Sains Malaysiana 47(9)(2018): 2119–2128
http://dx.doi.org/10.17576/jsm-2018-4709-21
The Effect of Food Safety
Education on Handwashing Practices in School Canteens’ Food
Handlers
(Kesan
daripada Aktiviti
Pendidikan Keselamatan Makanan ke atas
Amalan Membasuh
Tangan oleh Pengendali
Makanan Kantin
Sekolah)
NIK ROSMAWATI NH1*,
WAN
MANAN
WM2,
NOOR
IZANI
NJ3,
NIK
NURAIN
NH4
& RAZLINA AR5
1Department of Community Medicine, School of Medical Sciences, Health
Campus, Universiti Sains
Malaysia, Kubang Kerian,
Kelantan Darul Naim,
Malaysia
2Khazanah Research Institute, Level 25, Mercu
UEM, Jalan Stesen
Sentral 5, Kuala Lumpur Sentral,
50470 Kuala Lumpur, Federal Territory, Malaysia
3School of Health Sciences, Health Campus, Universiti
Sains Malaysia, 16150 Kubang
Kerian, Kelantan Darul
Naim, Malaysia
4Food Safety and Quality Division, Kelantan State Health Department,
16100 Kota Bharu, Kelantan Darul
Naim, Malaysia
5Department of Family Medicine, School of Medical Sciences, Health
Campus, Universiti Sains
Malaysia, 16150 Kubang Kerian,
Kelantan Darul Naim,
Malaysia
Received: 4 December 2017 /Accepted: 14 May 2018
ABSTRACT
This study aims to assess
the effectiveness of a newly developed food safety education
to improve the handwashing practices of food handlers in school
canteens. A community-based intervention study was carried out
over a 2-year period. Sixteen out of 98 primary schools were
randomly selected and assigned into intervention and control
groups using a simple random sampling method. The study population
included food handlers who worked in the canteens of the school
selected. The Food Safety Education Programme
(FSEP)
for the intervention group was developed based on the theory
of planned behaviour. The main outcome measures used were handwashing
practices from the observations carried out at baseline, 6-weeks
(Post1) and 12-weeks (Post2) after the intervention. Out of
79 food handlers who participated in this study, 33 (41.8%)
were in the intervention group and 46 (58.2%) were in the control
group. Prior to FSEP,
handwashing was not commonly practiced following critical events
and the majority did not perform correctly. The time-effect
of the mixed design analysis of variance showed a significant
increase (p=0.004) in the mean percentage of the total observed handwashing
practices from 29% at the baseline to 50.8% at Post1 (p=0.004).
However, the intervention-effect of mixed design ANOVA did
not show any significant difference in the handwashing practices
(p=0.210). The FSEP was effective in improving the handwashing practices
of the food handlers in the selected primary school canteens.
Keywords: Food safety;
handwashing; intervention; school canteen; theory of planned
behavior
ABSTRAK
Kajian ini bertujuan
untuk menilai
keberkesanan pendidikan keselamatan makanan yang baru dibangunkan untuk meningkatkan amalan membasuh tangan oleh pengendali
makanan di kantin
sekolah. Kajian intervensi berasaskan komuniti ini telah
dijalankan dalam
tempoh 2 tahun. Enam belas daripada 98 sekolah dipilih secara rawak dan
diperuntukkan kepada
campur tangan dan
kawalan kumpulan
yang menggunakan kaedah persampelan rawak mudah. Populasi kajian termasuk
pengendali makanan
yang bekerja di kantin sekolah yang dipilih. Program Pendidikan Keselamatan
Makanan (FSEP) bagi
kumpulan intervensi
telah dibangunkan berdasarkan teori tingkah laku terancang.
Langkah
hasil utama yang digunakan adalah amalan basuh tangan
daripada pemerhatian
yang dijalankan secara dasar, 6-minggu (Post1) dan 12 minggu (Post2) selepas campur tangan. Daripada 79 pengendali makanan yang mengambil bahagian dalam kajian ini,
33 (41.8%) berada dalam
kumpulan intervensi dan 46 (58.2%) adalah dalam kumpulan kawalan. Sebelum FSEP,
membasuh tangan
bukanlah amalan biasa dan kebanyakannya
tidak dilakukan
dengan betul. Masa-kesan analisis varians reka bentuk
campuran menunjukkan
peningkatan ketara (p=0.004) pada min peratusan daripada
jumlah keseluruhan amalan basuh tangan
yang diperhatikan daripada
29% pada asas
kepada 50.8% pada Post1 (p=0.004).
Walau bagaimanapun,
campur tangan-kesan reka bentuk campuran
ANOVA
tidak menunjukkan
sebarang perbezaan
yang signifikan dalam amalan membasuh tangan (p=0.210). FSEP ini adalah berkesan
dalam meningkatkan
amalan membasuh tangan pengendali makanan di kantin sekolah rendah terpilih.
Kata kunci: Campur
tangan; kantin
sekolah; keselamatan makanan; membasuh tangan; teori tingkah
laku terancang
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*Corresponding author;
email: rosmawati@usm.my