HEALTH SYSTEM RESPONSIVENESS AND ASSOCIATED FACTORS AMONG OUTPATIENTS IN PRIMARY HEALTH CARE FACILITIES, ASAGIRT DISTRICT, NORTH SHEWA ZONE, ETHIOPIA, 2021

Abstract

Abstract Background: Health system responsiveness Objective: The aim of the study was to assess health system responsiveness and associated factors among outpatients in primary health care facilities, Asagirt District, North Shewa Zone, Ethiopia, 2021. Methods: Facility-based cross-sectional quantitative study was implemented between 30 March and April 30/2021. A systematic random sampling technique was employed to select 423 participants, and interviewer-administered data were collected by using a structured and pretested questionnaires. The collected data were entered into EPI data version 16 and exported to STATA version 14 Statistical Software Package for analysis. Both bivariable and multivariable logistic regressions were employed to identify factors that have an association with health system responsiveness. Adjusted Odds Ratio with their corresponding 95% CI was used to declare factors associated with health system responsiveness. A p-value less than 0.05 was used to declare statistical significance in this study. Results: The overall health system responsiveness was 66.2% Conclusion: Even if the overall HSR higher as compared to other case-specific study in Ethiopia, the domains of Autonomy, Waiting time, Basic amenities, and Choice were identified as vital areas of effort to raise responsiveness of health care service in the District. HSR was higher in private than public healthcare facilities, among satisfied clients and those who didn’t pay for transport on their way to the health facility than their counterparts. Recommendations: Creating a conducive environment for the well-being of the user, improving patient satisfaction, the use of feedback from service users, and giving attention to distant coming patients will be important interventions to improve HSR. Keywords: Health system responsiveness, Outpatients, Asagirt, Ethiopia