“Our food may not be very safe, because now days everything uses chemicals:” Women’s Perceptions of Food Safety and Nutrition in Phnom Penh, Cambodia Open Access
Brown, Sydney Morgan (Spring 2019)
Abstract
Foodborne disease and malnutrition are critical public health issues in Cambodia but there is limited evidence on effective integrated food safety and nutrition interventions. This study was conducted as formative research for a market-based intervention that aims to improve the safety of animal-source foods sold in informal markets. The study objective was to determine women’s perception of the risk of food safety and how it relates to diet, health and decision making. Twenty-four in-depth interviews with female caregivers of children under five in Phnom Penh, Cambodia were conducted and complimented with PhotoVoice, which allowed the women to photograph their meals and perceptions of food safety and nutrition to further discuss during a second interview. The 48 total interviews (24 in-depth interviews and 24 PhotoVoice interviews) were analyzed using MAXQDA. A primary food safety concern expressed by women was that chemicals in animal-source foods, fruits and vegetables may impact the health of their families by causing diarrhea and problems during pregnancy. This fear created a lack of trust in markets which influenced their food purchasing behaviors and strategies for making the food safer for their families. These mitigation strategies vary slightly among the women, but are important to be able to provide their families with what they define as safe meals. Interventions that wish to decrease rates of foodborne illness and increase animal source food consumption should also address the belief that the food system has been compromised by the addition of chemicals and pesticides.
Table of Contents
Contents
Chapter One: Introduction
Chapter Two: Methods
Study Setting
Study Participants and Recruitment
Data Collection
Data Analysis
Ethics Approval
Chapter Three: Results
Conceptual Model
Themes
Importance of Family Meals
Chemicals Affecting Food
Home Grown as Safe
Purchasing Strategies
Cleaning Strategies
Source of Beliefs
Chapter Four: Discussion
Limitations
Conclusions
Acknowledgements
Appendix 1: In-Depth Interview Guide
Appendix 2: Food Security Questionnaire
Appendix 3: Photo Voice Interview Guide
Appendix 4: Consent Forms
About this Master's Thesis
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