https://doi.org/10.4081/ijfs.2025.14171
Food safety knowledge, attitudes, and practices among dairy wholesalers and retailers in Kandahar City, Afghanistan: a cross-sectional study
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 26 November 2025
Food safety in Afghanistan is challenged by limited infrastructure, food insecurity, and the occurrence of pathogens such as Staphylococcus aureus, Salmonella spp., Listeria monocytogenes, and Escherichia coli O157:H7, creating potential food safety hazards that lead to health complications. These challenges pose serious threats to public health, making it necessary to implement mandatory food safety training and certification programs to improve hygiene standards among dairy wholesalers and retailers in Kandahar City. A cross-sectional study was conducted involving 250 dairy wholesalers and retailers from March to April of 2025. Data were collected through face-to-face interviews using a carefully designed, structured questionnaire. The questionnaire was divided into four sections: sociodemographic information, knowledge of food safety, attitudes, and food safety practices. Our results showed that 92% of dairy wholesalers and retailers had a high level of food safety knowledge, and 93.6% agreed that proper cleaning of equipment reduces the risk of food contamination. However, fewer than 20% of the respondents were aware of infectious diseases. The study found a significant link between household income, holding a health certificate, and the level of food safety knowledge. We recommend the implementation of specialized training programs to improve personal and environmental hygiene and ensure better compliance with food safety regulations. Therefore, it is advisable to develop a comprehensive food safety policy within the One Health framework and foster collaborative efforts to raise awareness among all stakeholders involved in food safety.
Downloads
Adam S, Algumassa JT, Thanh Nguyen TT, Van Pham H, Dang Xuan S, Thi Bui D, 2024. Assessing food safety knowledge, attitudes, and practices (KAP) of street food vendors and sanitary conditions of vendor stalls in Gia Lam, Ha Noi, Vietnam. Int J BioLife Sci 3:70-84.
Al Banna MH, Kundu S, Brazendale K, Ahinkorah BO, Disu TR, Seidu AA, Okyere J, Khan MSI, 2022. Knowledge and awareness about food safety, foodborne diseases, and microbial hazards: A cross-sectional study among Bangladeshi consumers of street-vended foods. Food control 134:108718.
Alghafari W, 2024. Food safety knowledge, attitudes, and practices among food handlers in Jeddah, Saudi Arabia. Curr Nutr Food Sci 20:875-85.
Al-Kandari D, Al-Abdeen J, Sidhu J, 2019. Food safety knowledge, attitudes, and practices of food handlers in restaurants in Kuwait. Food Control 103:103-10.
Al-Slaihat A, Saleh M, Alawadi A, Almomani H, Alsakran S, Alsheikh D, Qatham R, Lee Y, 2024. Food safety knowledge, attitudes, and practices (KAP) among dairy retail vendors in Amman, Jordan. Available from: https://doi.org/10.20944/preprints202405.1041.v1.
Augustin JC, Kooh P, Bayeux T, Guillier L, Meyer T, Jourdan-Da Silva N, Villena I, Sanaa M, Cerf O, 2020. Contribution of foods and poor food-handling practices to the burden of foodborne infectious diseases in France. Foods 9:1644.
Aytop Y, Çetinkaya S, Dağ MM, 2025. Consumer food safety knowledge in Türkiye: what are the practices at home? Cogent Food Agric 11:2479855.
Boakye MK, Adanu SK, Adzoyi PN, Tornyi JM, Dzubey I, Ayimah JC, Boakye DS, Wiafe ED, 2024. Food safety knowledge, attitude, and practice among fish retailers in the Ho central market of Ghana. Food Humanity 2:100231.
Chaudhary MN, Lim VC, Sahimin N, Faller EM, Regmi P, Aryal N, Azman AS, 2023. Assessing the knowledge of, attitudes towards, and practices in food safety among migrant workers in Klang Valley, Malaysia. Travel Med Infect Dis 54:102620.
Chen Y, Ji H, Chen LJ, Jiang R, Wu YN, 2018. Food safety knowledge, attitudes, and behavior among dairy plant workers in Beijing, northern China. Int J Environ Res Public Health 15:63.
Faisal MN, Rahimi N, Banuree S, Shirani I, 2021. Isolation of pathogenic bacteria from the drinking water of schools’ wells and tanks in Jalalabad City of Nangarhar province, Afghanistan. Asian J Microbiol Biotech Env Sc 23:603-7.
Faour-Klingbeil D, Kuri V, Todd E, 2015. Investigating the link between two different types of food business management to the food safety knowledge, attitudes, and practices of food handlers in Beirut, Lebanon. Food Control 55:166-75.
Halim-Lim SA, Mohamed K, Sukki FM, David W, Ungku Zainal Abidin UF, Jamaludin AA, 2023. Food safety knowledge, attitude, and practices of food handlers in restaurants in Malé, Maldives. Sustainability 15:12695.
Huang L, Hwang CA, Fang T, 2019. Improved estimation of thermal resistance of Escherichia coli O157: H7, Salmonella spp., and Listeria monocytogenes in meat and poultry-The effect of temperature and fat, and a global analysis. Food Control 96:29-38.
Jianu C, Goleţ I, 2014. Knowledge of food safety and hygiene, and personal hygiene practices among meat handlers operating in western Romania. Food Control 42:214-9.
Karaman AD, 2012. Food safety practices and knowledge among Turkish dairy businesses in different capacities. Food Control 26:125-32.
Khan MJ, Naeemullah NK, Wazir AK, Iqbal A, Ishtiaq M, Khan SA, Ali J, 2022. Knowledge, attitude, and practice of food handlers regarding food safety practices district of Kohat, Khyber Pakhtunkhwa, Pakistan. Pak J Med Health Sci 16:831.
Korale-Gedara P, Weerahewa J, Roy D, 2023. Food safety in milk: adoption of food safety practices by small-scale dairy farmers in Sri Lanka and their determinants. Food Control 143:109274.
Kwol VS, Avci T, Eluwole KK, Angela D, 2020. Food safety knowledge and hygienic‐sanitary control: A needed company for public well‐being. J Public Affairs 20:e2067.
Malik MA, Akhtar SN, 2020. Sanitation and diarrheal morbidity: evidence from Afghanistan. medRxiv 2020.2010: 2020.20216333.
Mathenge J, Gicheru M, Okemo P, Mbaria JM 2017. Food safety knowledge, attitudes, and practices among food handlers working in meat-selling establishments in the City of Nairobi. ECAMJ 3:14-20.
Mohammad WS, Farid RA, Aziz KA, 2020. Study on microbiological quality of vendor chicken livers in Jalalabad City. Health Food Biotechnol 2:26-32.
Nazmi FM, Ahmad NA, Azahari HEH, 2023. Food practitioners’ knowledge, attitude, and practice regarding food safety: a case study of Pasar Basah Sungai Siput. In: Mansour N, Badell LMB, eds. Finance, accounting and law in the digital age: the impact of technology and innovation in the financial services sector. Springer, Cham, pp 823-832.
Nicolini G, Guarin A, Deka RP, Vorley B, Alonso S, Blackmore E, Grace D, 2022. Milk quality and safety in the informal sector in Assam, India: governance, perceptions, and practices. Cogent Food & Agriculture 8:2137897.
Owiti, 2023. Knowledge, handling practices of consumers, and microbiological safety of processed milk products sold in Nairobi County, University of Nairobi. Available from: https://erepository.uonbi.ac.ke/handle/11295/164764.
Rathnayake RRMUNB, Bellanthudawa BKA, Pawuluwage SM, Arachchige SUK, Nawalage N, Tennakoon A, 2024. Unlocking the potential: an exploratory analysis of knowledge, attitudes, and perceptions (KAP) of University students towards sustainable mangrove conservation. Environ Dev Sustain 27:19921-43.
Rowell A, Binkley M, Alvarado C, Thompson L, Burris S, 2013. Influence of food safety training on grocery store employees’ performance of food handling practices. Food Policy 41:177-83.
Samadi A, Safi MA, 2024. Knowledge and risky behaviors of Kabul City butchers regarding Crimean-Congo hemorrhagic fever. CABI One Health 3:1.
Shakhes SA, Wasim WA, Nasiry Z, Tookhy NA, 2023. Coliform contamination of raw beef at the slaughterhouse and butchery levels in Herat City, Afghanistan. Nangarhar Univ Int J Biosci 2:137-44.
Sobuj MKA, Rabby AF, Rahman S, Hasan SJ, Bhowmik S, Islam MA, Islam MM, Mostofa MG, Mamun AA, 2022. Knowledge, attitudes, and practices on food safety and hygiene of wet and dry fish handlers in Cox’s Bazar, Bangladesh. Food Sci Nutr 10:4139-54.
The Health and Safety Authority, 2005. Guidance on the management of manual handseling in the workplace. 10 Hogan Place, Dublin 2. ISBN 1-84496-023-4.
Todd EC, Michaels BS, Smith D, Greig JD, Bartleson CA, 2010. Outbreaks where food workers have been implicated in the spread of foodborne disease. Part 9. Washing and drying of hands to reduce microbial contamination. J Food Prot 73:1937-55.
Troka P, Luarasi M, Kapaj I, 2025. Food safety practices in artisanal and semi-automated dairy processors: evidence from Fier, Albania. Agriculture 15:762.
WHO, 2017. General Survey on the occupational safety and health instruments concerning the promotional framework, construction, mines, and agriculture. International Labour Conference, 106th Session.
Zahir A, Hamdard E, 2025. Update on the state of food security and safety in Afghanistan: a review. Food Humanity 5:100650.
Zahir A, Anis SH, Mushfiq DM, 2025. A cross-sectional study on food safety knowledge, practices, and associated factors among meat handlers in Kandahar City, Afghanistan. J Consum Prot Food Saf 20:165-74.
Zahir A, Ge Z, Khan IA, 2025. Public health risks associated with food process contaminants - a review. J Food Prot 88:100426.
Zahir A, Khan IA, Nasim M, Azizi MN, Azi F, 2024. Food process contaminants: formation, occurrence, risk assessment and mitigation strategies - a review. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 41:1242-74.
Zahir A, Nasim M, Jauhar S, Naseri E, Sarwary A, Noor A, Amarkhil R, Hamdard E, 2024. the role of livestock resources in sustainable food security and livelihoods in Afghanistan. J Nat Sci Rev 2:495-516.
Zhang T, Peng Q, Xia Y, Zhang Y, Zar Myint K, Wu J, 2021. Steviol glycosides, an edible sweet surfactant that can modulate the interfacial and emulsifying properties of soy protein isolate solution. J Food Eng 289:110264.
How to Cite

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.