Post-harvest losses contribute significantly to food insecurity and affect the nutritional status and health of populations. This study estimates the waste of fresh fruits in the post-harvest chain and identifies avoidable causes along the food supply chain to extrapolate good practices for the empowerment of retailers. A semi-structured questionnaire and a checklist were used in the administrative units of Yaoundé, Cameroon, from May to June 2017. Fifty fresh fruit retailers were randomly selected. Information, including socioeconomic profile, handling practices, transport, and food wastes, was analyzed. Dominant figure in the fruit market are 34-aged women. Despite significant professional experience, none of retailers received formal training. The perceived main causes of fruit waste were failure to sell, mechanical damage during transport, and storage conditions. Inappropriate packaging materials and poor hygiene were also observed, and about 40–50% of fruits did not reach the consumers’ table. Nutritional education of the general population is crucial in facing the challenge of fresh fruit waste. The analysis of critical points in the post-harvest fresh fruit chain highlights good cost-effective practices. Training and empowerment of retailers represent the main measures to decrease fruit waste, in addition to nutritional training programs for the general population recommending the daily consumption of fruits for healthy life.

Background Poor nutritional habits and related hygiene and sanitation practices impair food and nutrition security, and increase the risk of foodborne diseases and related school absenteeism. While the WASH program promoted by the UNICEF boosts water, sanitation, and hygiene, only a few studies thus far encouraged healthy eating habits and safe and nutritious meals at school. This study aimed at combining education of schoolchildren on nutrition and hygiene (nutrition knowledge, attitudes, practices; food choices; nutrient sources; dental care; handwashing), and at boosting the engagement of parents and teachers in the promotion of nutrition-related behaviors conducive to health and well-being. Methods Four primary schools in different Yaoundé Urban Councils and 71 schoolchildren aged 7-12 years enrolled in the study. In this paper we report on the i) administrative and ethical clearance, ii) sensitisation and demonstration activities, iii) donation of WASH equipment, disposable materials for hand and teeth hygiene, toolkit policy, and guidebook, iv) baseline assessment by structured questionnaire, v) combined course (1 hour/week, 6 weeks), and vi) measured impact. Scores were analysed using paired z- and t-tests with SPSS 23.0 for windows. Results In the four schools, handwashing showed the best improvement. Older children benefited more from the whole course, while the improvement in younger children focused more on practices. The school that scored lowest at baseline obtained marked general improvement. Interestingly, general improvement in food choices coupled with persistent difficulty in recognising nutrient sources. Although sociocultural and socioeconomic parameters were not included in the questionnaire, these emerged as possible modifiers. Despite limited hours of direct training and limited resources invested, this short-term intervention significantly changed habits of children and the school community. Availability of hand and teeth hygiene materials facilitated and motivated the proactivity of the school community to boost good nutrition and hygiene practices sustainably. Conclusions Preventive medicine is a balance of awareness and affordability. Having this in mind, more coordinated efforts (WASH, food safety, food security) will enforce proper nutrition and hygiene of children at school in the different Cameroonian sociocultural and socioeconomic settings.