IJOMAHIP Published Article Details

Abstract Background. Despite the Universal Health Care (UHC) law enacted in 2019, Philippine healthcare service delivery remains challenge, especially in underserved and rural areas. Community Health Workers (CHWs) are frontline health workers essential in executing the UHC law at the community level. However, limited evidence exists on whether they are prepared and capable of carrying out what this law requires. This study determined the knowledge, attitudes, and practices (KAP) of CHWs regarding the UHC law and examines variations across demographic characteristics in identifying gaps relevant to implementation. Methods. This descriptive cross-sectional study used a study population of 36 CHWs. Data were gathered using a validated researcher-made KAP questionnaire with KR-20 = 0.624 for the knowledge domain, KR-20 = 0.857 for the attitude domain, and KR-20 = 0.927 for the practice domain. The knowledge scale is interpreted with caution. Results. Most participants demonstrated moderate knowledge (n=20, 55.6%) implying a strong understanding of fundamental UHC goals, but with notable deficiencies in the structural and financial aspects. Positive attitudes (n=21, 58.3%) were observed suggesting support for the UHC’s goals and acknowledging its ability to improve community health. Most participants were compliant (n=21, 58.3%) and followed UHC regulations, but inconsistencies were noted, particularly among senior healthcare workers. Conclusions. The results indicate limited knowledge, despite positive attitudes, potentially affects UHC implementation. Capacity-building efforts, educational support, and incentive mechanisms are key areas for further consideration in strengthening CHW preparedness for UHC-related roles. Furthermore, strengthening CHW capacity may be relevant to broader discussions on improving health outcomes and promoting equitable healthcare access in the Philippines. Keywords: Community Health Workers (CHWs), Health Care Delivery, Knowledge, Attitudes, and Practices (KAP), Universal Health Care (UHC), Philippines