Methodological Evaluation of Community Health Centres Systems in Ethiopia: A Randomized Field Trial for Measuring Cost-Effectiveness

Community health centers (CHCs) in Ethiopia play a crucial role in providing primary healthcare services to underserved populations. However, their effectiveness and cost-effectiveness remain underexplored. A randomized controlled trial design was employed to assess the performance metrics of CHCs. Data collection included patient satisfaction surveys and financial records over a period of six months. The analysis revealed that CHCs in urban settings experienced higher patient turnover rates (50% vs. 30%) compared to rural centers, indicating better resource allocation strategies. While the preliminary findings suggest potential cost savings and improved service delivery, further longitudinal studies are needed to validate these results. Policy makers should prioritise investment in infrastructure and training programmes for CHCs to enhance their efficiency and effectiveness. Community Health Centers, Cost-Effectiveness, Randomized Field Trial, Ethiopia Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.