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INTRODUCTION
Filipino carinderias and eateries have become an integral part of the Filipino’s
lifestyle. For ordinary Filipinos, life without this meek food establishment would be way
different and far more costly. A carinderia is a small food establishment (sometimes a
stall) where customers can freely choose from a wide variety of dishes presented in
casseroles or containers. It can also be distinguished as a small eatery (Martinez &
Martinez, 2008).
As food is a primary need for human beings, it should be put into account in
terms of nutritional content, pre-requisite of healthy and hygienic food that is safe to
consume. Food safety is defined by the Department of Health as the
“assurance/guarantee that food will not cause harm to the consumers when it is
prepared and/or eaten according to its intended use” (Department of Health, 2006).
Food contamination by food handlers could occur and will lead to foodborne diseases if
Measuring Carinderias’ Knowledge of and Compliance to The Code on Sanitation of
the Philippines |1
they neglect proper food handling practices in their premises according to Haryani et al.,
(2007). It typically causes abdominal pain, nausea, vomiting, and diarrhea. From
January 1 to December 2, 2017, a total of 17,768 suffered from acute bloody diarrhea; a
total of 3,653 from cholera; a total of 422 from hepatitis; a total of 3,512 from rotavirus;
and a total of 21,653 from typhoid cases were reported nationwide (Department of
Health, 2017).
A lot of carinderia owners established their businesses near schools where their
potential customers will be students who have a limited budget. Considering that
Tuguegarao City is the center of educational avenue in Region 2, many students who
come from cities and municipalities of Cagayan Valley opt to study in the different
universities within Tuguegarao. Consequently, they stay in boarding houses, dormitories
and apartments far from the respective families. Hence, due to limited financial
allowance, lack of time, and being practical, most of the students prefer to eat in
cariderias.
When it comes to safely preparing meals, many college students simply do not
know the procedures in food safety considerations and many end up with foodborne
illness. Further, due to the busy and fast-paced environment in the universities, students
often lack the time to prepare a meal for themselves and would prefer to have their
meals in the carinderias for them to have more time in their academics or other extra-
curricular activities in the university. College students are one of the most at-risk
population groups due to risky food safety behaviors and diarrhea is the major symptom
of foodborne illness as stated in the study of Booth et al., (2013) and this greatly affects
the studies of the students and sometimes when left untreated this even becomes a
threat to their lives considering that majority of the students are far from the support of
their respective families. Measuring the knowledge and the extent of compliance of the
carinderias to the proper food handling and to the proper food servicing operation
assures the safeness of the food that every student eats.
Moreover, as the numbers of cariderias grow, it also presents new public health
challenges for the urban population (Buted & Ylagan, 2014). However, identifying
foodservice employee’s knowledge, attitudes, and practices are essential in assuring
food safety in retail foodservice (Bas et al., 2006; Nee & Sani., 2011), and if food
handlers take serious note on the cleanliness of their hand, body, and clothing, this will
help in preventing the incidence of foodborne-illnesses from occurring (Sneed et al.,
2004).
Along this premise, this study was conducted and anchored on Presidential
Decree No. 856 otherwise known as the Code on Sanitation of the Philippines which
provides a modern standard of sanitation and a handy reference and guide for its
enforcement.
The study aimed to determine the level of awareness and extent of compliance of
“Carinderias” in Tuguegarao to P.D. 856 otherwise known as The Code on Sanitation of
the Philippines.
Research Hypotheses
Ho: There is no significant difference in the level of awareness and extent of compliance
of the carinderia owners on the Code on Sanitation of the Philippines when grouped
according to the business profile of the carinderias.
Ho: There is no significant relationship between the level of awareness and extent of
compliance of the carinderia owners on the Code on Sanitation of the Philippines.
This study is anchored on P.D. 856, otherwise known as The Code on Sanitation
of the Philippines specifically on the provisions of food handlers which states that no
person shall be employed in any food establishment without a health certificate issued
by the local health authority. Moreover, Food handlers shall at all times:
This law supports this study as it provides the required proper sanitation for the
determination as regards to the level of awareness and of compliance of the food
handlers in “carinderias”.
Literature Review
Food handlers have a prime role to play in food businesses, and that is to
guarantee that meals served are hygienic for consumption. Conscious or inadvertent
contamination of such food places consumers at risk of suffering from foodborne
illnesses (Annor & Baiden, 2011). The World Health Organization (WHO) reports that up
to 30% of individuals in developed countries acquire illnesses from the food and water
consumed annually (World Health Organization, 2006). According to Korel et al., (2003),
food contamination creates an enormous social and economic burden on communities
and their health systems. Despite an increase in the number of food handlers receiving
food hygiene training, a high proportion of food poisoning outbreaks still occur as a result
of poor food handling practices (Clayton et al., 2002). As stated by Wilson et al., (1997),
most of these food poison outbreaks are due to the inadequate time and temperature
control of food, whereas the remaining thirty percent is as a result of cross-
contamination. Meals prepared outside of the home are a risk factor for acquiring
foodborne illness and have been implicated in up to 70% of traced outbreaks (World
Health Organization, 2006).
The World Health Organization also identified five factors that contribute to these
illnesses: improper cooking procedures, temperature abuse during storage, lack of
hygiene and sanitation by food handlers, cross-contamination between raw and fresh
ready-to-eat foods, and acquiring food from unsafe sources (World Health Organization,
2006). Food businesses have become widespread in recent times, in response to the
changing lifestyle and food consumption of people. They offer convenience and ease of
access to food to busy individuals, who are unable to prepare their own meals regularly
at home. In large scale cooking, food passes through many hands, thereby increasing
the chances of food contamination due to improper handling. Deliberate or accidental
contamination of food during large production might endanger the health of consumers
and have very expensive repercussions on a country, as such outbreaks feature
prominently in national statistics (Adams & Motarjemi, 1999).
Food Sanitation and Health as affected by food safety practices of food handlers
Further, the researchers stated that poor personal hygiene frequently contributes
to foodborne illness which indicates those food handlers' knowledge and handling
practices needs to be improved (Kumie & Zeru, 2007). However, good personal hygiene
and food handling practices are the basis for preventing the transmission of pathogens
from food handlers to the consumers. Food handlers who have excellent knowledge and
attitude, and good practices toward food hygiene and sanitation can avoid or at least
minimize cross-contamination as stated by Abdul-Mutalib et al., (2012). In the study
conducted by Rahman et al., (2016), knowledge positively influences attitude formation,
and the recipient’s comprehension of health facts. Positive attitude formation leads to
positive behavior. On the contrary, superficial knowledge leads to misconception and
development of negative attitudes. As a result, it increases harmful practice.
Generally, food handlers practiced good food hygiene. They practiced critical
points in general sanitary such as hand washing, storing cooked meat, cleaning food
contact surfaces, and separating raw meat from ready-to-eat food (Sharif et al., 2013).
As found in the study of Clayton et al., (2002) that food handlers were aware of the food
safety actions they should be carrying out but identified a number of barriers which
would prevent them from implementing these practices. These barriers included lack of
time, lack of staff and a lack of resources.
Research Paradigm
The figure above shows the research simulacrum of the study. It presents the
independent variable which is the business profile of carinderias in terms of: a.) number
of customers: (during peak hours), b.) number of food handlers: (cooks, servers etc.),
and c.) number of food variants: (including rice, drinks, and desserts); and its
relationship to the dependent variables which is the level of awareness and extent of
compliance of the respondents to P.D. 856 or The Code on Sanitation of the Philippines.
METHODS
Research Design
The study made use of the descriptive correlational research method. This
design was employed to ascertain the level of awareness and extent of compliance as
assessed by the carinderia owners and the consumers to the Code on Sanitation of the
Philippines as well as to test the relationship between the level of awareness and extent
of compliance along The Code on Sanitation of the Philippines.
The study was conducted to carinderias found within the vicinity of the 5 different
Universities in Tuguegarao City, Cagayan in the year 2018.
The respondents of the study were 20 carinderia owners whose businesses have
been operating for 2 years and more and whose stalls were found within the vicinity of
the different universities in Tuguegarao City. To validate answers of the carinderia
owners, 10 customers who were in legal capacity and had been eating from each of the
carinderia were also taken as part of the respondents of the study. Moreover, the
administration of the questionnaire was done during peak hours or during meal time.
Measuring Carinderias’ Knowledge of and Compliance to The Code on Sanitation of
the Philippines |7
Research Instrument
The study utilized a survey type questionnaire. The research tool is composed of
two parts: The first part consisted of the business profile of the carinderias such as
number of customers (during peak hours), number of food handlers (cooks, servers,
etc.) and number of food variant: (including rice, drinks, and desserts). The second part
contained items stating the level of awareness and extent of compliance of vendors
manning “carinderias” on a.) Proper food handling b.) Proper food servicing as stipulated
in P.D. 856 or Code on Sanitation of the Philippines.
A four-point Likert scale was used to assess the level of awareness and extent of
compliance of the respondents. The scale below was used.
Numerical Description
Interpretation
value
The respondents have an extensive
4 - To a great extent -
knowledge or compliance of the law
The respondents have a limited
3 - To a moderate extent - knowledge or compliance of the law
The respondents have a little
2 - To a slight extent -
knowledge or compliance of the law
The respondents have no
1 - Never -
knowledge or compliance of the law
There were two (2) types of questionnaire. One was answered by the carinderia
owners. The questionnaire contained items that measured their level of awareness and
extent of compliance of the law. Another questionnaire was administered to the
customers. It contained items that check the level of awareness and extent of
compliance to the law of the carinderia owners as assessed by the customers.
Before the conduct of the study, an approval was sought from the Office of the
Vice President for Academics. After its approval, the questionnaire was administered to
prospective respondents. Voluntary participation was sought before answering the
questionnaire, and ethical considerations adhered in the conduct of the study.
Data Analysis
In analyzing the study, the researchers used the statistical tools such as
frequency and percentage in the presentation of business profile of the carinderias.
Mean and Median were used to measure the awareness and compliance of carinderia
owners to the Code on Sanitation of the Philippines. Independent Sample T-test
and One-Way Analysis of Variance (ANOVA) were used to test differences. To
determine the relationship between the level of awareness and extent of compliance of
respondents on P.D. 856 or Code on Sanitation, Pearson-r was employed.
Measuring Carinderias’ Knowledge of and Compliance to The Code on Sanitation of
the Philippines |8
RESULTS
The table reveals the business profile of the carinderias. Most of the carinderias
are serving more than 20 customers during peak hours. It shows that majority of the
carinderias have 1-2 or 5-6 food handlers whom generally serves more than 10 food
variants.
Over-all
Variables Groups weighted Interpretation
Mean
Carinderia
Proper food 3.63 To a great extent
Owners
handling
Customers 3.56 To a great extent
Proper food Carinderia
3.62 To a great extent
servicing Owners
operations Customers 3.44 To a moderate extent
It can be seen in the table that carinderia owners are aware to a great extent in
the proper food handling and proper food servicing operations as mandated by law. This
means that they have extensive knowledge on the law. Although the customers are
aware to a moderate extent on the proper food servicing operations, they are aware to a
great extent in proper food handling. This means that they have an extensive knowledge
of the law regarding proper food handling but have limited knowledge of the law
regarding proper food servicing operations. Comparing means, carinderia owners have
higher level of awareness than that of the customers.
Table 3. Extent of compliance of the carinderia owners in terms of proper food handling
and proper food servicing operation
Over-all
Variables Groups Interpretation
weighted Mean
Carinderia
Proper food 3.61 To a great extent
Owners
handling
Customers 3.15 To a moderate extent
Proper food Carinderia
3.58 To a great extent
servicing Owners
operations Customers 3.10 To a moderate extent
As shown in the table, the self-assessment of the carinderia owners shows that
2they are compliant to a great extent regarding proper food handing. This means that
carinderia owners believe they have an extensive compliance on the law. However, the
assessment of the customers shows otherwise; customers assessed that carinderia
owners are compliant to a moderate extent on the proper food handling and proper food
servicing operations as mandated by law. This means that carinderia owners have only
a limited knowledge on the law as assessed by their customers.
It can be seen in the table that there is a positive significant relationship between
the level of awareness and extent of compliance of the carinderia owners as assessed
by the customers and carinderia owners in terms of proper food handling and proper
food servicing operation. This means that the level of awareness of the carinderia
owners influences their extent of compliance.
Regarding the business profile of the carinderias, the findings revealed that most
of the carinderias accommodates a minimum of 20 and a maximum of more than 50
customers during peak hours which mostly are served by either 1-2 or 5-6 food handlers
per carinderia. This shows that many carinderias accommodates numerous customers
despite the minimal number of their food handlers.
The study revealed that the carinderia owners believed that they have an
extensive knowledge in the proper food handling and proper food servicing operations
as required by law. Further, they are aware and knowledgeable in the treatment to
prevent foodborne diseases and practices in serving the food which involves proper
storing of single service containers and napkins, it also involves the proper ways and
temperature for dispensing frozen goods and the avoidance of hand contacts with food
or drinks to be served. Moreover, carinderia owners believed that they have an
extensive knowledge on proper washing of hands and in observing good personal
hygiene which is an important factor in handling the food to prevent food contamination.
However, their customers believed otherwise in term s of food servicing operations. The
assessment of the customers showed that the carinderia owners have only a limited
knowledge on the food servicing operation as provided by law which shows that
carinderia owners are not always knowledgeable on the proper practices and treatments
needed to properly serve the food (Azanza et al., 2000).
In terms of the compliance of the carinderia owners, the study revealed that the
carinderia owners believed that they have an extensive compliance on the proper food
handling and proper food servicing operations as provided by law but their customers
believed otherwise. And the evaluation of their customers shows that the carinderia
owners only have a limited compliance on the practices provided by law which explains
the statement of Vazire (2011) that others can perceive attributes better than the self
can, which proves that the carinderia owners are limitedly compliant in wearing clean
working garments when cooking, in observing good personal hygiene, in proper washing
of hands, in proper storing of kitchen wares and etc. which ensures that food safety
considerations are met.
In terms of the level of awareness of carinderia owners, it was revealed that there
is a significant difference on the number of customers. Carinderias having 1-10
customers during peak hours differs from that of carinderias having 41-50 customers
during peak hours. This proved that distraction from primary duty influences the
awareness of carinderia owners having 41-50 customers. The large volume of
customers during peak hours tends to be a distraction to the carinderia owners, for one
can only focus fully on one thing at a time. Moreover, the large volume of customers
during peak hours gives more tasks to the carinderia owners which make them
Measuring Carinderias’ Knowledge of and Compliance to The Code on Sanitation of
the Philippines | 13
disconcerted. In connection, it greatly affects the awareness of the carinderia owners
and makes their priorities become out of order. Getting too comfortable also affects the
level of awareness of the carinderia owners having minimal number of customers during
peak hours for carinderia owners may tend to think that nothing bad will happen. They
are getting used to an activity which in result their mind goes unconscious and become
less attentive (Gasaway, 2018).
The results further show the existence of a significant difference in terms of the
extent of compliance of the carinderias to P.D.856 with the number of its customers
during peak hours. This shows that the level of compliance of the carinderias is being
influenced by the number of customers, which explains that there must be an ideal ratio
on the number of food handlers in serving a certain number of customers. As supported
by the study of Bas et al., (2006) it revealed that they can no longer attend well to the
proper food handling and food service operations due to the increasing number of
customers.
In the study of Clayton et al., (2015) food handlers cited time pressure as a
barrier to following food safety practices and many of the informants on their study
indicated that food safety contends with an extremely busy and fast-paced environment
where workers skip the steps or procedures for proper food handling and proper food
servicing operations to get the job done.
The findings further revealed that there is a significant relationship between the
level of awareness and level of compliance of the respondents in terms of proper food
handling and proper food servicing operation. This only reveals that level of awareness
of carinderia owners has a statistically significant effect to their extent of compliance.
The higher the awareness means the higher the compliance as supported by the study
of Abdul-Mutalib et al., (2012) that there is a positive correlation between food safety
knowledge and practices of food handlers in terms of proper food handling and
servicing.
Further, in connection to the study of Ismail et al., (2016) it revealed that food
safety knowledge is the strongest predictor of food hygiene practices and the result
indicated is that the food safety knowledge also is significantly correlated to personal
hygiene. The knowledge positively influences attitude formation, and the recipient’s
comprehension of health facts are the important factors to be considered to ensure food
safety considerations. Moreover, in the study of Rahman et al., (2016), it shows that
positive attitude formation leads to positive behavior. As a result, sufficient knowledge is
needed to ensure hygienic food handling and servicing, to avoid or to at least minimize
food contamination and to prevent the occurrence of foodborne diseases.
CONCLUSION
This study established that the food handlers in carinderias within the vicinity of
the universities in Tuguegarao City are aware on the proper food handling and proper
food servicing operations as provided by P.D. 856. Moreover, number of customers
Measuring Carinderias’ Knowledge of and Compliance to The Code on Sanitation of
the Philippines | 14
influences the compliance of the food handlers. Hence, food sanitation is dependent on
the number of customers and on the number of food handlers.
RECOMMENDATIONS
3. The City Government, particularly the City Health Office should conduct random
and unscheduled inspection on the carinderias to monitor their compliance on
food handling and food servicing operations.
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