NCT04594122

Brief Summary

Safe Food Fair Food for Cambodia (SFFF) is a Feed the Future Innovation Lab project funded by USAID. This 3-year project aims to improve food safety of animal source food (ASF) in Cambodia. SFFF was awarded to the International Livestock Research Institute (ILRI), National Animal Health and Production Research Institute (NAHPRI) and Livestock Development for Community Livelihood Organization (LDC) and in collaboration with Cambodian Ministry of Health CDC and NIPH. Based on the findings and consultations with food safety stakeholders in Cambodia, we have developed a set of interventions to improve hygienic practice and pork safety at the traditional markets in Cambodia. Those interventions will be introduced and tested at retail in six selected provinces using Randomized Controlled Trials (RCT). To ensure compliance of targeted actors (e.g. retailers), participatory methods (e.g. FGD) were used to validate intervention packages. There are two steps of intervention which contain of part 1) Retailer formative research for SFFF Cambodia and 2) Interventions for Good Hygiene Practices for Safer Pork at Traditional Markets. Part 1. Retailer formative research for SFFF Cambodia: We will implement an intervention package to this trial group and collect biological sampling to determine the hygienic status before and after the intervention. The intervention packages will be developed for SFFF Cambodia in consultation with partners and based on findings of SFFF Cambodia project. Part 2. Intervention for Good Hygiene Practices for Safer Pork at Traditional Markets: A randomized controlled trial (RCT) intervention will be conducted in 12 markets in 6 provinces. Those provinces were selected based on the prevalence of Salmonella in a market survey study, namely Kampot, Kampong Cham, Kampong Speu, Takeo, Siem Reap, and Phnom Penh. Another 12 markets, in the same provinces, will be used as a control group. In total 24 traditional wet markets will be included in the sampling, by selecting the 4 largest traditional markets in the six provinces with at least 15 pork shops. At each market, 15 pork shops were selected for sampling. The intervention package includes 5 keys actions (Handbook) and provision of equipment incentive (e.g. inox tray, easy-clean surface material), and training on good hygiene practices.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
360

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 30, 2020

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

September 4, 2020

Completed
2 months until next milestone

First Posted

Study publicly available on registry

October 20, 2020

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2021

Completed
15 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 15, 2021

Completed
Last Updated

September 2, 2021

Status Verified

October 1, 2020

Enrollment Period

8 months

First QC Date

September 4, 2020

Last Update Submit

September 1, 2021

Conditions

Keywords

Hygiene PracticeBacterial ContaminationTraditional MarketPork ShopCambodia

Outcome Measures

Primary Outcomes (1)

  • Proportion of samples fulfill Cambodian microbiological standards for pork

    Total bacterial count in pork samples will be measured from both trial and control groups to assess level of compliance with national standards

    16 weeks

Secondary Outcomes (2)

  • Change in knowledge of pork retailers

    16 weeks

  • Change in practice of pork retailers

    16 weeks

Study Arms (2)

Control

NO INTERVENTION

No intervention in this group

Intervention

EXPERIMENTAL

Hygiene package, training, branding, and certification

Behavioral: Improve hygiene practice of pork sellers

Interventions

includes 5 keys actions (Handbook) and provision of equipment incentive and training on good hygiene practices, branding, and certification

Intervention

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Under selected markets
  • Selling pork only
  • Daily selling
  • Voluntary

You may not qualify if:

  • Out of the age range 18-65

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Animal Health and Production Research Institute

Phnom Penh, Cambodia

Location

Related Publications (21)

  • Dang-Xuan S, Nguyen-Viet H, Unger F, Pham-Duc P, Grace D, Tran-Thi N, Barot M, Pham-Thi N, Makita K. Quantitative risk assessment of human salmonellosis in the smallholder pig value chains in urban of Vietnam. Int J Public Health. 2017 Feb;62(Suppl 1):93-102. doi: 10.1007/s00038-016-0921-x. Epub 2016 Nov 11.

    PMID: 27837223BACKGROUND
  • Darapheak C, Takano T, Kizuki M, Nakamura K, Seino K. Consumption of animal source foods and dietary diversity reduce stunting in children in Cambodia. Int Arch Med. 2013 Jul 17;6:29. doi: 10.1186/1755-7682-6-29. eCollection 2013.

    PMID: 23866682BACKGROUND
  • Devleesschauwer B, Haagsma JA, Angulo FJ, Bellinger DC, Cole D, Dopfer D, Fazil A, Fevre EM, Gibb HJ, Hald T, Kirk MD, Lake RJ, Maertens de Noordhout C, Mathers CD, McDonald SA, Pires SM, Speybroeck N, Thomas MK, Torgerson PR, Wu F, Havelaar AH, Praet N. Methodological Framework for World Health Organization Estimates of the Global Burden of Foodborne Disease. PLoS One. 2015 Dec 3;10(12):e0142498. doi: 10.1371/journal.pone.0142498. eCollection 2015.

    PMID: 26633883BACKGROUND
  • Dror DK, Allen LH. The importance of milk and other animal-source foods for children in low-income countries. Food Nutr Bull. 2011 Sep;32(3):227-43. doi: 10.1177/156482651103200307.

    PMID: 22073797BACKGROUND
  • Gilbert M, Conchedda G, Van Boeckel TP, Cinardi G, Linard C, Nicolas G, Thanapongtharm W, D'Aietti L, Wint W, Newman SH, Robinson TP. Income Disparities and the Global Distribution of Intensively Farmed Chicken and Pigs. PLoS One. 2015 Jul 31;10(7):e0133381. doi: 10.1371/journal.pone.0133381. eCollection 2015.

    PMID: 26230336BACKGROUND
  • Grace D. Food Safety in Low and Middle Income Countries. Int J Environ Res Public Health. 2015 Aug 27;12(9):10490-507. doi: 10.3390/ijerph120910490.

    PMID: 26343693BACKGROUND
  • Grace D, Omore A, Randolph T, Kang'ethe E, Nasinyama GW, Mohammed HO. Risk assessment for Escherichia coli O157:H7 in marketed unpasteurized milk in selected East African countries. J Food Prot. 2008 Feb;71(2):257-63. doi: 10.4315/0362-028x-71.2.257.

    PMID: 18326173BACKGROUND
  • Grace D, Dipeolu M, Olawoye J, Ojo E, Odebode S, Agbaje M, Akindana G, Randolph T. Evaluating a group-based intervention to improve the safety of meat in Bodija market, Ibadan, Nigeria. Trop Anim Health Prod. 2012 Sep;44 Suppl 1:S61-6. doi: 10.1007/s11250-012-0208-z. Epub 2012 Aug 7.

    PMID: 22869336BACKGROUND
  • Grace D, Olowoye J, Dipeolu M, Odebode S, Randolph T. The influence of gender and group membership on food safety: the case of meat sellers in Bodija market, Ibadan, Nigeria. Trop Anim Health Prod. 2012 Sep;44 Suppl 1:S53-9. doi: 10.1007/s11250-012-0207-0. Epub 2012 Aug 8.

    PMID: 22872520BACKGROUND
  • Hoang VM, Tran TA, Ha AD, Nguyen VH. Cost of Hospitalization for Foodborne Diarrhea: A Case Study from Vietnam. J Korean Med Sci. 2015 Nov;30 Suppl 2(Suppl 2):S178-82. doi: 10.3346/jkms.2015.30.S2.S178. Epub 2015 Nov 6.

    PMID: 26617452BACKGROUND
  • Kouame-Sina SM, Makita K, Costard S, Grace D, Dadie A, Dje M, Bonfoh B. Hazard identification and exposure assessment for bacterial risk assessment of informally marketed milk in Abidjan, Cote d'Ivoire. Food Nutr Bull. 2012 Dec;33(4):223-34. doi: 10.1177/156482651203300402.

    PMID: 23424888BACKGROUND
  • Kruy SL, Soares JL, Ping S, Sainte-Marie FF. [Microbiological quality of " ice, ice cream. sorbet" sold on the streets of Phnom Penh; April 1996-April 1997]. Bull Soc Pathol Exot. 2001 Dec;94(5):411-4. French.

    PMID: 11889944BACKGROUND
  • Lay KS, Vuthy Y, Song P, Phol K, Sarthou JL. Prevalence, numbers and antimicrobial susceptibilities of Salmonella serovars and Campylobacter spp. in retail poultry in Phnom Penh, Cambodia. J Vet Med Sci. 2011 Mar;73(3):325-9. doi: 10.1292/jvms.10-0373. Epub 2010 Nov 2.

    PMID: 21060246BACKGROUND
  • Makita K, Fevre EM, Waiswa C, Eisler MC, Welburn SC. How human brucellosis incidence in urban Kampala can be reduced most efficiently? A stochastic risk assessment of informally-marketed milk. PLoS One. 2010 Dec 1;5(12):e14188. doi: 10.1371/journal.pone.0014188.

    PMID: 21152072BACKGROUND
  • Meng CY, Smith BL, Bodhidatta L, Richard SA, Vansith K, Thy B, Srijan A, Serichantalergs O, Mason CJ. Etiology of diarrhea in young children and patterns of antibiotic resistance in Cambodia. Pediatr Infect Dis J. 2011 Apr;30(4):331-5. doi: 10.1097/INF.0b013e3181fb6f82.

    PMID: 21412204BACKGROUND
  • Nguyen-Viet H, Tuyet-Hanh TT, Unger F, Dang-Xuan S, Grace D. Food safety in Vietnam: where we are at and what we can learn from international experiences. Infect Dis Poverty. 2017 Feb 16;6(1):39. doi: 10.1186/s40249-017-0249-7.

    PMID: 28209208BACKGROUND
  • Osbjer K, Boqvist S, Sokerya S, Chheng K, San S, Davun H, Rautelin H, Magnusson U. Risk factors associated with Campylobacter detected by PCR in humans and animals in rural Cambodia. Epidemiol Infect. 2016 Oct;144(14):2979-2988. doi: 10.1017/S095026881600114X. Epub 2016 Jun 23.

    PMID: 27334412BACKGROUND
  • Otte MJ, Gumm ID. Intra-cluster correlation coefficients of 20 infections calculated from the results of cluster-sample surveys. Prev Vet Med. 1997 Jul;31(1-2):147-50. doi: 10.1016/s0167-5877(96)01108-7. No abstract available.

    PMID: 9234433BACKGROUND
  • Robinson TP, Wint GR, Conchedda G, Van Boeckel TP, Ercoli V, Palamara E, Cinardi G, D'Aietti L, Hay SI, Gilbert M. Mapping the global distribution of livestock. PLoS One. 2014 May 29;9(5):e96084. doi: 10.1371/journal.pone.0096084. eCollection 2014.

    PMID: 24875496BACKGROUND
  • Ross T, Sumner J. A simple, spreadsheet-based, food safety risk assessment tool. Int J Food Microbiol. 2002 Jul 25;77(1-2):39-53. doi: 10.1016/s0168-1605(02)00061-2.

    PMID: 12076037BACKGROUND
  • Slovic P. Perception of risk. Science. 1987 Apr 17;236(4799):280-5. doi: 10.1126/science.3563507.

    PMID: 3563507BACKGROUND

Related Links

MeSH Terms

Conditions

Foodborne Diseases

Condition Hierarchy (Ancestors)

PoisoningChemically-Induced Disorders

Study Officials

  • Delia Randolph, PhD

    The International Livestock Research Institute (ILRI)

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Two groups of pork retailers will be recruited: control group and intervention group
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 4, 2020

First Posted

October 20, 2020

Study Start

June 30, 2020

Primary Completion

February 28, 2021

Study Completion

March 15, 2021

Last Updated

September 2, 2021

Record last verified: 2020-10

Data Sharing

IPD Sharing
Will not share

RCT data can be shared for other researchers but not the IPD.

Locations