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e111\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e91\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e209(56.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e94\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e115\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eFemale\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e178(46.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e104\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e74\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e164(44.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e77\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e87\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"4\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eMarital status\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003emarried\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e262(68.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e130\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e129\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e216(57.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e78\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e138\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003esingle\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e42(11.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e39\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e6\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e84(22.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e53\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e31\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDivorced\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e44(11.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e29\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e15\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e48(12.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e22\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e26\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eWidowed\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e32(8.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e15\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e25(6.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e18\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e7\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eFamily size\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u0026ndash;5\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e332(87.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e191\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e141\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e320(85.8)5\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e155\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e165\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026gt;\u0026thinsp;5\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e48(12.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e24\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e24\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e3(14.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e16\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e37\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eResidence\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eRural\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e280(73.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e150\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e130\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e240(64.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e92\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e148\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eUrban\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e100(26.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e65\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e35\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e133(35.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e79\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e54\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eEducational status\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eUneducated\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e179(47.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e122\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e79\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e136(36.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e36\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e100\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eEducated\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e201(52.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e93\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e86\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e237(63.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e135\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e102\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"5\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eOccupation\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eFarmer\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e239(62.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e120\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e118\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e183(49.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e66\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e117\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eHousewife\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e48(12.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e25\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e23\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e36(9.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e22\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMerchant\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e48(12.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e35\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e13\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e99(26.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e63\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e36\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDaily labor\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e23(6.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e9\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e20(5.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e8\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e12\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eStudent\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e22(5.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e6\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e35(9.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e20\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e15\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec14\" class=\"Section2\"\u003e\n\u003ch2\u003eExperience with service utilization of insured and uninsured participants\u003c/h2\u003e\n\u003cp\u003eMost of the respondents were visit the health center reputedly 582(77.3%). Health care provider gives health education to more than half of the participant 578(76.8%) and 466(61.9%) of the respondents have pre information about the health facility (Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e2\u003c/span\u003e).\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab2\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003eExperience with service utilization of the insured and uninsured respondents on level of satisfaction with public health facility and associated factors among adult patient in Enrage EnawgaWoreda, Amhara Regional state, Ethiopian 2021(n\u0026thinsp;=\u0026thinsp;753).\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth colspan=\"5\" align=\"left\"\u003e\n\u003cp\u003eInsured\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"3\" align=\"left\"\u003e\n\u003cp\u003eUninsured\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003evariable\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCategory\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eFrequency (%)\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eDissatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eFrequency (%)\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003esatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003edissatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eFrequency of visit\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNew\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e63(16.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e45\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e18\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e108(29.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e59\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e49\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eReputed\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e317(83.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e170\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e147\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e265(71.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e112\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e153\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"8\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eReason for visit\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCough\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e62(16.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e33\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e29\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e57(15.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e19\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e39\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eEye \u0026amp; ear pain\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e28(7.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e25\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e3\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e39(10.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e20\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e19\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eStomachache\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e52(13.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e34\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e18\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e44(11.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e15\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e29\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eArthritis\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e53(13.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e24\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e29\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e54(14.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e22\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e32\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eInjury\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e29(7.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e27\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e2\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e22(5.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e18\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e4\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eFollow up\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e72(18.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e31\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e41\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e72(19.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e45\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e27\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eHeadache\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e44(11.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e22\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e22\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e47(12.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e18\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e29\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eOther\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e40(10.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e19\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e21\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e38(10.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e23\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"4\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eProvide service at visit\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDrug\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e275(72.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e152\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e123\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e268(71.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e114\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e154\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLaboratory\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e60(15.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e30\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e30\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e73(19.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e33\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e40\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eConsultation\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e8(2.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e2\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e6\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e8(2.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e4\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e4\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSurgical\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e37(9.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e31\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e6\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e24(6.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e20\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e4\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"3\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eWaiting time\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026lt;\u0026thinsp;1hr\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e217(57.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e146\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e71\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e133(35.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e84\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e49\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1-3hr\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e118()31.1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e54\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e64\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e90(24.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e32\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e58\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026gt;\u0026thinsp;3hr\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e45(11.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e15\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e30\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e150(40.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e55\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e95\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eGet health education\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eYes\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e291(76.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e163\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e128\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e287(76.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e139\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e148\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e89(23.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e52\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e37\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e86(23.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e32\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e54\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eHave pre Information\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eYes\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e234(61.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e105\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e129\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e232(62.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e106\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e126\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e146(38.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e110\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e36\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e141(37.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e65\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e76\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec15\" class=\"Section2\"\u003e\n\u003ch2\u003eAvailability of resource and financial accessibility\u003c/h2\u003e\n\u003cp\u003eAmong the respondents more than half were satisfied with cost of service and drug but more than half of respondents were dissatisfied with availability of laboratory service (\u003cspan class=\"Underline\"\u003eTable\u0026nbsp;3\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 3:\u0026nbsp;\u003c/strong\u003eFactors related to availability of resource and financial accessibility of the insured\u0026nbsp;and uninsured respondents on level of satisfaction with public health facility and associated\u0026nbsp;factor among adult patient in Enarge Enawga Woreda, East Gojam, Amhara Regional\u0026nbsp;State, Ethiopia 2021(n=753).\u003c/p\u003e\n\u003cp\u003e\u003cimg 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\" alt=\"\" width=\"667\" height=\"616\" /\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec16\" class=\"Section2\"\u003e\n\u003ch2\u003eX\u003csup\u003e2\u003c/sup\u003e-test result\u003c/h2\u003e\n\u003cp\u003eTo know a significant difference between insured and uninsured Pearson chi-square test was done for 380 insured and 373 uninsured clients (Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e4\u003c/span\u003e).\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab3\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 4\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003eChi-square result for insured and uninsured respondent on level of satisfaction with public health facility and associated factor among adult patient in Enrage EnawgaWoreda, East Gojam zone, Amhara Regional state, Ethiopian2021(n\u0026thinsp;=\u0026thinsp;753).\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eVariable category\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n\u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n\u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eInsurance status\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eDissatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eX2\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003ep-value\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eInsured\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e215\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e165\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e8.67\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.003\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eUninsured\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e171\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e202\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec17\" class=\"Section3\"\u003e\n\u003ch2\u003eLevel of satisfaction\u003c/h2\u003e\n\u003cp\u003eIn this study a total of 753 respondents among those 380 insured clients 215(56.6%) and 373 uninsured clients 171(45.8%) were greater than the mean score which level as satisfied (\u003cspan class=\"Underline\"\u003eFig.\u0026nbsp;1\u003c/span\u003e).\u003c/p\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec18\" class=\"Section2\"\u003e\n\u003ch2\u003eFactors affect level of satisfaction of insured client\u003c/h2\u003e\n\u003cp\u003eAfter control possible confounders in multivariable logistic regression, pre information about the facility, measuring blood pressure of the client, explain diagnosis to the patient and frequency of visit were having association of level of satisfaction for insured client at p-value\u0026thinsp;\u0026lt;\u0026thinsp;0.05.\u003c/p\u003e\n\u003cp\u003eResult revealed that clients who have pre information about the health facility service were 0.26 times less likely satisfied with 95% CI: (0.16\u0026ndash;0.43), p\u0026thinsp;=\u0026thinsp;0.00). Clients whose blood pressure measured were 3 times more likely satisfied (AOR\u0026thinsp;=\u0026thinsp;3.33, with 95% CI: (2.01\u0026ndash;5.51)), p\u0026thinsp;=\u0026thinsp;0.00). Clients who got get explanation about their diagnosis were 2 times more likely satisfied (AOR\u0026thinsp;=\u0026thinsp;1.74 with 95% CI: (1.03\u0026ndash;2.94), p\u0026thinsp;=\u0026thinsp;0.038)). Clients who visit the health facility once were 2 times more satisfied (AOR\u0026thinsp;=\u0026thinsp;2.04 with 95% CI: (1.05\u0026ndash;3.99), p\u0026thinsp;=\u0026thinsp;0.036)) (Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e5\u003c/span\u003e).\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab4\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 5\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003eSummary of Bivariable and multivariable analysis of insured level of satisfaction with health facility and associated factor among adult patient in Enarge Enawga woreda, East Gojam zone, Amhara Regional state, Ethiopian 2021(N\u0026thinsp;=\u0026thinsp;380).\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eVariable\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCategory\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eDissatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCOR with CI 95%\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eP-value\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eAOR with CI 95%\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eP \u0026ndash;Value\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"3\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eAge\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e18\u0026ndash;33\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e79\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e36\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.95(1.15\u0026ndash;3.33)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.007\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1(0.48\u0026ndash;2.07)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.99\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e34\u0026ndash;49\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e72\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e72\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.89(0.55\u0026ndash;1.45)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.014\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.7(0.38\u0026ndash;1.25)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.22\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026gt;\u0026thinsp;50\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e64\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e57\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eEducational status\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eEducated\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e93\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e86\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.7(0.5\u0026ndash;1.05)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.84(0.49\u0026ndash;1.42)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.52\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eUneducated\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e122\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e79\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eFrequency of visit\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eNew\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e45\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e18\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e2.16(1.2\u0026ndash;3.99)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.01\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e2.04(1.05\u0026ndash;3.99)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.036\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eRepeat\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e170\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e147\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"4\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eMarital status\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMarried\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e130\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e129\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.8(0.42\u0026ndash;1.86)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.74\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.38(0.57\u0026ndash;3.29)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.47\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSingle\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e39\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e6\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e5.74(1.9\u0026ndash;17)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e9(2.6\u0026ndash;31.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.10\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDivorced\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e29\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e15\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.7(0.67\u0026ndash;4.33)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.25\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2.74(0.94\u0026ndash;7.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.64\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eWidowed\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e15\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eResidence\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eRural\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e150\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e130\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.62(0.39-1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.05\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1(0.49\u0026ndash;2.02)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.97\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eUrban\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e65\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e35\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"5\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eOccupation\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eFarmer\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e120\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e118\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.36(0.14\u0026ndash;0.94)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.04\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.3(0.04\u0026ndash;1.85)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.19\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eHousewife\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e25\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e23\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.38(0.13\u0026ndash;1.14)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.36(0.05\u0026ndash;2.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.31\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMerchant\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e35\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e13\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1(0.31\u0026ndash;2.93)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.9\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.63(0.09\u0026ndash;4.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.63\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDaily labor\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e9\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.55(0.15\u0026ndash;1.92)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.35\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.38(0.05\u0026ndash;2.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.35\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eStudent\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e6\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003ePre information\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eYes\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e105\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e129\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.27(0.17\u0026ndash;0.42)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.26(0.16\u0026ndash;0.43)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eNo\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e110\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e36\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eMeasured blood pressure\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eYes\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e43\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e67\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e2.90(1.90\u0026ndash;4.42)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e3.33(2.01\u0026ndash;5.51)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eNo\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e72\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e98\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eGet explanation about diagnosis\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eYes\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e158\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e87\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e2.49(1.62\u0026ndash;3.82)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1.74(1.03\u0026ndash;2.94)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.038\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eNo\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e57\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e78\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eProvider friendly help patients\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e118\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e62\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2.02(1.34\u0026ndash;3.06)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.20\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2.05(1.22\u0026ndash;3.30)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.06\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDissatisfied\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e97\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e103\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of laboratory service\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e76\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e48\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.33(0.86\u0026ndash;2.06)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.2\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.4(0.86\u0026ndash;2.39)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.18\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDissatisfied\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e139\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e117\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec19\" class=\"Section2\"\u003e\n\u003ch2\u003eFactors affect level of satisfaction of uninsured\u003c/h2\u003e\n\u003cp\u003eAs result showed that clients who were educated(able to read and write) 4 times more satisfied (AOR\u0026thinsp;=\u0026thinsp;4.17, with 95%CI\u0026thinsp;=\u0026thinsp;2.5\u0026ndash;6.9), p\u0026thinsp;=\u0026thinsp;0.00). Clients who had a family member of 1-5were 2 times more satisfied with (AOR\u0026thinsp;=\u0026thinsp;2.3 95%CI\u0026thinsp;=\u0026thinsp;1.13\u0026ndash;4.69, p\u0026thinsp;=\u0026thinsp;0.022).clients who were get explanation about the diagnosis were 3 times more satisfied (AOR\u0026thinsp;=\u0026thinsp;3.20 with, 95%CI\u0026thinsp;=\u0026thinsp;1.95\u0026ndash;5.27, p\u0026thinsp;=\u0026thinsp;0.00). At the same time clients who measure their blood pressure were 2 times more satisfied (AOR\u0026thinsp;=\u0026thinsp;2.43 with 95%CI\u0026thinsp;=\u0026thinsp;1.47\u0026ndash;3.99, p\u0026thinsp;=\u0026thinsp;0.00) (Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e6\u003c/span\u003e).\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab5\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 6\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003eSummary of bivariable and multivariable analysis of uninsured level of satisfaction with health facility and associated factors among adult patient in Enrage EnawgaWoreda, East Gojam zone, Amhara Regional state, Ethiopian 2021(N\u0026thinsp;=\u0026thinsp;373).\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eVariable\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCategory\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eDissatisfied\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCOR with CI 95%\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eP-value\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eAOR with CI 95%\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eP-value\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"3\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eAge\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e18\u0026ndash;33\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e75\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e56\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2.44(1.48\u0026ndash;4.03)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.7(0.9\u0026ndash;3.47)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.10\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e34\u0026ndash;49\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e51\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e64\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.45(0.87\u0026ndash;2.44)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.16\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.59(0.84\u0026ndash;2.99)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.15\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026gt;-50\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e45\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e82\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eResidence\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eUrban\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e79\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e54\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2.35(1.53\u0026ndash;3.63)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1(0.6\u0026ndash;1.97)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.75\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eRural\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e92\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e148\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eEducational status\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eEducated\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e135\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e102\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e3.68(2.32\u0026ndash;5.82)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e4.17(2.5\u0026ndash;6.9)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eUneducated\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e36\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e100\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eFrequency of visit\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eReapted\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e112\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e153\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.61(0.39\u0026ndash;0.95)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.03\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.99(0.56\u0026ndash;1.72)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.99\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNew\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e59\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e49\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eFamily size\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e1\u0026ndash;5\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e155\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e165\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e2.17(1.16\u0026ndash;4.06)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.015\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e2.3(1.13\u0026ndash;4.69)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.022\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026gt;\u0026thinsp;5\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e16\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e37\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eGet health education\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eYes\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e139\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e148\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.59(0.97\u0026ndash;2.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.07\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.28(0.7\u0026ndash;2.29)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.40\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e32\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e54\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eTemperature measured\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e126\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e127\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.23\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eYes\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e45\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e75\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.6(0.39\u0026ndash;0.94)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.03\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.7(0.4\u0026ndash;1.23)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eMeasure blood pressure\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eYes\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e122\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e96\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e2.75(1.79\u0026ndash;4.23)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e2.43(1.47\u0026ndash;3.99)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e49\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e106\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eCare provider use state scope at examination\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e105\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e154\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.12\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eYes\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e66\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e48\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2.02(1.29\u0026ndash;3.15)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.02\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.53(0.89\u0026ndash;2.62)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003ePhysical exam nation done\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e111\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e156\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.67\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eYes\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e60\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e46\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.74(1.16\u0026ndash;2.89)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.13(0.63\u0026ndash;2.05)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eGet explanation about diagnosis\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eYes\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e131\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e94\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e3.76(2.4\u0026ndash;5.9)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003e3.20(1.95\u0026ndash;5.27)\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e\u003cstrong\u003e0.00\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e40\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e108\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"3\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eWaiting time\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026lt;\u0026thinsp;1hr\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e84\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e49\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1-3hr\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e32\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e58\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.32(0.18\u0026ndash;0.56)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.6(0.32\u0026ndash;1.13)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.12\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026gt;\u0026thinsp;3hr\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e55\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e95\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.33(0.21\u0026ndash;0.55)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.59(0.34\u0026ndash;1.03)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.67\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eAsked about present illness\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eYes\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e151\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e186\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.65(0.33\u0026ndash;1.30)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.22\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.9(0.42\u0026ndash;2.07)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.86\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e20\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e16\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eCare provider friendly help Patients\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e104\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e106\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.41(0.93\u0026ndash;2.13)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.15\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.5(0.98\u0026ndash;2.67)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.06\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDissatisfied\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e67\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e96\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of laboratory service\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSatisfied\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e53\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e36\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2.07(1.28\u0026ndash;3.36)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e0.03\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.69(0.95\u0026ndash;3.02)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd rowspan=\"2\" align=\"char\"\u003e\n\u003cp\u003e0.076\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDissatisfied\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e118\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\"\u003e\n\u003cp\u003e166\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003c/div\u003e"},{"header":"Discussions","content":"\u003cp\u003eIn this study the level of satisfaction of insured was 56.6% and uninsured was 45.8%. The satisfaction of insured is more than uninsured client. This result is similar to the study conducted Tehuledere district Wollo Amhara region ,Ethiopia 79.4 for insured and 75.7 were uninsured(\u003cspan class=\"CitationRef\"\u003e10\u003c/span\u003e). This result is nearly in line with a study conducted in India where 82% of insured and 73% of non-insured clients were satisfied with the services received(\u003cspan class=\"CitationRef\"\u003e18\u003c/span\u003e). The findings of this study also reveal that the difference was statistically significant where insured patients have a higher mean of satisfaction score than their counterpart non-insured, and also similar to a study conducted in Ghana that found a statistically significant difference in the satisfaction of insured and non- insured clients (\u003cspan class=\"CitationRef\"\u003e19\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eAccording to the result of this study the level of satisfaction among insured clients was 56.6% with 95%CI (54%, 63%) which is higher than (42.6%,42.1%,50.2%) earlier study done in Sheko district, Anilemo Hadiya and Nigeria respectively(\u003cspan class=\"CitationRef\"\u003e7\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e17\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e20\u003c/span\u003e), and also the result was similar to (54.1% and 54.7%) in Felege hiwot referral hospital and Bangladesh (\u003cspan class=\"CitationRef\"\u003e21\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e22\u003c/span\u003e). But it is lower than 82%, 91.3 and 79.4% study done in, South Wollo Amhara Ethiopia, south nation nationality Ethiopia and India (\u003cspan class=\"CitationRef\"\u003e10\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e18\u003c/span\u003e). The possible reason for the difference from the earlier finding may be due to difference in study participant educational status in Zaria Nigeria were university staff who were educated. On the other hand socio cultural difference and study area in India were hospitals(\u003cspan class=\"CitationRef\"\u003e20\u003c/span\u003e), as well as Zaria Nigeria and also South Wollo the study participant were only outpatient clients(\u003cspan class=\"CitationRef\"\u003e23\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eRegarding to uninsured clients the level of satisfaction with health facility was 45.8% with 95%CI (44%, 52%) which is lower than (80.1%, 54.2% 77% ,75.7% and 57.8%) earlier study done in Hawassa University Teaching Hospital, Wolaita Sodo University, Jimma University Specialized Hospital, South Wollo Amhara Ethiopia and Bahir Dar Felege Hiwot referral Hospital(\u003cspan class=\"CitationRef\"\u003e24\u003c/span\u003e\u0026ndash;\u003cspan class=\"CitationRef\"\u003e26\u003c/span\u003e).The difference may be due to the difference in study participants in which previous studies were male in Bahir dare Felege Hiwot referral hospital (\u003cspan class=\"CitationRef\"\u003e26\u003c/span\u003e). The other reason could be explained by the experience of patients and cultural values of patients for time, infrastructure. Moreover, the study area may influence patient experience, while this study was conducted in Health Center, other include hospitals. Due to the fact that specialized teaching hospitals are equipped very well and have enough diversity of health professionals, better diagnostic facilities, health service infrastructures, and awareness of service providers of different levels that are expected to demonstrate the standard way of patient examination resulting in higher overall satisfaction level at Jimma and Wolaita Sodo(\u003cspan class=\"CitationRef\"\u003e25\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e26\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eMany satisfaction studies have tried to relate client satisfaction with socio demographic variables in this study educational status was associated with uninsured client satisfaction. Respondents who were educated 4 times more likely satisfied than they were uneducated (unable to read and write). This result is differ from the study conducted in Jimma university hospital(\u003cspan class=\"CitationRef\"\u003e26\u003c/span\u003e). The reason is due to study area. Educational level increase satisfaction also increase because educated person has ability to understood the service they get easily but uneducated will be confused with service (\u003cspan class=\"CitationRef\"\u003e27\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eClients who visit the health facility once were 2 times more likely satisfied than they visit the health facility reputedly. Frequency of health facility visiting in other study is not a predictor variable in Zaria Nigeria, Felege hiwot referral hospital among private wing and Felege hiwot referral hospital among insured women (\u003cspan class=\"CitationRef\"\u003e24\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e28\u003c/span\u003e). The difference might be in study settings and participant selection. Because unfamiliarizes the clients with service. The participant of the current study is insured and uninsured clients of both sexes whereas the study conducted in Felege hiwot was the study participant were insured female and the others were private wing. However; respondents with once visited the health facility is a predictor of insured client in this study. The probable reason might be provision of similar laboratory service and drug prescription of the provider with reapted visit brought dissatisfaction of respondents with health facility service(\u003cspan class=\"CitationRef\"\u003e13\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e19\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003ePatients who have pre information about the health center service were less satisfied than respondent who did not have pre information, this study is similar with a study done in India, whereas disagree to the study with private wing in Felege Hiwot Referral Hospital (\u003cspan class=\"CitationRef\"\u003e29\u003c/span\u003e).Pre information about the health facility is not a predictor variable in Bahir Dare Felege Hiwot Referral Hospital. The difference might be due to the difference in tools and the participants of the study. But pre information is not associated with uninsured client satisfaction. During the time of visit clients who have pre information about health facility service were dissatisfied because they did not get the service they informed before due to different reason(\u003cspan class=\"CitationRef\"\u003e24\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e30\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eAccording to the results of the present study consultation on diagnosis is the important factor predicting the levels of patient satisfaction both insured and uninsured. Clients they get explanation about their diagnosis were more likely satisfied than they did not get explanation about diagnosis by health care provider. This study is similar for insured client to the study conducted in earlier in South Wollo Amhara Ethiopia (\u003cspan class=\"CitationRef\"\u003e10\u003c/span\u003e). As health service providers continue consulting their patients on explanation about the diagnosis, patient satisfaction increases. So, it indicates that it is better to give attention to outpatient consultation on diagnosis explanation to improve patient satisfaction (\u003cspan class=\"CitationRef\"\u003e13\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eAmong uninsured Clients who had a family member of 1-5were more likely satisfied than who had greater than five family members, this is the study similar with in Bangladesh. This might be due to one of the reasons as larger families required more healthcare and made frequent visits to the health facilities, but it is not a predictor variable Lahore, Pakistan (\u003cspan class=\"CitationRef\"\u003e10\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e18\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e31\u003c/span\u003e). In my study Clients who measure their blood pressure were more likely satisfied than patients they were not measure their blood pressure for both insured and uninsured client. This is the new variable which is added to this research but other research not studied including this variable. Measuring the blood pressure of client were increase the satisfaction level of the client both insured and uninsured. The reason is clients know their pressure status early and it is used as psychological treatment. The Limitation of the Study does not address health care providers\u0026rsquo; perceptions of effects on access, equity and quality of services. In this study the study design was institution based cross sectional design; therefore, it lacks a cause and effect relationship.\u003c/p\u003e"},{"header":"Conclusions and recommendations","content":"\u003cp\u003eThe study finding shows that an insured patient has a higher level of satisfaction score than uninsured. Generally in this study pre information about the facility and frequency of visit were significantly associated with insured clients, whereas family size and educational status were significantly associated with uninsured clients, but give explanation about the diagnosis and measuring blood pressure of the client were associated determinants of both insured and uninsured client\u0026rsquo;s satisfaction.\u003c/p\u003e\n\u003cp\u003eHealth care provider shall be give appropriate information, explain their diagnosis to the patient and measure the blood pressure routinely to enhance client satisfaction at all time. The health center heads should conduct periodic identification of related influencing factor on patient satisfaction and give appropriate pre information about health facility service. The health center managers need to fulfill the availability of essential material to reduce dissatisfaction of insured patients and attract more members to the CBHI scheme. The researcher should be further investigating to fulfill client satisfaction\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003e\u003cem\u003eAcknowledgements\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors are grateful for the study participants and the data collectors for their voluntariness in the data collection process. We are grateful for personnel at hospitals and health centers who have supported us with the facilitation of the data collection.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eAuthor contributions\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eYideg Abinew Kebede\u003c/strong\u003e: Writing conceptualization, data curation, formal analysis, investigation, methodology, project administration, resources, software and supervision \u003cstrong\u003eYeshemebet Fenta Kebede:\u0026nbsp;\u003c/strong\u003eWritingmethodology, resources, validation and visualization \u003cstrong\u003eJemberu Chane Fetene\u003c/strong\u003e: Writing methodology, tables, figures, validation and visualization \u003cstrong\u003eAbebe Tadesse Tibebu:\u0026nbsp;\u003c/strong\u003eWriting introduction, discussion, conclusion and recommendation, review \u0026amp; editing.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eFunding\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThere was no funding for this research.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eAvailability of data and materials\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets analyzed in this study are available from the corresponding\u003cbr\u003eauthor on reasonable request.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eCompeting Interest declaration\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declared no other potential conflicts of interest for this work, nor with respect to the research, authorship, or publication of this article.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eConsent for publication\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eOrganization WH. 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Patients\u0026rsquo; satisfaction and associated factors among outpatient Department at Wolaita Sodo University Teaching Hospital, Southern Ethiopia: a cross sectional study. Sci J Clin Med. 2015;4(5):109-16.\u003c/li\u003e\n\u003cli\u003eHailemariam A, Haddis F. Factors affecting unmet need for family planning in southern nations, nationalities and peoples region, Ethiopia. Ethiopian journal of health sciences. 2011;21(2):77-90.\u003c/li\u003e\n\u003cli\u003eAmbelie YA, Demssie AF, Gebregziabher MG. Patients\u0026rsquo; satisfaction and associated factors among private wing patients at Bahirdar Felege Hiwot Referral Hospital, North West Ethiopia. Sci J Public Health. 2014;2(5):417-23.\u003c/li\u003e\n\u003cli\u003eOljira L, Gebre-Selassie S. Satisfaction with outpatient health services at Jimma hospital, South West Ethiopia. Ethiopian Journal of Health Development. 2001;15(3):179-84.\u003c/li\u003e\n\u003cli\u003eAburayya A, Alshurideh M, Albqaeen A, Alawadhi D, Ayadeh I. An investigation of factors affecting patients waiting time in primary health care centers: An assessment study in Dubai. Management Science Letters. 2020;10(6):1265-76.\u003c/li\u003e\n\u003cli\u003eAsamrew N, Endris AA, Tadesse M. Level of patient satisfaction with inpatient services and its determinants: a study of a specialized hospital in Ethiopia. Journal of environmental and public health. 2020;2020.\u003c/li\u003e\n\u003cli\u003eDagnew M, Zakus D. Community perception on OPD performance of a teaching hospital in Gondar town. Ethiopian medical journal. 1997;35(3):153-60.\u003c/li\u003e\n\u003cli\u003eMacha J, Kuwawenaruwa A, Makawia S, Mtei G, Borghi J. Determinants of community health fund membership in Tanzania: a mixed methods analysis. BMC Health Services Research. 2014;14(1):1-11\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"","lastPublishedDoi":"10.21203/rs.3.rs-3852987/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-3852987/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eCommunity-Based Health Insurance is an emerging concept for providing financial protection against the cost of illness and improving access to quality health services for rural and urban population. Knowing the factors for patient satisfaction is an important and direct indicator of quality of health care which is essential for providers to fill their gaps. Although few studies have been conducted on patient satisfaction in Ethiopia; but this study aimed to assess patient satisfaction and associated factors in the insured and uninsured clients under Community based health insurance.\u003c/p\u003e\u003ch2\u003eObjective\u003c/h2\u003e \u003cp\u003eTo assess the level of client satisfaction and associated factors among insured and uninsured adults in Enrage EnawgaWoreda, Amhara Regional state, North West Ethiopia.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eInstitution based comparative cross sectional study was conducted from March 15th 2021 to April 30th, 2021. Over all 770 clients were selected from the health center by using simple random sampling techniques. The data were coded and entered in to Epi-data3.1 and exported to SPSS Version 25 for analysis. Descriptive statistics, bivariate and multivariable logistic regression analyses were performed to identify the factors affect client satisfaction with of p values less than 0.05.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eOut of 753 respondents with a response rate of 97.8% the insured and non-insured patient satisfaction was 215 (56.6%) and 171(45.8%) respectively. The mean score with Standard Deviation of the satisfaction score was 3.6\u0026thinsp;\u0026plusmn;\u0026thinsp;0.37 among insured and 3.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.38 among non-insured under CBHI scheme. Pearson chi-square test showed statistically significant difference between insured patients have a higher mean satisfaction score than their counterpart noninsured with x\u003csup\u003e2\u003c/sup\u003e\u0026thinsp;=\u0026thinsp;8.67, df\u0026thinsp;=\u0026thinsp;1, P\u0026thinsp;=\u0026thinsp;0.003.\u003c/p\u003e\u003ch2\u003eConclusions\u003c/h2\u003e \u003cp\u003eThe result shows that insured clients have higher level of satisfaction score compared with non-insured clients. Therefore, to improve patient experiences at health centers and achieve financial risk protection through CBHI, program managers and health care providers should increase the satisfaction at the health facility to insured and non- insured community members.\u003c/p\u003e","manuscriptTitle":"Client satisfaction and associated factors among insured and uninsured adult clients visiting public health institution in Enrage enawga woreda, Amhara Regional State North West Ethiopia, 2021: Institution based comparative cross sectional study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-01-30 17:39:47","doi":"10.21203/rs.3.rs-3852987/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"7c40470d-b4b0-43e9-a0bf-1d33cf2726b4","owner":[],"postedDate":"January 30th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2024-01-30T17:39:50+00:00","versionOfRecord":[],"versionCreatedAt":"2024-01-30 17:39:47","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-3852987","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-3852987","identity":"rs-3852987","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}