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Introduction: Satisfaction is the measures of clients’ perceived positive feelings on the healthcare services they got after the service deliveries compared to their initial expectations. It is an integral tool which is used to measure the service deliveries. Although it is an integral tool to measure service deliveries, it is quite different across countries. The aim of this study was to assess the expectations and satisfactions of the clients on the outpatient healthcare service deliveries, and the determinant factors in Ethiopian primary hospitals. Method: Institutional-based cross-sectional survey was conducted from October 2017- December 2017 in Ethiopian public primary hospitals which were selected using simple random sampling technique. We included 404 participants, and we allocated the respondents proportionally to each hospital. Essential information about the expectation and satisfaction levels of the clients was gained by administering structured interview and questionnaire prepared using a Likert scale of 1–5. Logistics regression was applied to describe a statistical significance of potential variables. P-value< 0.05 and 95% CI were used as cut-off points for determining the statistical significance of associations among predictor variables. Result: Among the 404 respondents, more than half (57.7%) were males, and the mean (±SD) age was 33.6 ±12.3 years. Overall mean expectation on healthcare services and satisfaction level of the respondents was 74.7 % and 67.2%, respectively. Clients were satisfied with facility settings (71%), accessibility of information (69%), provisions of examination and consultation (68.8%). On the other hand, high service costs, fewer service accessibility and provisions (35.6%), longer waiting time (34.2%), disrespect of privacy (33.8%) and failure to maintain the good provider-patient interactions (33.6%) were the most dissatisfying components. Being civil servants (AOR: 0.304; 95%CI: 0.126-0.736); P=0.008) were more dissatisfied components rated by farmers. In contrast, availability of the prescribed drugs (AOR: 3.966; 95%CI: 2.068-7.606); P, Ethiopian Journal of Health and Biomedical Sciences, Vol. 12 No. 2 (2022)

Additional file 2: Fig. S1. The types of antibiotics most dispensed without prescription as reported by the 153 participants.

Additional file 1: Data collection instrument.

Additional file 2:. Quality assessment of the included studies

BACKGROUND: Due to exhaustive working climate, health-care professionals (HCPs) are highly exposed to emotional strain and work-related stress that leads to burnout syndrome (BOS). AIM: We aimed to explore the prevalence of BOS among HCPs and delineate the factors that contribute to developing this emerging threat in HCPs working in Gondar University Hospital (GUH). METHODS: A cross-sectional study was conducted among HCPs using a self-administered validated questionnaire containing sociodemographic and job characteristics, symptoms of burnout using Astudillo and Mendinueta questionnaire, and Maslach Burnout Inventory scale. The prevalence of BOS was assessed by summation of answers to all 19 items with a range of 0–57. HCPs who scored >23 were considered as burned out. Pearson's correlation analysis and multivariate logistic regression were used to assess the relationship between BOS and job factors. Data were analyzed using descriptive and inferential statistics. RESULTS: A total of 250 HCPs were approached out of which 248 responded (response rate –99.2%). The overall prevalence of burnout was 13.7% and majority of the respondents experienced debility (52.8%), self-criticism (56%), and depressive symptoms (46%). BOS symptoms were significant with age (P = 0.008), number of patients treated per day (P < 0.001), and HCPs working in shifts (P < 0.001). Higher mean levels of emotional exhaustion (5.4 ± 1.2) and inefficacy (5.1 ± 1.7) were noticed than cynicism (4.8 ± 2.0). Male HCPs, being single and years of experience, were determinant factors for all the three dimensions of BOS, whereas profession was significantly determinant for emotional exhaustion (P < 0.01). CONCLUSION: The prevalence of BOS among HCPs working in GUH was 13.7%. Being male, unmarried, and years of experience were significant risk factors for all the three dimensions of BOS. Pragmatic measures are recommended to prevent stressful challenges for the physical and mental well-being of the HCPs in GUH.