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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.