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Predictors of Food Handling Practices of Massive Food Catering Establishment in Ethiopia: Systematic Review and Meta-Analysis


Sisay ketema1*, Franklin Ore Areche2, Olga Vicentina Pacovilca-Alejo2, Cesar Cipriano Zea Montesinos2, Tania Jakeline Choque Rivera3, Ciro William Taipe Huaman3, Denis Dante Corilla Flores2, Becquer Frauberth Camayo-Lapa4, María Soledad Porras-Roque5, Liliana Asunción Sumarriva-Bustinza6, Nelly Olga Zela Payi7, Angel sobrado Gómez8, Manuel Llanos Zevallos9 and Russbelt Yaulilahua-Huacho2


1Department of Public Health, Mizan Aman College of Health Science, Mizan, Ethiopia.

2National University of Huancavelica, Huancavelica-Peru.

3National University of Juliaca, Juliaca - Peru

4National University of Central Peru, Huancayo – Perú.

5Jorge Basadre Grohmann National University, Tacna - Peru.

6National University of Education Enrique Guzmán y Valle, Lima - Peru.

7National University of the Altiplano, Puno - Peru.

8Hermilio Valdizan National University of Huanuco, Huanuco - Peru.

9Daniel Alcides Carrión National University, Cerro de Pasco - Peru.

Corresponding Author E-mail: sisayketema13@gmail.com


Abstract:

Food borne disease is one among a series of public health problems globally due to poor food handling practices from production to service. This study aimed to find out the predictors of food handling practice among massive food catering establishments in Ethiopia. Different search engines were used and extraction of the data was done. Random-effects meta-analysis model was used to analyze the pooled value. DerSimonian – Laird method was used to estimate the study variance. The Cochrane's Q test (chi-square) and I2(%) were used to identify the heterogeneity of the studies. The overall pooled prevalence of good food handling practice was 50 (95% CI:43%, 57%). Predictors such as good Knowledge (AOR: 2.6(95% CI: 1.90, 3.18), Training (AOR: 3.16(95% CI: 2.2, 4.44), Medical cheek up (AOR: 6.76(95% CI: 4.49, 10.18), Supervision (AOR: 3.76(95% CI:2.12, 6.66), Experience (AOR: 2.00(95% CI: 1.52, 2.79) and Water basin availability (AOR: 2.06(95% CI:1.94, 3.83) were significant factors of food handling practice in massive food catering establishment in Ethiopia. Food handling practice was low and predictors of food handling including, knowledge, Training, Medical checkup, Supervision, Experience, and water availability were statistically significant. Therefore, Policymakers and facilities owners, give better or higher prominence to improving the status of food handling practices with design intervention strategies. In conclusion, comparatively low levels of good food handling practice were found among Ethiopian food handlers working in public food establishments, and factors including food handler training, attitude towards good food handling practice, and the presence of regular medical check-ups were identified as contributing factors.


Keywords:

Catering establishments; Ethiopia; Food hygiene; Food handling practice; Predictors


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