Background: - Community-based health insurance (CBHI) systems are usually voluntary and characterized by community members pooling funds and protecting themselves against the high costs of seeking medical care and treatment for illness. It is an emerging strategy for providing financial protection against health-related poverty.  Satisfaction with health service provision during the implementation of health insurance schemes has often been neglected.

Objective: This study aimed to assess Community Based Health Insurance service provision quality and associated factors at Dara woreda public health facilities, Sidaman region,Southern Ethiopia. 2023.

Methods: -Institutional based cross- sectional study was conducted on randomly selected sample of 419 beneficiaries in the Dara woreda. Descriptive statistics was employed to describe the characteristics of the participants. Trained data collectors were collected the data using a pre-tested and structured face-to-face interview. The data were entered into EpiInfo 7 software, and exported toSPSS version 25 for further analysis. A bivariable and multivariable binary logistic regression analyses was performed. During bivariable logistic regression analysis variables with p-value less than 0.2 was transferred to multivariable logistic regression for final analysis. Finally, a p vale ≤0.05 was used to declare statistical significance. The odds ratio (crude and adjusted) was calculated with a 95% confidence interval

Result:-In this study, the participants who get qualified service with the community based health insurance was found to be 46.3%. [h1] Age between 40 to 49 years(AOR= 0.55, 95% CI: 0.31, 0.96), being happy with CBHI regulations(AOR= 1.96, 95% CI: 1.12, 3.46), thinking got the right drug for disease(AOR= 1.77, 95% CI: 1.08, 2.93), getting immediate care (AOR = 4.95, 95% CI: 2.72, 8.98), presence of adequate medical equipment’s(AOR= 1.65, 95% CI: 1.02, 2.69)  and adequate qualified health personnel in the health facilities(AOR =1.89, 95% CI:1.12, 3.20) are identified as factors significantly associated with qualified service with the community based health insurance.

Conclusion and recommendation: - [h2] The findings of this study revealed that less than half of the study participants were getting qualified service. Study participants who agreed with the presence of valid CBHI regulations, who think they got the right prescribed drug and participants who got immediate care, agreed that the health facilities have adequate medical equipment’s, adequate qualified health personnel are factors significantly associated with qualified service with the community based health insurance[h3] 

Keywords:- community based health insurance, quality, dara woreda, service provision

GESESE GEMECHU GEBISO (HO)