Sanitary Conditions of Food Vending Sites and Food Handling Practices of Street Food Vendors in Benin City, Nigeria: Implication for Food Hygiene and Safety

Objective. To determine the sanitary conditions of vending sites as well as food handling practices of street food vendors in Benin City, Nigeria. Methodology. A descriptive cross-sectional study was done using an observational checklist and researcher-administered questionnaire. 286 randomly selected vending units were surveyed, and their operators interviewed on their food handling practices. Results. A higher proportion, 259 (90.5%), of the observed vending sites appeared clean. The following sanitary facilities were observed in and around the respective food premises of the respondents: waste bin, 124 (43.4%), refuse dumpsite, 41 (14.3%), wash hand basin, 201 (71.2%), hand towel, 210 (73.4%), and soap, 220 (76.9%). There were also the presence of flies 118, (41.3%), and the presence of rats/cockroaches, 7 (2.4%). Respondents with tertiary education, 5 (38.5%), vended foods in environment with good hygiene status compared to those with secondary, 45 (31.7%), and primary education, 33 (27.3%). There was no statistically significant association between educational status and the hygiene status of food premise (P = 0.362). Conclusion. This study showed that street food vending sites in Benin City were sanitary and that food vendors had good food handling practices.


Introduction
In many developing countries including Nigeria street food vendors have formed an integral part of the food supply chain, particularly following the advent of urbanization [1]. The street food industry has contributed immensely to human and economic development as studies conducted in some of the African countries like Nigeria, Morocco, and Kenya have shown that major street food vendors usually earn above the countries' minimum wage [2][3][4]. The socioeconomic role of the street food sector in terms of its potential for employment creation, yielding income particularly for women, and provision of food at affordable cost to lower income groups in the cities has been documented [5]. In Nigeria, urban city dwellers spend as much as half of their food expenditure on street foods [6].
As in other developing countries, the street food sector in Nigeria is confronted with challenges. There is inadequate supervision and proper monitoring by food safety officers and the enforcement of food hygiene regulation is weak [7]; lack of training in food safety and good hygiene practices is also rife among food handlers. Hence street foods are at risk of contamination, often at all stages of handling. Street foods are sometimes stored at improper temperatures and sold from vending sites which include kiosks, make-shift accommodation, and push carts as well as other temporary structures [8]. They are prepared at very dirty surroundings with waste water and garbage disposed nearby, providing nutrient and breeding ground for rodents and vermin [9]. In most cases running water is not available at vending sites, washing of hands and crockery are done in bowls or buckets and sometimes without soap [9,10]. Furthermore the conditions under which street food is prepared and vended are worsened by weak implementation of relevant environmental and public health regulations.
As an integral part of its National Health Policy, Nigeria launched the National Policy on Food hygiene and Safety in 2000. Responsibilities for food safety and hygiene practice 2 Journal of Environmental and Public Health devolve on different tiers of government and their agenciesfederal, state, and local. The control and regulation of street food vending, catering establishment, and the enforcement of food hygiene and safety are, however, carried out at the local government level, where Health Officers enforce relevant sections of the Public Health Laws [11]. In some cases, local government council authorities develop byelaws which apply specifically to the regulation and control of food premises. Specific laws enacted to ensure food safety in Nigeria include The Public Health Law/Ordinance Cap 164 (1917/1958) 15 (1999) and, the Counterfeit/Fake drugs/unwholesome processed Food Decree, number 15, 1999 [3]. The need to revise some existing food safety legislations has been emphasized, as some of them are out of date and do not meet current realities and trends in food safety [11].
In Nigeria, there are a large number of local eateries, where a significant number of people eat daily [12]. There has also been an observed increase in the patronage of ready-toeat food vendors within Benin City, Edo State [12]. However, their poorly regulated operations raise serious questions about food safety and hygiene standard, as well as monitoring by relevant authority [9,10]. Benin City is a fast growing urban centre, expanding rapidly in size and population and is characterised by "people on the move"; this creates a suitable environment for the street food trade which unfortunately operates under unsanitary conditions. These circumstances make a survey of safety and hygiene of street foods being served in the city both timely and unavoidable for early identification of emerging food safety issues in order to prevent them from developing into health risks. This study will generate information that can aid health and environment authority to improve on the implementation of existing food hygiene laws, leading to a more effective regulation of the practice of street food vending in Benin metropolis. This study was therefore undertaken to determine the sanitary conditions of vending sites as well as food handling practices by food vendors on the streets of Benin City, Nigeria.

Study Area.
This study was conducted in Benin City, located in the South-South geopolitical zone of Nigeria. The city is made up of three Local Government Areas, namely, Oredo, Egor, and Ikpoba-Okha. The population of Benin City based on a seven-year projection (from the 2006 census figure 1, 085676) [13] is 1,326,196. The inhabitants of Benin City are mainly small-to medium-scale business owners, farmers, artisans, civil servants, bankers, and students. The people are a combination of Christians, Muslims, and traditionalists. The majority of the inhabitants are Benin-speakers. There are major markets and abattoirs within the city that also serve as points of preparation and sale of street foods. Popularly vended street foods in Benin include local snacks like bean cake, roasted plantain, and bean pudding. Among the main meals are rice, beans, and spaghetti, amongst others.

Study Design.
A descriptive cross-sectional study design was used in conducting this study. The study hypothesised that food safety training had a positive influence on a food vendor's practice of food and environmental hygiene. The study population comprised food vendors in their respective food vending units within the Benin City metropolis.

Inclusion and Exclusion
Criteria. Stationary food vending units used for preparation/sales of street food as well as operators of such were included in the study. All mobile food vending units such as push carts and their vendors were excluded.

Study Duration.
The study was carried out over a period of four months from April 2012 to July 2012 among street food vendors/vending units in the Benin metropolis.

Sample Size Determination.
The minimum sample size of 272 for food vending sites was calculated using the formula = 2 / 2 for a cross-sectional study [14].

Sampling Technique.
A walk-through survey of randomly selected food vending sites was done and a total of 286 vending units were observed using a checklist. One vendor per vending site was selected by simple random sampling technique to participate in the survey.

Data Collection Tools.
A structured researcher-administered questionnaire was used to collect data on background characteristics of respondents. An observational checklist adapted from the "WHO essential requirement for the safety of street-vended foods" was used to determine sanitary conditions of food vending sites/vending practices of food vendors [15]. The study instrument was pretested among selected street food vending sites/vendors operating in Ekpoma, Esan West Local Government Area of Edo State, located 50 kilometres from the study area.

Data Analysis.
Questionnaires were screened for completeness, coded, and entered into the Statistical Package for Scientific Solution (SPSS) version 17.0 software for analysis. Discrete data were presented as proportions while continuous variables such as age were expressed as means ± standard deviation. Statistical analysis of difference between proportions was carried out by the use of 2 (Chi squared test).
Fisher's exact test was used to test for association between variables when 20% cells or more had expected values less than five. Statistical significance was set at < 0.05.

Vending Practices.
A total of ten items were assessed: (1) food sold from tray/basin with covering; (2) food sold from tray/basin with no covering; (3) food exposed to flies; (4) food reheated before sale; (5) vendor wearing hand jewellery; (6) vendor having long nails; (7) vendor having boils/cuts on the hand; (8) vendor using apron; (9) vendor having hair covering; and (10) vendor blowing air into cellophane bag before serving. A score of "1" was assigned for the correct practice while a score of "0" was assigned for wrong food handling/vending practice. The total score was converted to 100 percent. A score of ≤50% was classified as poor vending practice while a score of >50 was classified as good vending practice.  (8) presence of rats/cockroaches. A score of "1" was assigned for the presence of relevant item while a score of "0" was assigned for its absence. The total score was converted to 100 percent. A score of ≤50% was classified as poor environmental hygiene while a score of >50 was classified as good environmental hygiene.

Ethical Considerations
Ethical approval was obtained from the University of Benin Teaching Hospital's Research Ethics Committee before the commencement of this study. Permission was obtained from the respective city area council authorities. Written informed consent was obtained from each respondent before the conduct of interviews after adequate information was provided by the interviewers. Confidentiality and privacy were respected during the course of the study: serial number rather than name was used to identify each respondent. Names and addresses of food premises were not used as they were rather coded. There were no penalties or loss of benefit for vendors who refused to participate in the study or withdraw from it. Group health education was conducted for food vendors who participated in the study.

Results
Two hundred and fifty-eight (90.2%) respondents were females and twenty-eight (9.8%) were males. One hundred and forty-two (49.7%) of the respondents attained secondary level of education; forty-two percent (42.3%) of them attained primary education. Twenty-eight percent of them had food safety training (Table 1). Respondents with tertiary education, 5 (38.5%), vended foods in environment with good hygiene status compared to those with secondary, 45 (31.7%), and primary education, 33 (27.3%). There was no statistically significant association between educational status and the hygiene status of food premise ( = 0.362). 142 (69.6%) respondents who had no training in food safety vended foods in premises with poor environmental hygiene compared with their counterparts who had training in food safety, 56 (68.3%). There was no statistically significant association between having training in food safety and the hygiene status of food premise     Table 3). Two hundred and seventy (94.4%) respondents were observed to vend food from containers with cover while 31 (10.8%) of them sold food to customers from containers without cover. In 79 (27.7%) of cases, vended foods were exposed to flies. Other practices observed among vendors were reheating of food, 66 (23.1%), keeping of long nails, 19 (6.6%), wearing of head cover, 208 (72.7%), and blowing of air into cellophane bags for serving food, 66 (23.1%). The majority, 237 (84%), of the vendors were observed to have good food handling practices at the point of sale. Only 49 (16%) of the vendors were observed to have poor vending/food handling practice on a cumulative scale (Table 4).
Most, 27 (96.4%), of the vendors who vended food from containers with covers were males, compared to 243 (94.2%) of their female counterparts who did. There was no significant association between gender and the practice of covering food containers ( = 0.624) ( Table 5).

Discussion
In Africa, women are commonly involved in preparation and serving of food; they are taught how to cook from a young age. The predominance of female food vendors (90.2%) in this study is therefore not surprising. In Nigeria women are popularly involved in street food vending [2], as they depend on it as a means of complementing family income in the midst of a harsh economy. Previous studies conducted in Ilorin, Abeokuta, in Nigeria and Accra in Ghana, respectively, showed similar trend [2,16,17]. This was, however, not the case in studies conducted in South Africa and Kenya, respectively, where street food vendors were mostly males [18,19]. Gender role in socioeconomic development is often influenced by cultural orientation and varies from one geographical location to another. There were more respondents who had attained secondary education. A study among two hundred street food vendors in South Africa documented a similar finding, where the majority, 181 (90.5%), of the study participants attained secondary education [20]. However, it contrasts with other studies in which most street food vendors had only attained primary education [21,22]. This may be attributed to the fact that most street vendors belong to the socioeconomically disadvantaged group and hence may lack a ready opportunity to pursue higher education due to social deprivation occasioned by poverty. In addition, many cultures in Africa invest less in female education, making the girl child socially disadvantaged in a male-dominated world.
Food hygiene and safety training among a small proportion of the respondents as observed in this study is similar to findings from a study conducted among 185 food vendors in secondary schools in Ilorin, Nigeria, in which only 39.0% of the respondents had a form of training in food hygiene and safety [23]. This activity may not be regularly organized in the study area by the concerned authority. Apathy towards food safety seminars can also be a reason particularly when food vendors rely more on their experience from long years of practice [19]. The public health laws prescribe that health officers organize regular trainings and food safety education for food handlers. Some unwholesome food handling practices of food vendors are deeply rooted in traditions and customs and thus require messages tailored to address such beliefs.
Journal of Environmental and Public Health 5 The observation of good sanitary condition in the majority of the food vending sites is similar to findings of studies conducted in Owerri, Nigeria, and Accra, Ghana [16,24], where the majority of the food premises were observed to be tidy, with the use of waste bin and the presence of onsite water source for sanitary purposes. This phenomenon is in line with requirements of standard guidelines and recommendations for street food vending practice and is thus commendable [15,25]. This finding is, however, at variance with that of a study in Brazil where the sanitary conditions of sale points of commercial foods of plant origin vended in Sao Gancalo and Rio de Janeiro were poor [26]. Not only are sanitary conditions in and around an eatery suggestive of health consciousness by the service provider, they are also likely to boost consumer confidence and increase vendor patronage.
Vendors who had no formal training in food hygiene and safety appeared to vend food in premises with poor environmental hygiene compared with their counterparts who had food safety training though the statistical test did not support its invariability. By implication it can be opined that receiving food safety training may not always lead to maintaining good environmental hygiene on the part of the vendors. Among other factors, a positive attitude is required on the part of the vendor to translate the knowledge gained from trainings into practice. This is not to say however that food safety training is less contributory to food hygiene. There was no statistically significant association between awareness of food safety regulation and the hygienic status of the food premises even though the majority of respondents who vended in premises with good environmental hygiene were aware of food safety regulation. By implication, awareness of food safety regulation did not necessarily influence good environmental hygiene among the respondents. However, more public health enlightenment is required to sensitize food vendors on the need to maintain environmental sanitation as unsanitary environment and other nuisance gives opportunity for breeding of insect/vectors, including vermin that can compromise food product quality. According to the public health laws, as part of their food safety enforcement roles, health officers are empowered to abate such nuisances in a food premise and destroy any food material or product which constitutes a food safety risk.
Most of the respondents vended food items in environments that were observed to be clean. This finding is, however, at variance with what was reported in a Kenyan study where it was observed that about 85.0% of the vendors prepared their food in unhygienic condition [19]. A clean food stand or premise will attract more consumers based on aesthetic appeal. Though food aesthetics is desirable, as it contributes to increase in sales, it does not rule out the significance of other aspects of food hygiene such as hand washing and regular medical examination. The practice of the use of head covers and the wearing of aprons by the vendors is commendable as many food safety regulations including the Public Health Laws of Edo State specify the wearing of caps/aprons as a part of a vendor's food safety responsibility. However, the wearing of clean-looking aprons may be contributing more to fueling consumer's subjective assessment of a vendor's sense of personal hygiene. Food vendors should not only wear clean aprons as part of food aesthetics, but they should also perform periodic medical examination and store food items in such a way that they are free of contamination.
Even though some of the vending sites had the presence of flies, the situation was better when compared with those of sanitary conditions in a study conducted in Nairobi, Kenya, where flies were present in all stalls operated by vendors of fish and fresh fruit salad [19]. Flies are mechanical vectors and thus can spread infective agents to food and water for human consumption, leading to potential foodborne diseases such as cholera, dysentery, and typhoid. This study revealed no statistically significant association between sex and how food containers were kept. Even though a higher proportion of male vendors were observed to cover their food containers most of the time compared to their female counterparts, it was not enough to conclude that male vendors had better food vending practices. In addition upbringing and training can also play a role; a girl child who is untrained in the etiquettes of handling and maintaining utensils may perform averagely below her male counterpart who had learned these skills. Thus emphasis should be placed on training for all food handlers irrespective of gender to influence their hygiene practices in the interest of public health.

Conclusion
It was found from this study that street foods were vended under relatively good sanitary conditions and that the vendors had good food handling practices. It is recommended that food vendors should continue to maintain standard environmental and personal hygiene while preparing and packaging or serving food products to consumers.