The Safe Food Imperative: Accelerating Progress in Low- and Middle-Income Countries

Jaffee, Steven; Henson, Spencer; Unnevehr, Laurian J.; Grace, Delia; Cassou, Emilie

doi:10.1596/978-1-4648-1345-0

Cited by 214 publications

(263 citation statements)

References 106 publications

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“…1 In developing countries, diseases, disability, and deaths resulting from unsafe food lead to a productivity loss of billions of US dollars. 2 Africa and South Asia bear the most signi cant burden of foodborne diseases. 3 All populations are at risk of foodborne infections, but under ve children carry the enormous weight of morbidity and mortality resulting from foodborne illnesses.…”

Section: Introductionmentioning

confidence: 99%

Determinants of hand hygiene practice at critical times among food handlers in educational institutions in Sagnarigu Municipality of Ghana: A cross-sectional study

Amegah¹,

Addo²,

Ashinyo³

et al. 2020

Preprint

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INTRODUCTION: Food handlers' hands serve as a vehicle for potential foodborne pathogenic contamination which constitutes a public health risk. In Ghana, there are always constant reports of outbreak of foodborne diseases in schools. However, determinants of hand hygiene practice among educational institutions food handlers are little known in Ghana. The study, therefore, aimed to assess the determinants of hand hygiene practice at critical times among educational institutions food handlers in the Sagnarigu Municipality of Ghana.METHODS: This was a cross-sectional survey among educational institutions food handlers in the Sagnarigu Municipality. Two hundred and six food handlers were selected through convenience sampling in the educational institutions. At the same time, structured questions that were developed from previous studies were used to assess food handlers' hand hygiene practice at critical times. Data were analyzed using descriptive statistics, bivariate and multivariate logistic regression models. All variables with their respective confidence interval (95%) and adjusted odds ratios were declared significant at p-value less than 0.05.RESULTS: The hand hygiene practice at critical times among the food handlers was relatively good 66.0% (95% CI: 59.1, 72.5%) and is independently predicted by training on food safety [AOR = 24.39, (95% CI: 2.24 – 245.45) p=0.007], sufficient knowledge of hand hygiene [AOR = 16.34, (95% CI: 3.92 – 68.05) p<0.001] and positive attitude towards hand hygiene [AOR = 82.08, (95% CI: 14.21-474.26) p<0.001]. Only 17.0% of the food handlers demonstrated proper handwashing techniques whereas a good number (85.4%) of the food handlers did not wash their hands after touching money.CONCLUSION: Good hand hygiene practice at critical times was influenced by training on food safety, sufficient knowledge of hand hygiene, and positive attitudes towards hand hygiene. These findings demonstrate the significant role of food handlers' hand hygiene knowledge, attitudes, and training on food safety in improving hand hygiene practices. Concerned stakeholders and organizations should focus on WASH interventions that seek to improve educational institutions food handlers’ knowledge and attitudes towards hand hygiene, coupled with training on food safety.

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Section: Introductionmentioning

confidence: 99%

Determinants of hand hygiene practice at critical times among food handlers in educational institutions in Sagnarigu Municipality of Ghana: A cross-sectional study

Amegah¹,

Addo²,

Ashinyo³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Since each DALY represents a year lost to illness, disability, or death, this health burden can be converted to an economic cost by multiplying DALYs by the gross domestic product (GDP) per capita.This is the approach taken by Jaffee et al (2018). Multiplying DALYs by GDP per capita, we find that the total economic loss due to FBD in Kenya is equivalent 1.14% of national GDP.…”

Section: Quantifying the Burden Of Diarrheal Foodborne Disease In 5 Kmentioning

confidence: 91%

“…While children under 5 years of age represent 9 percent of the global population, they account for 38 percent of all cases of foodborne illness, 30 percent of premature deaths, and 40 percent of the DALYs (Jaffee et al, 2018). Such public health costs translate into economic costs through channels such as the costs of care, lost economic productivity among caregivers and, in the case of adult illnesses, among those who fall ill.…”

Section: Foodborne Diarrheal Diseasementioning

confidence: 99%

Foodborne disease in Kenya: County-level cost estimates and the case for greater public investment

Hoffmann¹,

Baral²

2019

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“…Thus, constructive deviance can provide an opportunity for organizations to improve and benefit from new ideas and approaches, or constructive deviance can be an early warning for managers within a business or if externally communicated, for regulators themselves. There are multiple examples of where constructive deviance through whistleblowing (see Soon & Manning, 2017) has led to identification of significant food safety issues including Peanut Corporation of America (Leighton, 2016; Moy, 2018); and JBS in Brazil and the “weak meat” scandal (Jaffee, Henson, Unnevehr, Grace, & Cassou, 2018). Whistleblowing is often at odds with moral muteness.…”

Section: Constructive Deviant Behaviormentioning

confidence: 99%

Moving from a compliance‐based to an integrity‐based organizational climate in the food supply chain

Manning¹

2020

Comp Rev Food Sci Food Safe

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Compliance is the act or status of complying with an imperative regulatory or normative requirement, that is, compliance means working within boundaries defined by contractual, social, or cultural standards. The aim of this narrative review is to use the food supply chain as a lens of enquiry to distinguish between compliance-based and integrity-based organizational climates and frame and rationalize why deviant behavior arises and how it can be identified. Contemporary theory is explored and critiqued using case studies to contextualize the challenge of organizations promoting supply chain compliance and at the same time recognizing the need for deviant behavior to occur in order to drive innovation and continuous improvement within food supply chains. Deviant behavior can be perceived as either positive in terms of driving continuous improvement or destructive where this behavior has a negative impact on the organization. Although multiple cultural maturity models seek to characterize positive food safety culture and climate, there is minimal research that focuses on the characterization of deviant negative behavior or the development of early warning systems designed to pinpoint signals, traits, or characteristics of this behavior such as low staff morale, theft, property destruction, or absenteeism. The use of cultural maturity models and assessment tools is of value in assisting organizations to translate from a rule, instrumental, or compliance-based organizational climate to an ethically strong organizational climate that focuses on integrity, building trust, and values and a new cultural maturity model is proposed and explored.

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The Safe Food Imperative: Accelerating Progress in Low- and Middle-Income Countries

Cited by 214 publications

References 106 publications

Determinants of hand hygiene practice at critical times among food handlers in educational institutions in Sagnarigu Municipality of Ghana: A cross-sectional study

Determinants of hand hygiene practice at critical times among food handlers in educational institutions in Sagnarigu Municipality of Ghana: A cross-sectional study

Foodborne disease in Kenya: County-level cost estimates and the case for greater public investment

Moving from a compliance‐based to an integrity‐based organizational climate in the food supply chain

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