Knowledge, attitude, and practices concerning presence of molds in foods among members of the general public in Malawi.

This study assessed knowledge, attitude, and practices (KAP) of the public in Malawi on issues related to molds in foodstuffs. A survey involving structured questionnaire was conducted with 805 respondents from seven districts of Malawi. Descriptive statistics, t tests, and analyses of variance were calculated. A majority of respondents recognized that molds were dangerous to human health (88%); however, about 50% of respondents were not informed that mold toxins are thermally stable and that they are not destroyable by normal cooking processes. About 33% of the respondents asserted that they buy moldy maize, while approximately 20% of respondents reported that they consume moldy fruits having discarded moldy fraction. There were significant differences in knowledge scores among different demographic groups. Females had significantly (p < 0.05) lower knowledge scores on issues related to molds in foods. Additionally, the respondent's location had a significant effect. However, respondent's education had subtle effect on knowledge score and the overall population's knowledge score was generally low (3.55 ± 1.32 score out of 9). Results of the study underline the need to raise public's knowledge about health risks associated with spoilage molds in food and prevention and management options.

Contestations over "tradition" and "culture" in a time of AIDS.

In Malawi, the distress and unease caused by rising numbers of deaths and chronic illness due to HIV infection have led people to search for explanations. Here, we describe two particular "turns to culture." Zomba villagers over two decades have come to link AIDS with kanyera, an indigenous illness syndrome. In contrast, the public media, government, and donors blame "promiscuity" and "cultural practices" for HIV infection. The resulting stigmatization causes people to avoid naming AIDS, and both turns to culture tend to link blame and stigma to women.