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Table 1 Characteristics of health posts

From: More than a checklist: a realist evaluation of supervision of mid-level health workers in rural Guatemala

Health post Performance scores Staffing Population Physical conditions
Distance and access to health center TE (2008, 2009, 2010) A Number and position Dispersion of population covered Services available
AN evaluation B For ANs: (M/F, years experience) Structural problems reported
HR evaluation C  
HP 1     
1 hour from HC in microbus (3-4×/day) TE (100%, 100%, 100%) 2 ANs Concentrated in 2 communities, within 30 min walking Potable water
AN evaluation (NA) (M, 6 yrs; F, 2 yrs*) Electricity
HR evaluation (87%) 1 Educator, part-time Cellular signal
HP 2     
45 min from HC in microbus (every 30 min) and 15 min walking TE (100%, 100%, 100%) 2 ANs Disperse – covers 10 communities, most within 30 min, and farthest village 2 hours walking Rainwater collected
AN evaluation (80%) (F, 1.5 yrs*; M, 1 yr) Electricity
HR evaluation (80%) 1 Educator, part-time No cellular signal
1 Medical student Leaking roof
Wall damaged
HP 3     
15 min from HC in bus (on main highway, frequent) TE (100%, 100%, 91%) 2 ANs Concentrated in 3 communities, all within 15 minutes walking Potable water
AN evaluation (81%) (F, 13 yrs; F, 2 yrs*) Electricity
HR evaluation (80%) 1 Educator Cellular signal
1 Medical student Leaking roof
Wall damaged
HP 4     
30 min from HC in microbus (every 30 min) TE (38%, 46%, 52%) 2 ANs Concentrated in 1 community within 30 min walking Rainwater collected
AN evaluation (NA) (M, 6 yrs*; F, 2 yrs) Electricity
HR evaluation (59%) 1 Educator Cellular signal
1 Medical student
HP 5     
30 min from HC in collective taxi (1-2×/day) or 3 hours walking TE (68%, 48%, 74%) 1 AN (M, 1 yr*) Disperse – covers 4 communities. Farthest village 1 hr 15 min walking Potable water
AN evaluation (61%) 1 Educator Electricity not connected
HR evaluation (NA) 1 Medical student Cellular signal nearby
  1. HP = Health post, HC = Health center, TE = Technical efficiency, AN = Auxiliary nurse, HR = Human resources, NA = Not available.
  2. *AN interviewed. ATechnical efficiency scores, Data Envelopment Analysis of secondary data from Regional Health Office [24]. BEvaluation of Auxiliary Nurse Work Performance, Nursing Unit, Regional Health Office, 2009. CEvaluation of Personnel Performance, Human Resources Unit, Regional Health Office, 2009.