Abstract:
Introduction: The World Health Organization established health system responsiveness in
2000 to address non-clinical components of health service quality, which are assessed using
eight domains. Despite the aim for a responsive health system in low and middle-income
countries especially in our country, there is limited evidence on the status of delivery care
health systems‟ responsiveness.
Objective: To assess the health system responsiveness and its associated factors in delivery
care at West Arsi Zone public hospitals, Oromia, Ethiopia, 2022 G.C.
Methods: A hospital-based cross-sectional study was conducted in all public hospitals in the
West Arsi zone from March 28 to April 26, 2022. A systematic random sampling technique
was used to select 574 study participants. A semi-structured interviewer-administered
questionnaire was used to collect data. The data were entered into EpiData version 3.1 and
analysed by using a statistical package for social sciences version 26. Bivariate and
multivariable logistic regression analyses were used for identifying the factor of health
system responsiveness and which have statistically significant association were identified
based on p-value ≤ 0.05 and adjusted odds ratio, with a 95% confidence interval in
multivariable logistic regression. Finally the result presented with graph and tables.
Result: The finding of this study showed that 47.5% of the mothers got good health system
responsiveness in delivery care. Women who living in urban (AOR=0.58, 95%, CI: 0.4-
0.85)(P=0.005), family monthly income ≤650 ETB(AOR=1.78%, CI: 1.03-3.07)(P=0.038),
and presence of obstetric complication(AOR: 0.62, 95% CI: 0.4-0.98)(P=0.04) were factors
associated with good health system responsiveness
Conclusion: Due to the lower health system responsiveness score in the delivery care the
study area than the overall Ethiopian score, needs more responsive health system;
stakeholders should emphasize on taking the amendments to the hospital's environment,
service and care; updating health care providers on responsiveness domains to improve the
score
