ABSTRACT
Background of the study: Food is an
important basic necessity which is essential for health and wellbeing of humans
and so if the proper food handling and preparation processes are not followed
it might pose health risks to the consumer. Pupils in schools can be exposed to
infections and possible complications; gastroenteritis can impair digestion and
absorption of nutrients and the perception or fear about poor food hygiene
practices might result in pupils rejecting food.
Objective: The overall objective of
this study was to establish knowledge levels and practices of food safety among
food handlers in selected secondary schools in Ilorin, Kwara State
Methodology: A descriptive cross-sectional
study was carried out in Ilorin, 10 secondary schools involving 103 food
handlers. Schools were selected using a simple random selection so as to get
equal respondents. An interviewer administered questionnaire and key informant
interview guide were used to collect qualitative and quantitative data which
was entered in SPSS for descriptive, bivariate and multivariate analysis.
Results: Safe food was found to be at
20.4% among the food handlers in the selected schools in Ilorin. Three
independent factors were found to be significantly associated with food safety;
formal training (p=0.00), level of knowledge (p=0.00) and use of protective
coverings (p=0.00).
Conclusion: The safety of food in Ilorin
is at stake with only 20.4% safe food among secondary schools. This implies
that pupils in these schools are at risk of contracting food borne diseases.
The low percentage of safe food is attributed to lack of formal training among
food handlers regarding food safety, lack of adequate knowledge on best
practices of food and failure to wear protective clothing while conducting food
processes
TABLE OF CONTENTS
CHAPTER ONE
INTRODUCTION
1.0 Introduction
1.1 Background
to study
1.2 Statement
of the problem
1.3 General
objective
1.3.1 Specific
objectives
1.3.2 Research
questions
1.4 Significance
of the study
CHAPTER
TWO
LITERATURE
REVIEW
2.1 Socio-demographic
characteristics
2.2 level
of knowledge among food handlers on food safety
2.3 Food
safety practices among food handlers
CHAPTER THREE
METHODOLOGY
3.0 Introduction
3.1 Study
design
3.3 Scope of the study
3.4 Study
Population
3.5 Selection
criteria
3.5.2
Exclusion criteria
3.6 Study
variables
3.6.1 Dependent variables
3.6.2
Independent variables
3.7 Sample
size determination
3.8 Sampling
procedure
3.9 Data
collection tools
3.10 Data Collection tools
3.11 Quality
considerations
3.12 Controlling
for errors and biases
3.13 Ethical
Consideration
3.14 Plans
for Data Management and Analysis
CHAPTER FOUR
RESULTS
4.0 Introduction
4.1 Univariate
analysis
4.1.1 Socio
demographic characteristics of the respondents
4.1.2 Level
of knowledge of respondents
4.1.3 Determinig
level of knowledge
4.1.5 Use of
protective coverings
4.1.6 Respondents
boiling water
4.1.7 Defining and determining safe and unsafe
food.
4.2 Bivariate
analysis
4.2.1 Socio-demographic
characteristics associated with food safety
4.2.2 Association
of the level of knowledge on food safety
4.2.3 Food
practice association on food safety
4.3 Multivariate
analysis
4.3.1 Multivariate
Analysis of knowledge and practices on food safety
4.4 Qualitative results
CHAPTER FIVE
DISCUSSION OF RESULTS
5.0 Introduction
5.1 Scoio-demographic
characteristics of food handlers on food safety
5.2 Level
of knowledge on food safety
5.3 Food
safety practices among food handlers in the selected secondary schools in
Ilorin.
CHAPTER SIX
CONCLUSION AND
RECOMMENDATION
6.0 Introduction
6.1 Conclusion
6.2 Recommendation
REFERENCES
QUESTIONNAIRE
CHECKLIST
FOR FOOD SAFETY
INTERVIEW GUIDE
CHAPTER ONE
INTRODUCTION
1.0 Introduction
This chapter introduces this study by
spelling out the background to the study, statement of the problem, research
objectives, research questions, significance of this study, and the conceptual
framework.
1.1 Background to study
Globally, Food is an important basic
necessity which is essential for health and wellbeing of humans. Therefore,
ensuring safe food handling and preparation is of paramount importance. Food
borne diseases remain a major public health problem (Abdalla MA, 2008)in developed countries, up
to an estimated 70% of cases of diarrheal disease are associated with
consumption of unwholesome food (Annor GA, 2011). Food contamination can occur
at any point during its preparation, bringing to bear the importance of food
safety and hygiene in the prevention of food borne diseases (Chukuezi, 2011).
Apart from the USA, other developed
countries also experienced the burden of Food -borne Diseases (FBDs). In
Turkey, for instance, a total of 23,010 cases of dysentery were reported in
1997. (Green L, 2005)In Emilia-Romagna, a single region in Italy, 1564 episodes
of foodborne diseases were reported between 1988 and 2000 (Ismail Z, 2013). A
national survey done by the British government in 2009 revealed that outbreaks
of food poisoning had serious financial and social implications (Abdalla MA,
2008). The survey further added that Salmonella alone caused 1939 food-related
illnesses (Acheson, 2011). On the same vein, indicated that about one million
people suffer from food poisoning every year at an estimated cost of $ 1.5
million annually (Annor GA, 2011). Another observation by Rona Ambrose,
Minister of Health in Canada (2014), also
reported that although Canada boasted of the safest and healthiest food safety
systems in the world, the Government was still committed to strengthening food
safety by giving tough penalties and cracking down those that did not comply
with food safety measures.
In industrialized countries, infected food
handlers are an important source of food borne disease. Ingestion of infected
food can result in mild to severe illness, hospitalization or even death.
Diseases with short incubation periods are more likely to be detected and
attributed unless otherwise stated to infected food than those with longer
incubation periods where the individual may not associate their illness with
ingestion of infected food. Bakhiet A (2008).
In developing countries, particularly in
most African countries, a change in socioeconomic setting had resulted in
multiple food safety challenges (Green, 2003). Green pointed out that between
70% and 90% of employees in Africa were in the food trade. These traders were
said to significantly influence the prevalence of Food -borne Diseases (FBDs)
in their respective countries. (Ismail Z, 2013)added that availability,
distribution and maintenance of adequate supply of portable water and
nutritious food were the major challenges to most of these countries. Moreover,
inadequate sanitation and physical facilities were said to contribute to lower
aesthetic standards, resulting to contaminated food and water (Annor GA, 2011).
In Africa poverty is the underlying cause of consumption of unsafe food. Lack
of access to potable water, poor government structural arrangement,
communicable diseases, trade pressure, and inconvenient environmental
conditions are notable reasons. High incidences of diarrheal diseases among
children are indications of the food hygiene situation in the African
region.(Jevsnik M, 2008)
In Kenya, like other countries was not
exempted from the burden of FBDs. According to (Chukuezi, 2011), up to 70% of
all diarrhoeal episodes were attributed to ingestion of contaminated food and
water. This study viewed training intervention of food handling personnel as a
solution not only in Kenya but also in Africa and other developing countries
struggling with food safety challenges. It was upon this backdrop that this
study aimed at comparing food safety and hygiene practices in training colleges
to ascertain their capacity in training food safety and hygienic practices.
(Annor GA, 2011).
In Nigeria, according to how, a food
handler is a person with any job that requires him/her to handle unpackaged
foods or beverages and be involved in preparing, manufacturing, serving,
inspecting, or even packaging of food and beverage items. All food handlers are
required to use proper hygiene and sanitation methods when working with food.
Food hygiene is the set of basic principles employed in the systematic control
of the environmental conditions during production, packaging,
delivery/transportation, storage, processing, preparation, selling and serving
of food in such a manner as to ensure that food is safe to consume and is of
good keeping quality. However, food itself can pose health threat, a problem
that is serious in developing countries due to difficulties in securing optimal
hygienic food handling practices. This is because of adequate supply of safe,
wholesome and healthy foods are essential for the health and well‑being
of humans (Ababio and Lovat 2014). Food borne diseases are major health
problems in developed and developing countries.
The World Health Organization estimated
that in developed countries, up to 30% of the populations suffer from food
borne diseases each year, whereas in developing countries up to 2million deaths
are estimated per year. Every day people all over the world get sick from the
food they eat. This sickness is called food borne disease and is caused by
dangerous microorganisms and/or toxic chemicals. Millions of people become sick
each year and thousands die after eating contaminated or mishandled foods
(Green L, 2005). Food handlers with poor personal hygiene working in food
establishments could be potential sources of infections of many intestinal helminths,
protozoa, and pathogenic bacteria. Food handler are anyone who works in a food
and drink establishments and who handles food, or contact with any equipment or
utensils that are likely to be in contact with food, such as cutlery, plates,
bowls, or chopping boards.(Jevsnik M, 2008)In Ilorin, Food hygiene in the
selected secondary schools can acquire peculiar features: indeed, many pupils
could be more vulnerable than healthy subjects to microbiological and
nutritional risks; large numbers of persons can be exposed to infections and
possible complications; gastroenteritis can impair digestion and absorption of
nutrients and the perception or fear about poor food hygiene practices might
result in patients rejecting the meals supplied by the hospital catering (Abdalla MA, 2008).
1.2 Statement of the problem
Foodborne diseases present a serious
challenge to public health in Ilorin.
Studies done in selected secondary schools have indicated that the majority of
reported foodborne diseases originate in food service establishments (Green L,
2005), and studies on foodborne disease risk factors have indicated that most
outbreaks associated with food service establishments can be attributed to food
handlers„ improper food preparation practices (Friedman et al., 2004).
Additionally, observational studies have shown that food handlers frequently
engage in unsafe food preparation practices (Clayton and Griffith, 2004,). The
public health objective of food hygiene and safety is the prevention of illness
attributable to consumption of food. The principle of food hygiene implies that
there should be minimal handling of food items. Food handlers are thus expected
to observe proper hygiene and sanitation methods as the chances of food
contamination largely depend on their health status and hygiene practices.
Despite efforts in place by Nigeria food and drug authority and integration of
the food and nutrition in school health program, morbidities and mortalities
have been associated with consumption of contaminated foodstuffs (Havelaar et
al,2010). If nothing is done to combat this problem in schools, it will lead to
increased morbidity, school absenteeism, low grades, school drop outs and the
consequential increased illiteracy among future adults which also leads to
increased dependency and low economic productivity in the long run. The main
objective of this study is to establish knowledge and practices of food safety
among food handlers in Ilorin in order to initiate specific food provider
improvement services for the maintenance of health among school children.
1.3 General objective
To establish knowledge levels and practices
of food safety among food handlers in selected secondary schools in Ilorin, Kwara
State
1.3.1 Specific objectives
i.
To determine the socio-demographic
characteristics of food handlers in selected secondary schools in Ilorin, Kwara
State.
ii.
To assess knowledge on food safety among food handlers in selected secondary
schools in Ilorin, Kwara State.
iii.
To investigate practices on food safety among food handlers in selected secondary
schools in Ilorin, Kwara State.
1.3.2 Research questions
i.
What are socio-demographic characteristics of food
handlers in selected secondary schools in Ilorin, Kwara State?
ii.
What is the level of knowledge on food safety handling
among handlers in selected schools in Ilorin, Kwara State?
iii.
What are the current practices on food safety among
food handlers in selected schools in Ilorin, Kwara State?
1.4 Significance of the study
This will add to knowledge among scholars
on matters regarding school health programs and intended interventions can be
planed as per evidence-based findings.
The findings obtained will be relevant in
determining the most appropriate measures towards eradication of agents of food
contamination and education of the food handlers on adherence and maintenance
of standards regarding food hygiene.
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