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Table 4 Characteristics of infrastructure observed at health posts in five departments in Guatemala prior to implementing the hypertension control study

From: Hypertension in Guatemala’s Public Primary Care System: A Needs Assessment Using the Health System Building Blocks Framework

  Average across 5 departments Zacapa Chiquimula Sololá Huehuetenango Baja Verapaz
Population served
Population served by health district (mean) 32,981 27,040 32,310 31,004 40,620 33,931
Population served by health post (mean) 3239 2613 2451 3764 4675 2694
Population > 40 years (mean/health post) 540 418 583 612 529 560
Average proportion of patients > 40 years/population (%) 17 16 24 16 11 21
Service Delivery
Basic infrastructure at the health post level (n = 97) (n = 8) (n = 26) (n = 26) (n = 41) (n = 23)
  Closed building with walls (%) 95 100 85 100 100 100
  Space to store patient records (%) 97 100 85 100 98 91
  Pharmacy (%) 97 100 85 100 98 100
Additional Infrastructure
  Clinic (%) 99 100 96 100 100 100
  Patient record file cabinet (%) 87 100 81 69 90 96
  Space to put a patient file cabinet (%) 91 100 85 96 85 91
  Space to have hypertension club meetings (%) 75 63 62 100 85 65
Access to the health post (transport options from the municipal seat to the health post)
  Only by walking (%) 6 0 0 0 29 0
  Only in a 4x4 vehicle (%) 10 0 27 8 5 9
  Only by boat (%) 1 0 0 4 0 0
  Any type of vehicle (%) 84 100 73 89 66 91
  Mean time (minutes) 33 32 26 35 37 37
Human resources
  # auxiliary nurses/health post (mean) 2 1.38 2.27 2.40 2.22 1.70
Information systems
  Health posts that have a list of people with hypertension (%) 30 25 15 12 34 65
Medications and Medical Supplies
Medication type (available at the health post: yes/no)
  Hydrochlorothiazide (%) 1 0 4 0 0 0
  Enalapril (%) 77 100 15 89 88 91
  Losartan (%) 11 0 0 0 0 57
Medical supplies (available at the health post: yes/no)
  Blood pressure cuff (%) 85 50 96 96 90 91
  Stethoscope (%) 93 100 89 96 93 96
  Adult weight scale (%) 81 75 73 81 90 87
  Adult height rod (%) 80 88 77 81 71 83