Methodological Evaluation of Community Health Centres Systems in Ethiopia Using Multilevel Regression Analysis for System Reliability Assessment

Community health centers play a crucial role in healthcare delivery in Ethiopia, particularly in underserved areas where access to specialized medical care is limited. Multilevel regression analysis was employed to assess system reliability across different levels (individual patients, healthcare providers, and community health centers) in Ethiopia’s healthcare landscape. The multilevel model revealed significant variation in patient satisfaction scores among health centre locations, with a moderate effect size indicating that proximity to urban areas positively influenced patient satisfaction. This study contributes to the understanding of system reliability by identifying key factors affecting patient experience and providing evidence-based recommendations for enhancing service delivery. Enhancing communication between patients and healthcare providers, improving infrastructure in rural settings, and increasing training opportunities for community health workers are recommended strategies. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.