Pengaruh pelatihan sanitasi dan higiene terhadap pengetahuan dan sikap, serta gambaran tindakan penjamah makanan

Author(s): Ghina Salsabila Nafi'ah, Hurry Mega Insani, Ahdiyatul Fauza, Syifa Syihab
DOI: 10.30867/gikes.v7i2.3349

Abstract

Background: Food handlers play an essential role in ensuring food safety. However, evidence on the impact of sanitation and hygiene training on knowledge, attitudes, and practices in Indonesia remains limited.

Objectives: To evaluate the effect of sanitation and hygiene training on food handlers’ knowledge and attitudes and to describe their practices after the intervention.

Methods: This quasi-experimental study used a nonequivalent control group design and was conducted from March to August 2025 at two catering companies in Bandung, Indonesia. Thirty food handlers were selected using purposive sampling. Knowledge and attitudes were measured before and after the intervention using a structured questionnaire, and practices were assessed once afterward using a checklist. Within-group changes were analyzed using the Wilcoxon signed-rank test, and between-group differences in change scores using the Mann–Whitney U test.

Results: The intervention group showed greater improvements in knowledge and attitudes than the control group did. The median change in knowledge score was 20 (IQR = 27) in the intervention group and 0 (IQR = 4) in the control group (p < 0.001; effect size = 0.65). The corresponding attitude changes were 16 (IQR = 30) and 0 (IQR = 4) (p < 0.001; effect size = 0.65). Good practices were observed in 53.3% of the control and 33.3% of the intervention groups.

Conclusion: Sanitation and hygiene training improved knowledge and attitudes. Because the practices were assessed only once, they could not be interpreted as a training effect. Standard operating procedures, supervision, reminders, and refresher training are required to support food safety practices

Keywords

sanitation and hygiene training, food handlers, knowledge, attitudes, food safety

Full Text:

PDF

References

A’an, W., Basit, M., & Irawan, A. (2025). Efektivitas edukasi menggunakan focus group discussion terhadap kepatuhan minum obat antihipertensi. Health Sciences and Pharmacy Journal, 9(3), 220–229. https://doi.org/10.32504/hspj.v9i3.1395

Agustine, D. A. D., Hakimah, N., & Nurmayanti, R. (2023). Food safety education on knowledge levels and attitudes of food handlers at Pondok Sawah Catering Turen. Nutriture Journal, 2(3), 145–154. https://doi.org/10.31290/nj.v2i3.4102

Alemu, M., Motbianor, A., Birhanu, D., & Birara, A. (2023). Food safety practice and associated factors of food handlers working in food industries in Bahir Dar City, Amhara Regional State, Northwest Ethiopia, 2021. Environmental Health Insights, 17, 1–11. https://doi.org/10.1177/11786302231167742

Al Rahmad, A. H., & Annisa, S. F. (2025). Video animasi sebagai media penyuluhan dapat meningkatkan pengetahuan dan sikap remaja tentang bahaya fast food. Media Penelitian Dan Pengembangan Kesehatan, 35(1), 11–18. https://doi.org/10.34011/jmp2k.v35i1.2054

Augustin, E. (2015). Gambaran pengetahuan, sikap, dan tindakan higiene sanitasi pedagang makanan jajanan di sekolah dasar Cipinang Besar Utara Kotamadya Jakarta Timur tahun 2014 [Skripsi sarjana, Universitas Islam Negeri Syarif Hidayatullah Jakarta]. https://repository.uinjkt.ac.id/dspace/handle/123456789/28943

Aulia, N., Budiningsari, R. D., & Lestari, L. A. (2024). Food handlers’ knowledge and practices and the relationship with appropriate sanitation hygiene scores in Malang City. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 13(1), 52–62. https://doi.org/10.14710/jgi.13.1.52-62

Baringbing, I. J., Rini, W. N. E., & Putri, F. E. (2023). Faktor-faktor yang berhubungan dengan perilaku higiene penjamah makanan pada pangan industri rumah tangga di Kecamatan Geragai tahun 2022. Jurnal Kesmas Jambi, 7(1), 31–40. https://doi.org/10.22437/jkmj.v7i1.23552

Berglund, Z., Simsek, S., & Feng, Y. (2024). Effectiveness of online food-safety educational programs: A systematic review, random-effects meta-analysis, and thematic synthesis. Foods, 13(5), Article 794. https://doi.org/10.3390/foods13050794

Chauhan, S., Parashar, M., Khandekar, J., & Singh, M. (2024). Effectiveness of health education package on hand hygiene knowledge, attitude, and practices among food handlers in a tertiary care hospital in Delhi. Journal of Education and Health Promotion, 13, Article 308. https://doi.org/10.4103/jehp.jehp_1356_23

Dassie, G. A., Girsha, W. D., & Beggi, S. K. (2025). A hybrid scoping and systematic review of food safety and quality control in selected low- and middle-income countries: Challenges, policies, and effective interventions in Africa, Asia, and Latin America. Frontiers in Food Science and Technology, 5, Article 1570588. https://doi.org/10.3389/frfst.2025.1570588

Deviatin, N. S., Twistiandayani, R., Rahmawati, D., Permatasari, E. D., Roshida, D. S., Nilamsari, N., Prameswari, R. D., Al Fanani, T., Handriyanto, C. F., Khiyaroh, Y., Ramadan, A. N., Cahyani, S. D., & Mahmudah, S. (2024). Sosialisasi higiene dan sanitasi pada pedagang kaki lima di Kabupaten Gresik, Jawa Timur. Jurnal Pengabdian Sosial, 1(9), 1315–1320. https://doi.org/10.59837/nark7a82

Dinas Kesehatan Kota Bandung. (2025). Profil kesehatan Kota Bandung 2024. https://dinkes.bandung.go.id/download/profil-kesehatan-kota-bandung-2024/

Fekadu, Y., Kinde, M. Z., Dagnaw, G. G., Dessalegn, B., Dejene, H., & Gessese, A. T. (2024). Knowledge, attitude, and practices on food safety among food handlers working in public food service establishments in Lemi Kura Subcity, Addis Ababa, Ethiopia. BioMed Research International, 2024, Article 2675894. https://doi.org/10.1155/2024/2675894

Firdani, F. (2022). Knowledge, attitudes, and practices of hygiene and sanitation implementation among food handlers. Jurnal Kesehatan Lingkungan Indonesia, 21(2), 131–136. https://doi.org/10.14710/jkli.21.2.131-136

Frempong, C. S., Addo, P., & Otoo, D. M. (2025). Predictors of food vendors’ hygienic practices in the Kadjebi District of Ghana: Implications for public health and safety. Advances in Public Health, 2025(1), Article 1146260. https://doi.org/10.1155/adph/1146260

Gemeda, N., Yazew, T., Moroda, M., & Kuyu, C. G. (2025). Food safety practices and associated factors among food handlers in food establishments in Adama Town, Central Ethiopia. Frontiers in Sustainable Food Systems, 8, Article 1471429. https://doi.org/10.3389/fsufs.2024.1471429

Hartini, S. (2022). Hubungan tingkat pengetahuan hygiene sanitasi dan sikap penjamah makanan dengan praktik hygiene sanitasi: Studi pada PT Ryan Katering, Jakarta. Nutrizione: Nutrition Research and Development Journal, 2(2), 16–26. https://doi.org/10.15294/nutrizione.v2i2.58466

Ilhami, F., Solehah, N. Z., Anisah, Yunita, L., & Adrian, J. (2025). Pengaruh penyuluhan dengan media poster terhadap peningkatan pengetahuan dan sikap hygiene perorangan penjamah makanan. Profesi (Profesional Islam): Media Publikasi Penelitian, 23(2), 102–108. https://doi.org/10.26576/profesi.v23i2.347

Inayah, I., Sahani, W., Ruhban, A., & Putri, R. A. (2024). Perilaku penjamah makanan dalam penerapan higiene dan sanitasi pengolahan makanan di RSUD K. H. Hayyung Kabupaten Kepulauan Selayar. Sulolipu: Media Komunikasi Sivitas Akademika dan Masyarakat, 24(2), 340–347. https://doi.org/10.32382/sulo.v24i2.913

Kasim, K. P., Juherah, J., Rahmadani, F. F., Rostina, R., & Saleh, M. (2022). Analisis personal hygiene pada penyajian makanan di Pasar Segar Panakkukang Kota Makassar. HIGIENE: Jurnal Kesehatan Lingkungan, 8(3), 171–177. https://journal3.uin-alauddin.ac.id/index.php/higiene/article/view/35825

Kaugi, R. W., Kariuki, J. G., Odongo, A. O., Koech, M. J., & Njoroge, H. C. (2023). Impact of food hygiene and safety training on knowledge, attitude, and practices of food hygiene and safety practices among food handlers in boarding schools of Embu County, Kenya. International Journal of Community Medicine and Public Health, 10(12), 4660–4668. https://doi.org/10.18203/2394-6040.ijcmph20233760

Khoshakhlagh, A. H., Malakoutikhah, M., Park, J. W., Kodnoueieh, M. D., Boroujeni, Z. R., Bahrami, M., & Ramezani, F. (2024). Assessing personal protective equipment usage and its correlation with knowledge, attitudes, performance, and safety culture among workers in small and medium-sized enterprises. BMC Public Health, 24, Article 1987. https://doi.org/10.1186/s12889-024-19517-3

Kim, J., Jang, J., Kim, B., & Lee, K. H. (2022). Effect of the PRECEDE–PROCEED model on health programs: A systematic review and meta-analysis. Systematic Reviews, 11(1), 1–12. https://doi.org/10.1186/s13643-022-02092-2

Kwoba, E., Oduori, D. O., Lambertini, E., Thomas, L. F., Grace, D., & Mutua, F. (2023). Food safety interventions in low- and middle-income countries in Asia: A systematic review. Zoonoses and Public Health, 70(3), 187–200. https://doi.org/10.1111/zph.13028

Labović, S. B., Joksimović, I., Galić, I., Knežević, M., & Mimović, M. (2023). Food safety behaviours among food handlers in different food service establishments in Montenegro. International Journal of Environmental Research and Public Health, 20(2), Article 997. https://doi.org/10.3390/ijerph20020997

Lee, J. C., Neonaki, M., Alexopoulos, A., & Varzakas, T. (2023). Case studies of small-medium food enterprises around the world: Major constraints and benefits from the implementation of food safety management systems. Foods, 12(17), Article 3218. https://doi.org/10.3390/foods12173218

Marcela, R., Ramadhani, K. S., Alwi, M. F., & Usiono. (2024). Keracunan makanan. Jurnal Anestesi, 2(1), 41–51. https://doi.org/10.59680/anestesi.v2i1.729

Mecca, A. A., Dalimunthe, R. S., Ginting, L., & Ingtyas, F. T. (2025). Peran sanitasi dalam proses produksi dan penyajian makanan. VISA: Journal of Visions and Ideas, 5(1), 295–309. https://doi.org/10.47467/visa.v5i1.6126

Meitha, A. D., Gifari, N., Nadiyah, N., & Angkasa, D. (2022). Pengaruh pemberian media “BUJAGI” terhadap pengetahuan dan sikap mengenai makanan jajanan pada siswa sekolah dasar. Jurnal Gizi Kerja dan Produktivitas, 3(1), 1–12. https://doi.org/10.52742/jgkp.v3i2.12791

Nabila, J. S. M. (2021). Penilaian personal hygiene dan kualitas angka kuman nasi pecel di Jl. HOS Cokroaminoto Kota Madiun [Tugas akhir diploma, Politeknik Kesehatan Kementerian Kesehatan Surabaya]. https://repo.poltekkes-surabaya.ac.id/3862/

Palupi, I. R., Budiningsari, R. D., Khoirunnisa, F. A., & Hanifi, A. S. (2024). Food safety knowledge, hygiene practices among food handlers, and microbiological quality of animal side dishes in contract catering. Italian Journal of Food Safety, 13(3), Article 12554. https://doi.org/10.4081/ijfs.2024.12554

Putra, E. S., Irfan, A., Nopindra, A., Al Rahmad, A. H., & Dahliansyah, D. (2025). Nutrition Education Based on The’My T Plate’Model Enhances Adolescents’ Knowledge in Preventing Central Obesity. Proceeding International Conference Health Polytechnic of Jambi, 5, 213–217.

Putri, F. S., Hakimah, N., & Nurmayanti, R. (2024). Edukasi media poster keamanan pangan terhadap pengetahuan, sikap, dan penerapan higiene sanitasi pada penjamah makanan di kantin SMKN 1 Grati. Nutriture Journal, 3(1), 45–51. https://doi.org/10.31290/nj.v3i1.4056

Rokayah, S., & Widjaja, G. (2022). Hygiene dan kesehatan lingkungan. Cross-Border, 5(1), 432–450. https://journal.iaisambas.ac.id/index.php/Cross-Border/article/view/1096

Salsabila, A., Nuraeni, M., Shopiah, S., Shapira, A. A., Oktaviani, E. S., Dika, N. E., Rahmawati, A., & Pemiliani, K. (2025). Edukasi higiene dan sanitasi makanan melalui media poster H.I.G.I.E.N.I.S. pada pekerja pabrik kerupuk di Kecamatan Cibeureum, Kota Tasikmalaya. ASPIRASI: Publikasi Hasil Pengabdian dan Kegiatan Masyarakat, 3(3), 129–137. https://doi.org/10.61132/aspirasi.v3i3.1688

Segbedzi, C. E., Ansah, E. W., & Apaak, D. (2024). Assessing the safety of hotel food: Knowledge, attitude, and practices of food handlers. Journal of Food Quality, 2024(1), Article 7361284. https://doi.org/10.1155/2024/7361284

Simanjuntak, R. R. (2022). Pengaruh pelatihan hygiene dan sanitasi terhadap pengetahuan, sikap, dan tindakan penjamah makanan di Instalasi Gizi RS H. Amri Tambunan Deli Serdang. Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist), 17(1), 158–163. https://doi.org/10.36911/pannmed.v17i1.1282

Sinha, S., & Sandhu, N. K. (2023). Effectiveness of educational intervention on KAP of food handlers and barriers to implementation of food safety: A cross-sectional comparative study. International Journal of Community Medicine and Public Health, 10(6), 2192–2196. https://doi.org/10.18203/2394-6040.ijcmph20231702

Sprenger, R. A. (2022). Food safety handbook. Highfield Products.

Suarianti, N. W., Sudiadnyana, I. W., Mahayana, I. M. B., & Sujaya, I. N. (2025). Pemanfaatan bauran media leaflet dan poster meningkatkan pengetahuan dan sikap personal hygiene penjamah makanan. Jurnal Kesehatan Lingkungan (JKL), 15(2), 35–38. https://doi.org/10.33992/jkl.v15i2.4691

Tesso, M. W., Deti, M., Jemal, T., Dadi, D., Gure, A., Nasir, D., Befikadu, D., & Roba, H. (2025). Food hygiene practices and associated factors among food handlers in food establishments of Jimma City, Southwest Ethiopia. PLOS ONE, 20(5), Article e0321222. https://doi.org/10.1371/journal.pone.0321222

Utami, N., Meliyanti, F., & Afriani, B. (2024). Hubungan karakteristik penjamah makanan dengan penerapan personal hygiene pada CV Citra Satria Catering. Jurnal Kesehatan Saintika Meditory, 7(1), 27–34. https://doi.org/10.30633/jsm.v7i1.2192

Woreta, T. M., Worku, A. F., Tenagashaw, M. W., Yemata, T. A., Mamo, F. T., & Damtie, D. G. (2025). Influence of knowledge and attitudes on food safety perceptions and behavioral intentions among food business operators in water bottling factories: A PLS-SEM model. Discover Applied Sciences, 7, Article 145. https://doi.org/10.1007/s42452-025-06542-z

Wulandari, O. V., & Kurniasari, R. (2025). The effect of educational media on the knowledge and attitude of personal hygiene in food handlers. Jurnal Kesehatan, 18(1), 66–75. https://doi.org/10.23917/jk.v18i1.7071

Zenbaba, D., Sahiledengle, B., Nugusu, F., Beressa, G., Desta, F., Atlaw, D., & Chattu, V. K. (2022). Food hygiene practices and determinants among food handlers in Ethiopia: A systematic review and meta-analysis. Tropical Medicine and Health, 50(1), 1–15. https://doi.org/10.1186/s41182-022-00423-6

Refbacks

  • There are currently no refbacks.