Effect of health education intervention on personal hygiene Knowledge, attitudes, and practices among food handlers in a tertiary care hospital in New Delhi

Authors

Keywords:

food handlers, personal hygiene, health education, intervention

Abstract

Introduction: Food is critical determinant of health, nutritional status and longevity of population. Personal hygiene forms an important domain of food safety to prevent food-borne illnesses. Health education intervention is one of the most effective tools to improve personal hygiene practices to ensure that food is suitable for customers with food safety requirements. Material and methods: This before and after interventional study was conducted among 111 food handlers in food establishments in tertiary care hospital in Delhi in 2021-22. Data collection was done using an interview schedule and observational checklist on personal hygiene based on WHO 5 keys and FSSAI guidelines. Health education intervention included health talks using flipchart, audio-visual aids and demonstration. Endline assessment was done 2 months after intervention. Results: Mean scores regarding personal hygiene knowledge before and after the intervention were 2.69 ± 0.90 and 9.64 ± 0.47 (p=0.046), attitudes before and after the intervention were 2.80 ± 1.15 and 5.77 ± 0.41 (p=0.049) and practices before and after the intervention were 3.23 ± 0.74 and 7.21 ± 0.75 (p= 0.007) respectively with statistically significant changes. Conclusions: Personal hygiene practices of food handlers showed remarkable improvement after health education intervention. Thus, education on food safety in medical institutions needs to be meticulously planned and held at periodic intervals to achieve the desired change.

Downloads

Download data is not yet available.

References

World Health Organization. Five Keys to Safer Food Manual Safer Food Manual. Int J Environ Res Public Health.2009;6:2833–42.

Food and Agricultural Organization (FAO). Food handlers (Manual and Instructor). 2017. Available from: https://www.fao.org/3/i5896e/i5896e.pdf (Last accessed on 10/10/2024).

Sharma VK, Savalia CV, Darekar SD. Management of food borne illness. Vet World.2008;1(2):55–8.

National Centre for Disease Control (NCDC). CD Alert Food Borne Diseases and Food Safety in India.2017. Available from: https://ncdc.gov.in/WriteReadData/ link images/CD Alert4053017156.pdf (Last accessed on 10/10/2024).

World Health Organization.WHO_EHE_FOS_88.7.pdf. Health Education in Food Safety. 1988. Available from: https://apps.who.int/iris/bitstream /handle/10665/ 61692 /WHO_EHE_FOS_88.7. (Last accessed on 10/10/2024).

African WHO, Regions SA. WHO’s first ever global estimates of foodborne diseases find children under 5 account for almost one third of deaths. Saudi Med J. 2016;37(1):108–9.

Food Safety and Standards Authority of India. The Pink Book - Safe and Nutritious Food at Home.2017. Available from: https://foodsmart.fssai.gov.in/PinkBook.pdf (Last accessed on 10/10/2024).

Food Safety and Standards Authority of India (FSSAI). Food safety and standards act 2006.Available from: https://fssai.gov.in/cms/food-safety-and-standards-act-2006.php. (Last accessed on 10/10/2024).

Wahdan IH, Gad ZM, Habib IM, Elshabasy OA. Effect of an Educational Program on Food Safety Practices in Food Preparation and Handling Procedures in Governmental Hospitals of an Egyptian Governorate. Journal of High Institute of Public Health.2019;49(2):90-6.

Dudeja P, Singh A, Sahni N, Kaur S, Goel S. Effectiveness of an intervention package on knowledge, attitude, and practices of food handlers in a tertiary care hospital of north India: A before and after comparison study. Med J Armed Forces India. 2017;73(1):49– 53.

Prabhu PM, Shah SA. Study of Food Handlers in Public Food Establishments in Maharashtra, India. International Journal of Science and Research (IJSR).2014;3(7):1485-9.

Agomuo IL, Akimboye DO. Effect of Educational Intervention on Knowledge Attitude and Practice of Food Handlers on Food Handling in Selected Local Government Areas in Abia State Nigeria. Journal of Functional Education.2021;2(3):41-61.

Wong SY, Mahyudin NA, Ann Ho J, Abidin UF. Evaluation of Self-Efficacy-Based Intervention: Improving School Food Handlers’ Selected Food Safety Behaviour. Food Protection Trends.2022;42(1):8–21.

Nee SO, Sani NA. Assessment of Knowledge, Attitudes and Practices (KAP) Among Food Handlers at Residential Colleges and Canteen Regarding Food Safety. Sains Malaysiana J.2011;40(4):403-10.

Ababio P.F, Taylora KDA, Swainsona M, Daramolaa BA. Effect of Good Hygiene Practices Intervention on Food Safety in Senior Secondary Schools in Ghana.Food control J.2016;60 :18-24.

Bhattacharya S, Talati S, Gupta AK, Malhotra S, Singh A. Implementing a skill development program among food handlers in tertiary care hospital to improve their personal hygiene: A pilot study. J Educ Health Promot.2019;8:1-8.

Anila H.L, Kumari B.P. Impact of an intervention programme on food safety among women food business operators. Food Sci. Res. J.2015;6(2):341-6.

Rezaee H, Servat FL, Marzban H, Marzban A & Shirdeli M. The impact of education on knowledge, attitude and practice about Food Poisoning in students of Shahid Sadoughi University of Medical Sciences, Yazd. Iran. Toloo-e-behdasht.2018;17(3): 39-51.

Adesokan HK, Akinseye VO, Adesokan GA. Food safety training is associated with improved knowledge and behaviours among foodservice establishments workers. Int J Food Sci.2015;2015:1-8.

Lee H, Abdul Halim H, Thong K, Chai L. Assessment of food safety knowledge, attitude, self-reported practices, and microbiological hand hygiene of food handlers. International Journal of Environmental Research and Public Health.2017;14(1):55-60.

Marzban A, Rahmanian V, Shirdeli M, Jafari F, Barzegaran M. The Effect of Education on Knowledge, Attitude, and Practice of the Catering Staffs about Food Hygiene and Safety in Yazd City. Journal of Nutrition and Food Security.2020;5(3):266-73.

Has SMC, Jaafar SN, Chilek ZT. An assessment on pre-and post-food hygiene training on food safety’s Kap level among food handlers in Kuala Terengganu and Kuala Nerus. Malays. Appl. Biol J.2018;47(4):61-9.

Ghaffari M, Mehrabi Y, Rakhshanderou S, Safari-Moradabadi A, Jafarian SZ. Effectiveness of a health intervention based on WHO food safety manual in Iran. BMC Public Health. 2020;20(1):1-9.

Zan H, Lambea M, McDowell J & Scharff RL. An Economic Evaluation of Food Safety Education Interventions: Estimates and Critical Data Gaps. Journal of Food Protection.2017;80(8):1355-63.

Medeiros LC, Hillers VN, Kendall PA, Mason A. Food safety education: What should we be teaching to consumers? Journal Nutr Education. 2001;33(2):108-13.

Ansari MA, Khan Z. An Evaluation of Health Education Intervention on Hygienic Status of Food Handlers in Aligarh - A Three Year Experience. J Community Med Health Educ.2012;2:142.

Malavi DN, Abong GO, Muzhingi G. Effect of food safety training onbehavior change of food handlers: A case of orange-fleshed sweet potato purée processing in Kenya. Food Control J.2021; 119(3):1-20.

Ababio P.F, Taylora KDA, Swainsona M, Daramolaa BA. Effect of Good Hygiene Practices Intervention on Food Safety in Senior Secondary Schools in Ghana. Food control J.2016;60 :18-24.

Published

2024-10-28

How to Cite

1.
Chauhan S, Parashar M, Khandekar J. Effect of health education intervention on personal hygiene Knowledge, attitudes, and practices among food handlers in a tertiary care hospital in New Delhi. Indian J Community Health [Internet]. 2024 Oct. 28 [cited 2024 Nov. 4];36(5). Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/2966

Issue

Section

Original Article

Dimensions Badge