Perceived quality of health care services in Dar es Salaam municipal hospitals: comparison between clients using user fees and national health insurace fund.

A cross sectional study was conducted in Dar es Salaam Municipal hospitals in the month June 2005, with the main objective of comparing perceived quality of health care services, amongst clients using user fees and National Health insurance Fund. A total of 563 exit interviews were conducted, of which, 281 were with clients using user fees and 282 were with NHIF members. Respondents were selected using convenience sampling method. A Structured questionnaire and facility checklists were used to collect data. The study findings show that provider client interaction was perceived to be good, with a higher proportion of NHIF clients (93.6%) compared to clients paying user fees (88.3%) reporting to have spent adequate consultation time with the prescriber (P