According to the current normative documents and instructions, in particular those for the prevention of noncommunicable diseases (NCDs), primary health care (PHC) workers should undertake measures to reduce major health risk factors, including harmful alcohol consumption. Objective — to identify PHC workers’ attitude towards the organization of prophylactic work among individuals with alcohol problems, as well as the major obstacles to widely introducing this assistance in the everyday practice of PHC. Subject and methods. A total of 1249 health care workers from the Bryansk, Tomsk, Astrakhan, and Vologda Regions were surveyed using a standardized questionnaire. The survey results were processed using the IBM SPSS Statistics 20 and Microsoft Office Excel. The significance of differences between the groups was determined using a chi-square (χ2) test. Results. The survey showed that the majority of respondents believed that patients with alcohol problems should be treated only in specialized health facilities. The healthcare workers considered that the most significant obstacle to helping patients with alcohol problems in the polyclinic is their unwillingness to discuss the problems associated with alcohol use. The respondents ranked lack of their special training as the least important problem. Most (83.8%) therapists discussed the issues of alcohol use with their patients; 87.7% gave recommendations for reduced intake of alcoholic beverages. However, the physicians and mid-level medical staff devoted less attention to these issues. The possible drug-alcohol interaction was disregarded by 27.3% of the medical specialists. The survey revealed a considerable number of cases at increased risk of harmful alcohol consumption among the healthcare workers themselves. More than half of the respondents were at risk by the level of alcohol consumption. The highest rate (59.3%) of this risk was noted for therapists; moreover, the medics belonging to risk groups less rarely discussed alcohol consumption-related issues with their patients (p<0.05) and did not give advice to reduce alcohol intake (p<0.05). Conclusion. There remain a number of problems that require measures to change the attitude of PHC workers towards an important risk factor for chronic NCDs, such as harmful alcohol consumption. It is necessary to work out prevention programs and conveniently practically used motivational behavioral counseling schemes and to raise the level of professional knowledge in PHC workers.