1 Centro de Estudios para la Gobernanza en los Sistemas de Salud (CEGSS) Guatemala and Center for International Health, University of Bergen, Bergen, Norway. ana.lorena.ruano@cih.uib.no.
2 Department of General Practice| Faculty of Medicine, Dentistry and Health Sciences University of Melbourne, Melbourne, USA.
3 The Primary Care Policy Center Department of Health Policy and Management, John Hopkins Bloomberg School of Public Health, Bloomberg, USA.