Compliance with meat Safety Guidelines Among Butchers and Fresh meat Retailers in Ghana: Assessing Adherence Levels and Influencing Factors
摘要
Inadequate compliance with established meat safety guidelines among butchers and fresh meat retailers poses a significant public health risk in Ghana, where meatborne diseases remain a concern. The study provides a systematic evaluation of compliance with FDA-established meat safety guidelines among butchers and fresh meat retailers in northern Ghana. Using a multi-theoretical framework integrating the Health Belief Model, Theory of Planned Behavior, and Institutional Theory, we examined compliance levels and influencing factors across the meat value chain. A cross-sectional survey was conducted among 87 butchers and 299 fresh meat retailers across three northern Ghana regions. Compliance was assessed through structured observation and interviews, with beta regression models employed to identify determinants across demographic, enterprise-level, and institutional dimensions. Results reveal non-compliance (poor) among butchers (37%) and partial compliance (average) among retailers (50%), with no butchers achieving full compliance (good) compared to 10.7% of retailers. Retailers consistently outperformed butchers across multiple safety dimensions. The results further revealed that compliance with meat safety guidelines among butchers and retailers is shaped by a complex interplay of demographic factors (education, age, sex), enterprise-level characteristics (business ownership, experience, location, staff size), and institutional factors (risk perception, attitudes, training, and registration). The study recommends segmented policy interventions for butchers and fresh meat retailers. Specifically, mandatory hygiene and hazard-control training should be prioritized for butchers, while retailers require strengthened regulatory supervision and access to basic sanitation infrastructure. In addition, targeted risk communication campaigns delivered through local authorities and market associations, combined with role-specific capacity-building programs, are recommended to improve adherence to meat safety guidelines.