[cnn-photo-caption image= http://i2.cdn.turner.com/cnn/2009/images/07/20/art.bohand0720.gi.jpg caption="A new poll shows trouble for the president on health care."]
WASHINGTON (CNN) - As President Barack Obama begins a week full pushing for health care reform, a new national poll indicates the president is slipping on the issue.
Forty-nine percent of people questioned in an ABC News/Washington Post survey released Monday approve of the way Obama is handling health care. That's down four points from last month and down nine points from April. Forty-four percent disapprove, up five points from June and 15 points from April.
The ABC News/Washington Post poll is the third national survey to suggest that the president's approval rating on health care reform is under 50 percent, joining a CBS News poll and a Quinnipiac University survey.
The new poll indicates Obama still has a large advantage over Republicans on the issue. Fifty-four percent of those questioned say they trust Obama to do a better job handling health care than Republicans in Congress, with 34 percent putting more faith in Congressional Republicans than the president.
The ABC News/Washington Post poll was conducted July 15-18, with 1,001 adult Americans questioned by telephone. The survey's sampling error is plus or minus three percentage points.