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Knowledge, Attitudes and Practices among Grade Medical Officers of District General Hospital Matara on Circulars Issued by Ministry of Health, Sri Lanka

Authors:

K. Y. D. Perera ,

LK
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S. D. S. Amadoru,

LK
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W. S. C. Dileka,

LK
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H. M. A. H. Karunaratne,

LK
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Y. Dissanayake

LK
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Abstract

Introduction: Circulars help official communications from higher authority to operational level. Government circulars issued by the Ministry of Health (MOH) and other institutions affect the Medical Officers (MOs) in numerous ways and serve multiple purposes.

 

Objective: To assess the knowledge, attitude and practices (KAP) among MOs of District General Hospital (DGH), Matara on circulars issued by MOH.

 

Methodology: This descriptive cross-sectional study was carried out at DGH, Matara by interviewing 216 MOs using a self-administered questionnaire. Data were analyzed with regards to proportions. Associations were checked using chi square test.

 

Results and Discussion: Among 185 respondents, most were grade II MOs (n=102, 55%) and only 18% (n=33) had administrative experience. All knew that circulars are issued by MOH. 95% knew about the circular on Disturbance, Availability and Transport (DAT) allowance of MOs but only 35%-62% knew about other circulars. Majority accepted that circulars are important for better administration (85%) and medical practice (88%). Only 55% (n=102) identified the importance of referring circulars frequently. Reasons for referring circulars were mainly related to personal interest. Main perceived barriers for referring circulars were difficulty in accessing 75% (n=138), lack of interest 61% (n=113) and difficulty of understanding technical language 44% (n=81).

 

Administrative post experience had a statistically significant association with the level of knowledge (p=0.035), good attitudes (p=0.048) and good practices (p=0.042) while Grade seniority affected positively on KAP of circulars.

 

Conclusions and Recommendations: Most were aware about the circulars issued by the MOH and majority accessed circulars for personal interest. Good KAP were shown by doctors with administrative experience. Sensitize newly-appointed MOs on use of circulars and increase accessibility is recommended.
How to Cite: Perera, K.Y.D., Amadoru, S.D.S., Dileka, W.S.C., Karunaratne, H.M.A.H. and Dissanayake, Y., 2021. Knowledge, Attitudes and Practices among Grade Medical Officers of District General Hospital Matara on Circulars Issued by Ministry of Health, Sri Lanka. Sri Lankan Journal of Medical Administration, 22(1), pp.25–30. DOI: http://doi.org/10.4038/sljma.v22i1.5357
Published on 20 Dec 2021.
Peer Reviewed

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