Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Visit old site
Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 808

 Table of Contents  
Year : 2013  |  Volume : 5  |  Issue : 3  |  Page : 249-250

Assessment of knowledge, attitude, and practice in health care delivery

Department of Community Medicine, Dr. Rajendra Prasad Government Medical College Tanda, Himachal Pradesh, India

Date of Web Publication20-Mar-2013

Correspondence Address:
Sunil Raina
Department of Community Medicine, Dr. Rajendra Prasad Government Medical College Tanda, Himachal Pradesh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1947-2714.109226

Rights and Permissions

How to cite this article:
Raina S. Assessment of knowledge, attitude, and practice in health care delivery. North Am J Med Sci 2013;5:249-50

How to cite this URL:
Raina S. Assessment of knowledge, attitude, and practice in health care delivery. North Am J Med Sci [serial online] 2013 [cited 2023 Jun 9];5:249-50. Available from: https://www.najms.org/text.asp?2013/5/3/249/109226

Dear Editor,

I went through an article entitled "Knowledge and attitude of medical undergraduate, interns and postgraduate students in India towards emergency contraception", published recently in the North American Journal of Medical Sciences. [1] The article derives its strength from the fact that ultimately, it is this study population which has a role to play in emergency contraception. KAP comprises of three components-knowledge, attitude, and practice. These types of studies are a good way to assess health care delivery. KAP studies are easy to conduct, measurable, and easily interpretable. This makes these studies a useful survey methodology. Most of the KAP studies lack in measuring attitude properly (the second part of a standard KAP survey questionnaire). [2] It is here that this study suffers too. Attitudes are acquired characteristics of an individual. Attitude includes three components: (a) A cognitive or knowledge element (b) an affective or feeling element, and (c) a tendency to action. [3] Attitude has been defined as a relatively enduring organization of beliefs around an object, subject, or concept which predisposes one to respond in some preferential manner. The authors have done a nice work while dealing with the feeling element of the attitude, but have handled "tendency to action" inadequately. The focus in attitude evaluation has to be the study participant and not someone else. In question number one of the attitude component [Table 1], the focus is on paramedical staff. The other three questions really focus on knowledge, and not on attitude. [1] The attitude part could have been constructed as follows:
Table 1: Participant's attitude about emergency contraception

Click here to view

A patient seeks consultation after unprotected sex. The target attitude for health care professionals in this situation should be providing emergency contraception. The scale should read as:

  Scoring Top

Recode the items that have negatively worded endpoints on the right, so that higher numbers then always reflect a positive attitude to the target behavior (e.g., for 'pleasant-unpleasant', an answer of 6 becomes score of 2; a score of 4 remains a 4.

  References Top

1.Giri PA, Bangal VB, Phalke DB. Knowledge and attitude of medical undergraduate, interns and postgraduate students in India towards emergency contraception. N Am J Med Sci 2013;5:37-40.  Back to cited text no. 1
2.Launiala A. How much can a KAP survey tell us about people›s knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi. Anthropol Matters 2009;11.  Back to cited text no. 2
3.Park K. Medicine and Social Sciences. Park's Textbook of Preventive and Social Medicine. 21 st ed. Jabalpur: M/s Banarsidas Bhanot; 2011. p. 626.  Back to cited text no. 3


  [Table 1]

This article has been cited by
1 A cross sectional study of knowledge, attitude and practices of medical students regarding COVID-19 in Northern India
Prerna Ahuja, Jaspreet Kaur, Deepika Puri, Pravin Meshram, Prithpal Singh Matreja, Jayballabh Kumar
Journal of Clinical Medicine of Kazakhstan. 2023; 20(2): 26
[Pubmed] | [DOI]
2 Knowledge, attitude, and practices of the community and meat industry workers towards Taenia saginata taeniosis and bovine cysticercosis in and around Jimma and Ambo towns of Ethiopia
Edilu Jorga, Inge Van Damme, Bizunesh Mideksa, Sarah Gabriël
Preventive Veterinary Medicine. 2022; : 105653
[Pubmed] | [DOI]
3 Association among the exposure to giving knowledge, attitude and practice for handwashing in people residing in Seoul, South Korea: a retrospective cross-sectional study
Jayeun Kim, Kyuhyun Yoon
BMJ Open. 2022; 12(2): e053329
[Pubmed] | [DOI]
4 Indonesia Medical Students’ Knowledge, Attitudes, and Practices toward COVID-19
Jenny J.S. Sondakh, Widya Warastuti, Budi Susatia, Moh. Wildan, Bernadus Rudy Sunindya, Moch.Agus Krisno Budiyanto, Ahmad Fauzi
Heliyon. 2021; : e08686
[Pubmed] | [DOI]
5 Healthcare wearable devices: an analysis of key factors for continuous use intention
Sang M. Lee,DonHee Lee
Service Business. 2020;
[Pubmed] | [DOI]
6 Knowledge, attitudes, and practices regarding dengue, chikungunya, and Zika in Cali, Colombia.
M.R. Desjardins,I. Casas,A.M. Victoria,D. Carbonell,D.M. Dávalos,E.M. Delmelle
Health & Place. 2020; 63: 102339
[Pubmed] | [DOI]
7 A positive perspective of knowledge, attitude, and practices for health-promoting behaviors of adolescents with congenital heart disease
Hui-Ru Huang,Chi-Wen Chen,Chin-Mi Chen,Hsiao-Ling Yang,Wen-Jen Su,Jou-Kou Wang,Pei-Kwei Tsai
European Journal of Cardiovascular Nursing. 2018; 17(3): 217
[Pubmed] | [DOI]
8 KAP Surveys and Dengue Control in Colombia: Disentangling the Effect of Sociodemographic Factors Using Multiple Correspondence Analysis
Diana Rocío Higuera-Mendieta,Sebastián Cortés-Corrales,Juliana Quintero,Catalina González-Uribe,Bruce Y. Lee
PLOS Neglected Tropical Diseases. 2016; 10(9): e0005016
[Pubmed] | [DOI]
9 Emergency contraception: Knowledge and attitude toward its use among medical students of a medical college in North-West India
RajivKumar Gupta, SunilKumar Raina, ArunaKumari Verma, Tejali Shora
Journal of Pharmacy And Bioallied Sciences. 2016; 8(3): 235
[Pubmed] | [DOI]
10 Assessment of attitude component in KAP studies
Giri, P.A. and Bangal, V.B. and Phalke, D.B.
North American Journal of Medical Sciences. 2013; 5(4): 308


Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

  In this article
Article Tables

 Article Access Statistics
    PDF Downloaded1409    
    Comments [Add]    
    Cited by others 10    

Recommend this journal