ABREHAM WORKUABDREZAK AKMELHAYMANOT FEKADUZEKARIAS DAMIEL2025-04-042025-06https://rps.wku.edu.et/handle/123456789/45960Background: Currently, patient satisfaction is a major concern in the health care system of Ethiopia. As the expectation of patients increase over time, the quality of the service has to keep on improving to maintain or increase level of satisfaction. Objective: To assess levels of patients satisfaction and associated factor with overall health services rendered at Agena primary Hospital Gurage Zone,Central Ethiopia,2025. Methods: cross sectional descriptive study was conducted among 288 participants at Agena primary Hospital from December 22,2025 to January 7,2025. systematic random sampling technique was used to selected the sampled subjects. All patients’ visit at Agena Primary Hospital in this period was included in study. Standardized and structured questionnaire via face to face interview technique was collected,edited,tailed on master sheet, coded and entered into statistical software SPSS version 25 and result was presented by appropriate table and graphs. Finally descriptive statistics was done and summarized accordingly. Odds ratio with 95% confidence intervals (CI) was compute to identify factors associated with health care serves. Variables that have P-value <0.25 in bi-variable logistic regression was entered into the multi-variable logistic regression and P-value<0.05 was considered as significant independent predictors of level of patients satisfaction on health care services. Result: In this study 288 participants were included with response rate of 98.6%. The overall satisfaction of patients was 68.3%. multiple logistic regression showed that availability of all drug in hospital (AOR 4.214,95%CI;1.06,16.802).and being farmer in occupational status (AOR 4.381,95%;1,02,18,847) were significantly associated with the level patient satisfaction towards health service provided. Conclusion and Recommendation :In general, the overall satisfaction level of patients with the health care services provided at Agena primary hospital, Gurage zone was 68.3%. Availability of drugs and supplies and occupation of participants were positive and significant predictors of level of patient satisfaction. To solve the problem of scarcity of drugs and supplies the hospital need to understand the extent of the problem and plan to look for different mechanisms to the adequate stock of essential drugs and supplies.enHealth servicepatient satisfactionprimary hospitalThesis