Towards adequate food environment in Benin public primary schools, the challenge of food supply and hygiene practices: a case study of three municipalities

Main Article Content

Faïck Moctar Yanausse Bello
Elie Koukou
Sam Fifali Bodjrenou
Malikath Véréna Bissola Bankole
Jerome Charles Sossa
Celine Termote
Paulin Azokpota
Waliou Amoussa Hounkpatin

Keywords

Primary school; Food supply; Food Group Score; Summary Hygiene Index; Benin

Abstract

Background and aim: School food environment is a component of food system which provides the opportunity to implement interventions that lead to better nutrition. This study aimed to describe two of the five components of food environment notably food supply and food safety through hygiene practices in schools inside Cotonou, Abomey-Calavi and Sèmè-Kpodji.


Methods: Twelve schools were randomly selected from a sampling frame of all public primary schools with canteens and that have space for school gardens and closer to the market garden sites. In the selected schools, we assessed Food Supply using Food Group Score (FGS) and Hygiene practices using the Summary Hygiene Index (SHI). Data were mainly collected using semi-structured questionnaire administered to foods cookers/vendors and by observation within schools. Fifteen food groups were considered to determine the FGS and 15 for SHI. Wilcoxon test was used to compare scores among urban and peri-urban areas.


Results: Food supply appeared to be limited in 9 schools (FGS< 8) over the 12 with no significant difference between peri-urban and urban zone (p-value = 0.72). The most represented food group which was available in all schools are cereals, legumes, nuts, seeds, followed by sweet foods and drink while others groups (source of vitamin A and micronutrients) are poorly represented. It appears in all schools a low variability of food within each group. Basically, 8 schools out of 12 have a SHI lower than the median score (08) and the urban zone has a SHI (SHI = 9.5 ± 1.29) higher than peri-urban (SHI = 6.5 ± 1.18) with p-value = 0.015.


Conclusions: The food supply is not very diversified in public primary schools and hygiene practices need to be improved for a healthy food environment around schools.

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References

1. Caleyachetty R, Thomas GN, Kengne AP, et al. The double burden of malnutrition among adolescents: analysis of data from the Global School-Based Student Health and Health Behavior in School-Aged Children surveys in 57 low- and middle-income countries. Am J Clin Nutr 2018;108(2):414‑24. doi: 10.1093/ajcn/nqy105
2. Saltzman A, Birol E, Wiesman D, et al. Indice de la faim dans le monde 2014: Le défi de la faim invisible. Intl Food Policy Res Inst 2014; 13-16. doi: 10.2499/978089629 9603
3. Best C, Neufingerl N, Van Geel L, van den Briel T, Osendarp S. The nutritional status of school-aged children: why should we care? Food Nutr Bull 2010; 31(3): 400‑17. doi: 10.1177/156482651003100303.
4. UNSCN. l’école un système pour améliorer la nutrition. 2017; Available at https://www.unscn.org/uploads/web/news/document/School-Paper-FR-WEB.pdf
5. HLPE. Food security and nutrition: building a global narrative towards 2030. A report by the High Level Panel of Experts on Food Security and Nutrition of the Committee on World Food Security, Rome. Available at www.fao.org/cfs/cfs-hlpe.
6. Swinburn B, Vandevijvere S, Kraak V, et al. Monitoring and benchmarking government policies and actions to improve the healthiness of food environments: a proposed Government Healthy Food Environment Policy Index. Obes Rev 2013; 14(S1):24‑37. doi: 10.1111/obr.12073.
7. Turner C, Aggarwal A, Walls H, et al. Concepts and critical perspectives for food environment research: A global framework with implications for action in low- and middle-income countries. Glob Food Secur 2018; 18: 93‑101. doi./10.1016/j.gfs. 2018.08.003
8. Mitchikpe CES, Dossa RAM, Ategbo EAD, Van Raaij JMA, Kok FJ. Seasonal variation in food pattern but not in energy and nutrient intakes of rural Beninese school-aged children. Public Health Nutr 2009; 12(3): 414‑22. doi: 10.1017/S1368 980008002929
9. Nago ES, Verstraeten R, Lachat CK, Dossa RA, Kolsteren PW. Food Safety Is a Key Determinant of Fruit and Vegetable Consumption in Urban Beninese Adolescents. J Nutr Educ Behav 2012; 44(6): 548‑55. doi: 10.1016/j.jneb.2011.06.006
10. Gray H, Buro AW, Ikan JB, Wang W, Stern M. School‐level factors associated with obesity: A systematic review of longitudinal studies. Obes Rev 2019; 20(7): 1016-1032. doi: 10.1111/obr.12852
11. Story M, Nanney MS, Schwartz MB. Schools and obesity prevention: creating school environments and policies to promote healthy eating and physical activity. Milbank Q 2009; 87(1):71‑100. doi: 10.1111/j.1468-0009.2009.00548
12. Ochola S, Masibo P. Dietary Intake of Schoolchildren and Adolescents in Developing Countries. Ann Nutr Metab 2014; 64: 24‑40. doi: 10.1159/000365125
13. O’Halloran S, Eksteen G, Gebremariam M, Alston L. Measurement Methods Used to Assess the School Food Environment: A Systematic Review. Int J Environ Res Public Health 2020; 17(5): 16-23. doi: 10.3390/ijerph17051623
14. Bardin S, Washburn L, Gearan E. Disparities in the Healthfulness of School Food Environments and the Nutritional Quality of School Lunches. Nutrients 2020; 12(8): 23-75. doi: 10.3390/nu12082375
15. Micha R, Karageorgou D, Bakogianni I, et al. Effectiveness of school food environment policies on children’s dietary behaviors: A systematic review and meta-analysis. PloS One 2018; 13(3):e01945-55. doi: 10.1371/journal.pone.0194555
16. WHO. A practical guide to developing and implementing school policy on diet and physical activity. Cairo: World Health Organization, Regional Office for the Eastern Mediterranean 2010. 26 p.
17. Herforth A, Ahmed S. The Food Environment, Its Effects on Dietary Consumption, and Potential for Measurement within Agriculture-Nutrition Interventions. Food Secur. 2015; 7(3): 505‑20. doi : 10.1007/s12571-015-0455-8
18. Richard Bonne, Nigel Wright, Laurent Camberou, Franck Boccas. Guidelines on HACCP, GMP, and GHP for Asean food SMEs. 2005; Available at http://coli.usal.es/web/Guias/pdf/guidelines_HACCP_UE.pdf
19. Adeleye AA, Adesegun F, Kerstin KG. Food Security, Dietary Diversity, Dietary Patterns and the Double Burden of Malnutrition among School-Aged Children and Adolescents in Two Nigerian States. Nutrients 2022, 14, 789 https://doi.org/103390/ nu14040789.
20. Webb AL, Stein AD, Ramakrishnan U, Hertzberg VS, Urizar M, Martorell R. A simple index to measure hygiene behaviours. Int J Epidemiol 2006; 35(6): 1469‑77. doi: 10.1093/ije/dyl165
21. Darboux AJ, Sossa JC, Falola LG. Etude de l’offre et du comportement alimentaires des adolescents dans les collèges privés et publics au Bénin : Cas de trois collèges à Cotonou. International Journal of Innovation and Applied Studies. août 2019;410‑6.
22. Cissé D, Konaté Y, Traoré MS, Coulibaly M. L’offre alimentaire dans les etablissements scolaires du quartier de Sabalibougou en commune V du district de BAMAKO. Mali Med 2016; 30(2):1‑7.
23. Turner C, Aggarwal A, Walls H, et al. Concepts and critical perspectives for food environment research: A global framework with implications for action in low- and middle-income countries. Glob Food Secur 2018; 18:93‑101. doi.org/10.1016/j.gfs.20 18.08.003
24. FAO. Résumé de L’État de la sécurité alimentaire et de la nutrition dans le monde 2020: Transformer les systèmes alimentaires pour une alimentation saine et abordable. Rome, Italie: 2020 Available on :https://www.fao.org/documents/ card/en/c/ca9699f
25. Fiorentino M, Landais E, Bastard G, Carriquiry A, Wieringa FT, Berger J. Nutrient Intake Is Insufficient among Senegalese Urban School Children and Adolescents: Results from Two 24 h Recalls in State Primary Schools in Dakar. Nutrients 2016; 8(10), 650. doi: 10.3390/nu8100650.
26. Osei-Kwasi H, Mohindra A, Booth A, et al. Factors influencing dietary behaviours in urban food environments in Africa: A systematic mapping review. Public Health Nutr 2020; 23(14): 2584‑601. doi: 10.1017/S1368980019005305
27. Caspi CE, Sorensen G, Subramanian SV, Kawachi I. The local food environment and diet: a systematic review. Health Place 2012; 18(5):1172‑87. doi:10.1016/j. healthplace.2012.05.006
28. Boffetta P, Couto E, Wichmann J, et al. Fruit and Vegetable Intake and Overall Cancer Risk in the European Prospective Investigation Into Cancer and Nutrition (EPIC). JNCI J Natl Cancer Inst 2010; 102(8): 529‑37. doi: 10.1093/jnci/djq072.
29. Harding AH, Wareham NJ, Bingham SA, et al. Plasma Vitamin C Level, Fruit and Vegetable Consumption, and the Risk of New-Onset Type 2 Diabetes Mellitus: The European Prospective Investigation of Cancer–Norfolk Prospective Study. Arch Intern Med 2008; 168(14): 1493‑9. doi: 10.1001/archinte.168.14.1493
30. Slavin JL, Lloyd B. Health Benefits of Fruits and Vegetables. Adv Nutr 2012; 3(4): 506‑16. doi: 10.3945/an.112.002154
31. Pandey KB, Rizvi SI. Plant Polyphenols as Dietary Antioxidants in Human Health and Disease. Oxid Med Cell Longev 2009; 2(5): 270‑8. doi: 10.4161/oxim.2.5.9498
32. Maynard M, Gunnell D, Ness AR, Abraham L, Bates CJ, Blane D. What influences diet in early old age? Prospective and cross-sectional analyses of the Boyd Orr cohort. Eur J Public Health 2006; 16(3): 315‑23. doi: 10.1093/eurpub/cki167
33. Carmelle MA, Koffi A, Menonli A, et al. Nutritional and hygienic quality of meals served in school canteens in Togo: A cross-sectional study. Elsevier 2022 ; 132 : 108680. doi: 10.1016/j.foodcont.2021.108680
34. Pial AC, Mboupaing M, Pahane MM, Ndengue G. Etat Des Lieux Du Dispositif D’alimentation Dans Quelques Écoles Primaires De La Ville De Yaoundé (Cameroun). Eur Sci J 2017; 13(18). doi: 10.19044/esj.2017.v13n18p314
35. Ohwo O. Dimensions of Inequality in Urban and Rural Water, Sanitation and Hygiene Services in Sub-Saharan Africa Eur Sci J ESJ 2019; 15(8). doi:10.19044/ESJ.2019 .V15N8P144
36. Bah A, Diallo A 1, Bah A, Li F. Water, sanitation, and hygiene (WASH) coverage and practices of children from five public primary schools in Guinea. J Water Sanit Hyg Dev 2022; 12(7): 555‑62. doi:10.2166/washdev.2022.078
37. Grunert KG. Food quality and safety: consumer perception and demand. Eur Rev Agric Econ 2005; 32(3): 369‑91. doi.org/10.1093/eurrag/jbi011
38. Giusti AM, Bignetti E, Cannella C. Exploring new frontiers in total food quality definition and assessment: From chemical to neurochemical properties. Food Bioprocess Technol 2008; 1(2):130‑42. doi: 10.1007/s11947-007-0043-9
39. Delea MG, Snyder JS, Belew M, et al. Design of a parallel cluster-randomized trial assessing the impact of a demand-side sanitation and hygiene intervention on sustained behavior change and mental well-being in rural and peri-urban Amhara, Ethiopia: Andilaye study protocol. BMC Public Health 2019; 19(1): 801. doi: 10.1186/s12889-019-7040-6.
40. Thakadu OT, Ngwenya BN, Phaladze NA, Bolaane B. Sanitation and hygiene practices among primary school learners in Ngamiland district, Botswana. Phys Chem Earth Parts ABC 2018;105: 224‑30. doi.10.1016/j.pce.2018.02.006

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