Human resource and governance challenges in the delivery of primary eye care: a mixed methods feasibility study in Nigeria

Table 5 Regulation of primary health care activities

		Health Centre		Health post		Total
		N	%	N	%	N	%
Frequency of supervision in the previous 12 months
Norms met	Monthly	13	41.9	5	29.4	18	54.2
Norms met	Quarterly	6	19.4	2	11.8	8
Norms not met	Bi-annually	1	3.2	2	11.8	3	6.2
Norms not met	Irregularly	11	35.5	8	47.0	19	39.6
Supervisors Activities
Data monitoring		28	84.8	13	86.7	41	85.4
Check supply of medications		14	42.4	8	53.3	22	45.8
Check supplies of other consumables		7	21.2	3	20	10	20.3
Teaching		11	33.3	5	33.3	16	33.3
Observe case management		14	42.4	5	33.3	19	39.9
Gives feedback		16	48.5	8	53.5	24	50
*Standard Operating Procedures (SOPs)
Available and observed		12	36.4	7	46.7	19	39.6
Reported use of SOPs
Norms met	Always	0	0	2	11.8	2	43.8
	Often	3	9.7	3	17.6	6
	Sometimes	10	32.3	3	17.6	13
Norms not met	Rarely	16	51.6	8	47.1	24	50.0
Norms not met	Never	2	6.4	1	5.9	3	6.2

* SOPs are called National Standing Orders and are clinical guidelines for primary health care workers to manage patients with basic health conditions [29].

ISSN: 1472-6963