Food hygiene practices and determinants among food handlers in Ethiopia: a systematic review and meta-analysis
Abstract Background Food-borne diseases are a major public health concern worldwide, particularly in low and middle-income countries (LMICs), such as Ethiopia. Poor food hygiene practices primarily exacerbate food-borne illness transmission. Prior studies on the food hygiene practices among food han...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | Tropical Medicine and Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41182-022-00423-6 |
| _version_ | 1818211732906049536 |
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| author | Demisu Zenbaba Biniyam Sahiledengle Fikadu Nugusu Girma Beressa Fikreab Desta Daniel Atlaw Vijay Kumar Chattu |
| author_facet | Demisu Zenbaba Biniyam Sahiledengle Fikadu Nugusu Girma Beressa Fikreab Desta Daniel Atlaw Vijay Kumar Chattu |
| author_sort | Demisu Zenbaba |
| collection | DOAJ |
| description | Abstract Background Food-borne diseases are a major public health concern worldwide, particularly in low and middle-income countries (LMICs), such as Ethiopia. Poor food hygiene practices primarily exacerbate food-borne illness transmission. Prior studies on the food hygiene practices among food handlers in Ethiopia were inconsistent. Therefore, this meta-analysis and systematic review aimed to estimate the pooled proportion of good food hygiene practices and identify the determinants in Ethiopia. Methods The preferred reporting items for systematic review and meta-analysis (PRISMA) instruments were used, and a systematic search was performed in the PubMed/MEDLINE, POPLINE, HINARI, Science Direct, Cochrane Library databases, and Google Scholar were systematically last searched on the 24th February 2022 for relevant articles. Only the observational studies that reported the proportion of good food hygiene practices and their associated factors among food handlers were included. The quality of the included studies was assessed by two independent authors. Articles with unclear methodologies and did not report the overall proportions of good food hygiene practice were excluded. The effect estimates for pooled proportion and pooled odds ratio (POR) along with a 95% confidence interval (CI) were determined conducting using DerSimonian–Laird's random effect model. Results Among 817 retrieved studies, 23 eligible articles with a total sample size of 7153 study participants were included in the meta-analysis. The pooled proportion of good food hygiene practices among food handlers was 50.5% [95% CI: (41.6, 59.4%]; I 2 = 98.7%, p value = 0.001]. Food handlers with formal education (POR = 4.60, 95% CI: 3.05, 6.93), good knowledge (POR = 1.98, 95% CI: 1.26, 3.11), training (POR = 3.52, 95% CI: 2.35, 5.28), and a positive attitude (POR = 3.41, 95% CI: 2.52, 4.61) about food hygiene components, as well as regular medical checkups (POR = 6.75, 95% CI: 4.49) were significantly associated with good food hygiene practice. Conclusions Only half of Ethiopia's food handlers had good food hygiene practice. Implication of the study The key elements of effective food hygiene practice that will aid in the development of feasible interventions to increase food handler compliance with food hygiene components have been identified. |
| first_indexed | 2024-12-12T05:37:11Z |
| format | Article |
| id | doaj.art-f91835e81fe443dfacafaa03496cdc0c |
| institution | Directory Open Access Journal |
| issn | 1349-4147 |
| language | English |
| last_indexed | 2024-12-12T05:37:11Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Tropical Medicine and Health |
| spelling | doaj.art-f91835e81fe443dfacafaa03496cdc0c2022-12-22T00:36:06ZengBMCTropical Medicine and Health1349-41472022-05-0150111510.1186/s41182-022-00423-6Food hygiene practices and determinants among food handlers in Ethiopia: a systematic review and meta-analysisDemisu Zenbaba0Biniyam Sahiledengle1Fikadu Nugusu2Girma Beressa3Fikreab Desta4Daniel Atlaw5Vijay Kumar Chattu6Public Health Department Bale-Goba, Madda Walabu University Goba Referral HospitalPublic Health Department Bale-Goba, Madda Walabu University Goba Referral HospitalPublic Health Department Bale-Goba, Madda Walabu University Goba Referral HospitalPublic Health Department Bale-Goba, Madda Walabu University Goba Referral HospitalPublic Health Department Bale-Goba, Madda Walabu University Goba Referral HospitalSchool of Medicine, Anatomy Department, Madda Walabu University Goba Referral HospitalCenters for Trans Disciplinary Research, Saveetha Institute of Medical and Technical Sciences, Saveetha UniversityAbstract Background Food-borne diseases are a major public health concern worldwide, particularly in low and middle-income countries (LMICs), such as Ethiopia. Poor food hygiene practices primarily exacerbate food-borne illness transmission. Prior studies on the food hygiene practices among food handlers in Ethiopia were inconsistent. Therefore, this meta-analysis and systematic review aimed to estimate the pooled proportion of good food hygiene practices and identify the determinants in Ethiopia. Methods The preferred reporting items for systematic review and meta-analysis (PRISMA) instruments were used, and a systematic search was performed in the PubMed/MEDLINE, POPLINE, HINARI, Science Direct, Cochrane Library databases, and Google Scholar were systematically last searched on the 24th February 2022 for relevant articles. Only the observational studies that reported the proportion of good food hygiene practices and their associated factors among food handlers were included. The quality of the included studies was assessed by two independent authors. Articles with unclear methodologies and did not report the overall proportions of good food hygiene practice were excluded. The effect estimates for pooled proportion and pooled odds ratio (POR) along with a 95% confidence interval (CI) were determined conducting using DerSimonian–Laird's random effect model. Results Among 817 retrieved studies, 23 eligible articles with a total sample size of 7153 study participants were included in the meta-analysis. The pooled proportion of good food hygiene practices among food handlers was 50.5% [95% CI: (41.6, 59.4%]; I 2 = 98.7%, p value = 0.001]. Food handlers with formal education (POR = 4.60, 95% CI: 3.05, 6.93), good knowledge (POR = 1.98, 95% CI: 1.26, 3.11), training (POR = 3.52, 95% CI: 2.35, 5.28), and a positive attitude (POR = 3.41, 95% CI: 2.52, 4.61) about food hygiene components, as well as regular medical checkups (POR = 6.75, 95% CI: 4.49) were significantly associated with good food hygiene practice. Conclusions Only half of Ethiopia's food handlers had good food hygiene practice. Implication of the study The key elements of effective food hygiene practice that will aid in the development of feasible interventions to increase food handler compliance with food hygiene components have been identified.https://doi.org/10.1186/s41182-022-00423-6Food safetyFood hygieneFood handlerGood practiceEthiopia |
| spellingShingle | Demisu Zenbaba Biniyam Sahiledengle Fikadu Nugusu Girma Beressa Fikreab Desta Daniel Atlaw Vijay Kumar Chattu Food hygiene practices and determinants among food handlers in Ethiopia: a systematic review and meta-analysis Tropical Medicine and Health Food safety Food hygiene Food handler Good practice Ethiopia |
| title | Food hygiene practices and determinants among food handlers in Ethiopia: a systematic review and meta-analysis |
| title_full | Food hygiene practices and determinants among food handlers in Ethiopia: a systematic review and meta-analysis |
| title_fullStr | Food hygiene practices and determinants among food handlers in Ethiopia: a systematic review and meta-analysis |
| title_full_unstemmed | Food hygiene practices and determinants among food handlers in Ethiopia: a systematic review and meta-analysis |
| title_short | Food hygiene practices and determinants among food handlers in Ethiopia: a systematic review and meta-analysis |
| title_sort | food hygiene practices and determinants among food handlers in ethiopia a systematic review and meta analysis |
| topic | Food safety Food hygiene Food handler Good practice Ethiopia |
| url | https://doi.org/10.1186/s41182-022-00423-6 |
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