CzMA JEP Home page CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ
Journals - Article
CzMA JEP Home page News About Assocation Publishing Division Medical Journals Searching Supplements Catalogue
 
  Česky / Czech version Hygiena, 47, 2002, No. 3, p. 147 - 156 O.
 
Knowledge, Attitude and Practice in Health Promotion amongWorkers in Primary Health Care Evaluated by the KAP Test 
Rimárová K., Tkáčiková P., Koupilová I. 

Ústav hygieny LF UPJŠ, Košice, prednosta prof. MUDr. Kamila Bernasovská, CSc. Štátny zdravotný ústav, Banská Bystrica, riaditeľka MUDr. Eleonóra Fabianová, PhD. Ústav sociálneho lékařství a veřejného zdravotnictví LF MU, Brno, prednosta prof. MUDr. Jan Holčík, DrSc. ECOHOST Centre, London School of Hygiene and Tropical Medicine, Keppel Street, London, U.K.
 


Summary:

       The cross-sectional non-randomized questionnaire survey was part of thePHARE project of the Ministry of Health "Finance and Primary Health Care" comprising one sub-project "Health Promotion". The "KAP test" study included questionnaires on knowledge, approach and practice in the sphere of health promotion in health professionals engaged in primary care. The questionnaires were completed using personal interviews, a small proportion was dispatched by post. The survey comprised 658 complete questionnaires from 312 physicians and 346 nurses who worked in out-patient departments of general practtioners and paediatricians. The KAP test comprised 16 questions (incl. 7 "K"- knowledge, 6 "A" attitude and 3 "P" practical). The results and statistical evaluation were processed in the SPSS programme. The questions concerning knowledge such as health dimension, calculation of the BMIindex , differencebetweenhealth promotionandhealtheducation,preventive provisions as regards hypertension, plan of preparation of health promotion projects, vaccination and screening within the framework of prevention revealed better knowledge of doctors as compared with nurses. Gaps were found e.g. as regards calculation of BMI, timing of screening, explanation of differences between health education and health promotion. From questions "A" on the attitude to health promotion ensues the view that for human health the physician as well as the patient are responsible and that health promotion and therapy are of equal value. As regards factors of social development the greatmajority of respondents ascribes an important part to the development of health services and reduction of poverty,whereby politicaland financial problemsdo not play according to them an important role. According to the view of respondents health education should comprisehealth promotionandmassmedia,counselling of patients,immunization and even elevation of taxes on tobacco products. As regards practical questions "P" on prevention of breast cancer doctors prefer an individual approach more than nurses. As to practical questions the most interesting one was why not more is done in the sphere of health promotion. The greatest obstacle for health promotion activities is lack of time. Doctors and nurses mention as reasons also inadequate education in this sphere. Obviously practical education and training in individual counseling are lacking. Next there are significant financial reasons, description of work and the reply "I do not know" which could signalize the desire for certain organizational changes prefering preventive measures within the framework of the financial policy of the health insurance company. Based on the survey and financial support of PHARE an intense training model was selected and a seminar for 20 specialists in health promotion and PZS.

        Key words: KAP test - knowledge -attitude - practice - health promotion - primary health care - general practitioner - nurses
       

Order this issue

  BACK TO CONTENTS  
 
 
| HOME PAGE | CODE PAGE | CZECH VERSION |
©  1998 - 2008 CZECH MEDICAL ASSOCIATION J. E. PURKYNĚ
Created by: NT Servis, s.r.o., hosted by P.E.S. consulting, s.r.o.
WEBMASTER