Towards complementary food hygiene practices among child caregivers in rural Malawi

Kondwani Chidziwisano, Jurgita Slekiene, Save Kumwenda, Hans-Joachim Mosler, Tracy Morse

Research output: Contribution to journalArticle

Abstract

Despite being preventable, food-borne diseases remain a global health challenge. Poor food hygiene practices such as improper handwashing and poor management of kitchen utensils are among the major causes of diarrhea transmission. A formative study was conducted in Malawi to inform an intervention design to promote complementary food hygiene practices. Assessment of contextual and psychosocial factors for behavior change was conducted using Risk, Attitude, Norms, Ability, and Self - regulation model. We conducted 323 household surveys with caregivers of children aged 6 to 24 months. ANOVA was used to estimate difference in means between performers and non–performers of 3 targeted behaviors; washing utensils with soap, keeping utensils on a raised place and handwashing with soap. ANOVA analyses revealed that level of literacy, ownership of animals, presence of handwashing facility and locally made dish racks were contextual factors predicting storage of utensils on an elevated place and handwashing frequencies. Psychosocial factors; time spent to wash utensils with soap, distance to the handwashing facility and cost for soap had an influence on washing utensils and handwashing with soap. Perceived vulnerability determined effective handwashing and storage of utensils. Self-reported perceived social norms as well as ability estimates were favourable for the 3 targeted behaviors. Interventions should include strategies that use role models in the community performing recommended behaviors. Promotion of already existing beneficial behaviors related to washing of utensils with soap and its storage should be encouraged among caregivers. Increasing risk perceptions on practices about utensil storage and handwashing could be done with use of simple technologies such as paint games. Caregivers’ technical know-how on local dish rack and tippy tap construction is essential.
LanguageEnglish
Number of pages10
JournalAmerican Journal of Tropical Medicine and Hygiene
Early online date24 Jun 2019
DOIs
Publication statusE-pub ahead of print - 24 Jun 2019

Fingerprint

Malawi
Hand Disinfection
Hygiene
Soaps
Caregivers
Food
Analysis of Variance
Psychology
Aptitude
Foodborne Diseases
Paint
Ownership
Diarrhea
Technology
Costs and Cost Analysis

Keywords

  • foodborne disease
  • food hygiene
  • global health
  • Malawi
  • handwashing

Cite this

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abstract = "Despite being preventable, food-borne diseases remain a global health challenge. Poor food hygiene practices such as improper handwashing and poor management of kitchen utensils are among the major causes of diarrhea transmission. A formative study was conducted in Malawi to inform an intervention design to promote complementary food hygiene practices. Assessment of contextual and psychosocial factors for behavior change was conducted using Risk, Attitude, Norms, Ability, and Self - regulation model. We conducted 323 household surveys with caregivers of children aged 6 to 24 months. ANOVA was used to estimate difference in means between performers and non–performers of 3 targeted behaviors; washing utensils with soap, keeping utensils on a raised place and handwashing with soap. ANOVA analyses revealed that level of literacy, ownership of animals, presence of handwashing facility and locally made dish racks were contextual factors predicting storage of utensils on an elevated place and handwashing frequencies. Psychosocial factors; time spent to wash utensils with soap, distance to the handwashing facility and cost for soap had an influence on washing utensils and handwashing with soap. Perceived vulnerability determined effective handwashing and storage of utensils. Self-reported perceived social norms as well as ability estimates were favourable for the 3 targeted behaviors. Interventions should include strategies that use role models in the community performing recommended behaviors. Promotion of already existing beneficial behaviors related to washing of utensils with soap and its storage should be encouraged among caregivers. Increasing risk perceptions on practices about utensil storage and handwashing could be done with use of simple technologies such as paint games. Caregivers’ technical know-how on local dish rack and tippy tap construction is essential.",
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Towards complementary food hygiene practices among child caregivers in rural Malawi. / Chidziwisano, Kondwani; Slekiene, Jurgita; Kumwenda, Save; Mosler, Hans-Joachim; Morse, Tracy.

In: American Journal of Tropical Medicine and Hygiene, 24.06.2019.

Research output: Contribution to journalArticle

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