Table 2

Statements and factor scores
# Statement Factor
1 2 3 4
1 PHC centers provide convenient services to poor people 3** 0 0 0
2 PHC centers provide mainly symptomatic treatment to patients 3 1** 2 4
3 Physicians have many privileges and get scientific benefit from working at PHC centers 1 -1 -1 0
4 Referral of patients from PHC centers to specialists is within normal range 2 2 2 -2**
5 Crowding at PHC centers make physicians not having enough time to provide good care for patients 2 2 4 3
6 Weak infrastructure is important barrier to improve the PHC services -3** 3 3 3
7 Application of family medicine will not control the irrational and repeated visits of patients -1* -2 -2 1*
8 Physicians in PHC centers are tired and do not have motivation and energy to provide good care -3** 0 1 -1**
9 There is lack of appreciation and incentives for PHC providers -2** 4 1** 4
10 Health education services are provided adequately in PHC centers 2** -4* -2 -3
11 PHC centers provide mainly curative services with very little emphasis on prevention -2** 2** 1 1
12 There is uneven distribution of health staff between PHC centers 0* 3 3 2
13 Statistical reporting and notification of diseases work well in the PHC centers 4** 2** 1** -3**
14 Necessary investigations are available in PHC centers 1** -3 -3 -1*
15 Generally, there is irrational use of drugs in PHC centers 0** 4* 2 3
16 PHC providers have sufficient opportunities for training and development courses 0** -3 -4 -3
17 Provision of partial treatment instead of a full course treatment is an important reason for repeated visits 3* 3* 1 1
18 There is usually appropriate support and planning for PHC centers from DoH 2** -2** -3* -4**
19 Patients maintain a good relation and cooperation with PHC providers 1 -1* 0 1
20 Patients are given enough rights and privacy in the PHC centers 1** -1 0 -1
21 There is a rapid turnover of physicians in PHC centers 1 3** 2 1
22 Most of laboratory results in PHC centers are accurate 0 0 0 -2*
23 Poor communication between PHC providers and patients is one of the main problems in PHC centers -3** -1 -1 0
24 There is a rapid turnover of trained health staff in PHC centers -3* 0* -2 -2
25 Introducing higher initial user fees might make some patients, particularly the poor and uneducated, hesitate to visit PHC centers even if they are really ill -2 0 -3 -2
26 Physicians provide enough care and time to patients -1 -2 -2 -1
27 There is good follow-up and monitoring of PHC centers from DoH 0 0 -1** -4**
28 Many PHC providers work according to their private clinic interests -1 -2* 0 0
29 The DoH has a positive role in facilitating the supply and purchase of materials if regular supplies are not sufficient 0 -2 -1 -2
30 The nursing profession is highly neglected in the PHC centers -4** 1 2 0**
31 The people in managerial positions in PHC centers are qualified and experienced 0 -1 0 -1
32 There is a need for separating the public and private health sectors -1 -1 3** 2**
33 PHC centers need to open for longer hours during the day to provide better services -2 -3 1* 0*
34 There is sufficient use of information technology in PHC centers -1 -4* -3* -1
35 People have easy access to health services at PHC centers 4* 1 -1** 2
36 PHC centers do not have important role in reducing load on hospitals -4** 1** -2** 2**
37 The staff in PHC centers are frustrated and poorly motivated due to their low salaries -2* 1 -1 0
38 Shortage in medication and medical supplies is an important obstacle in providing effective services at PHC centers 3 2 3 3
39 Most patients who visit health centers are really ill 1 1 -4** 1
40 Health services at PHC centers should be provided mainly by general practitioners and there is no need for specialists in health centers -1* -3 0* -3
41 The very low user fees encourage irrational and repeated visits of people to PHC centers 2 0** 4** 2

* Distinguishing statement significant at <0.05.

** Distinguishing statement significant at <0.01.

Bold text indicates consensus statement.

Shabila et al.

Shabila et al. BMC International Health and Human Rights 2013 13:18   doi:10.1186/1472-698X-13-18

Open Data