Assessment of satisfaction with quality of care among insured and non-insued Tuberculosis patients in Osun State

Tuberculosis remains a major global health issue, particularly in developing countries like Nigeria. Nigeria ranks first in Africa and fourth among the world’s 22 high-burden countries for tuberculosis. The quality of care delivered to tuberculosis patients has a significant impact on treatment adherence, results, and patient satisfaction. Insurance coverage is widely viewed as a critical determinant in access to quality healthcare, with substantial variations in care between insured and uninsured people. This study aims to assess and compare the level of satisfaction with the quality of care among insured and non-insured tuberculosis patients in Osun State. It is a comparative; cross-sectional design was used to study 320 tuberculosis patients (160 insured and 160 non-insured). A multi-stage sampling technique was employed to select the participants. The data collected was processed and analyzed using the Statistical Package for Social Sciences (IBM SPSS version 25.0). Descriptive statistics were conducted for categorical variables. T-tests and Chi-square tests were used to compare proportions between categorical variables (p<0.05). There was a significant association between age, marital status, and the level of satisfaction with ease of access to care (p<0.05). Most respondents (both insured and non-insured) tested negative for HIV (X2= 11.227, p= 0.011). Additionally, more than half of the respondents reported that the facility was nearby (X2= 2.981, p= 0.395). The study found that the level of satisfaction with all components of quality tuberculosis care was higher among insured respondents compared to non-insured respondents. The level of satisfaction with all components of tuberculosis care received was higher among insured respondents than non-insured tuberculosis respondents.