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Quality Assessment of Cafeteria Services Provided at a Public Sector Medical College Karachi, Pakistan

JIS_9_2_226-230

Research Article

Quality Assessment of Cafeteria Services Provided at a Public Sector Medical College Karachi, Pakistan

Nighat Nisar*, Hasina Maham Qadri, Asad Afridi, Muhammad Sami Khan, Muhammad Abdullah Khan

Department of Community Medicine, Dow University of Health Sciences, Mission Rd, New Labour Colony Nanakwara, Karachi, Sindh 74200, Pakistan.

Abstract | This study was conducted to determine the quality of services and significant factors leading to students’ level of satisfaction towards services provided by cafeterias in public sector medical institute of Karachi, Pakistan. A cross sectional study design was adopted with a sample size of 318 round of to 400 and by using qouta sampling. A self-administered questionnaire was used to collect data regarding cafeteria use, food consumption, frequency, waiting time, cost, ambience, attitude of cafeteria staff, and cleanliness after taking informed consent. The study findings revealed that majority of students reported high cost of meals in the cafeteria as compared to the local market. The food items such as snacks and cold drinks were found expensive as compared to local market. About half of the study participants reported that the cost of mineral water was high in the cafeteria as compared to the local market. Forty-two percent of the students were not satisfied with the staff attitude and dissatisfied with the availability of food. The study findings reported that cost, availability of food and staff attitude should need improvement to maintain quality of cafeteria services so that majority of the students become satisfied with services available at the campus cafeteria.


Received | January 23, 2023; Accepted | September 28, 2023; Published | November, 04, 2023

*Correspondence | Nighat Nisar, Department of Community Medicine, Dow University of Health Sciences, Mission Rd, New Labour Colony Nanakwara, Karachi, Sindh 74200, Pakistan; Email: nighat.nisar@duhs.edu.pk

Citation | Nisar, N., Qadri, H.M., Afridi, A., Khan, M.S., Khan, M.A., 2023. Quality assessment of cafeteria services provided at a public sector medical College Karachi, Pakistan. Journal of Innovative Sciences, 9(2): 226-230.

DOI | https://dx.doi.org/10.17582/journal.jis/2023/9.2.226.230

Keywords | Quality assessment, Cafeteria services, Satisfaction, Students, Quality of food

Copyright: 2023 by the authors. Licensee ResearchersLinks Ltd, England, UK.

This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).



1. Introduction

Quality assessment is an important tool for evaluation of cafeteria services by the consumers. It is considered that service quality has a positive effect on customer satisfaction reported by research studies carried out in Asia (Chang and Nalini, 2014; Lee et al., 2016). The improvement of food quality requires regular monitoring in terms of hygiene, cost, cleanliness, safe environment, and well-taken care of food with good presentation and served in a proper manner that satisfies customers (Manning and Baines, 2004). The quality assessment plays a major role in determining the originality and accuracy of a system, as the higher level of standard leads to higher level of satisfaction among students’ patronizing their energy, body fuel and mental health (Rad and Yarmohammadian, 2006). The Universities are increasing in number and becoming aware of the importance of quality assessment of cafeteria services provided to students with time (Ghani et al., 2011). Research has focused on cafeteria food attributes in developed and developing countries. According to research it has been reported that 55.40% of university students did not frequently eat at cafeteria due to bad food quality and 6.0% students feels that the cafeteria environment is not satisfactory (Raman and Chinniah, 2011). Very few studies have been conducted to explore the quality assessment of medical students in developing countries. This study will be helpful in identifying the quality of services provided by cafeterias, and determine the significant factors leading to quality of services that can have great impact on satisfaction and health of students. The objective of the study is to assess quality of cafeteria services, and level of student’s satisfaction towards services provided by cafeteria in public sector medical institute of Karachi, Pakistan.

2. Materials and Methods

A cross sectional study was conducted in a public sector medical college Karachi. The study subjects included were first year to final year students of MBBS. The sample size of 318 was calculated by using frequency of student satisfaction with food consumption from cafeteria 29.6% from a study conducted in university of Malaysia (Anshul and Kumar, 2017), taking 95% confidence interval and 5% margin of error. The figure round of to 400 and by using a proportionate sample of 80 students from each class by utilizing quota sampling. A semi-structured self-administered questionnaire was used to collect information regarding cafeteria use, food consumption, frequency, waiting time, cost, ambience, attitude of cafeteria staff, and cleanliness. The informed consent was taken prior to data collection. The IRB reference number is IRB/16 dated 10-02-2022, the data were collected after IRB approval collection. The data collected were entered and analyzed by using SPPS version 21. Frequency and percentages were generated and appropriate statistical test was applied in deriving the inferences.

3. Results and Discussion

The majority (75.3%) of students reported the high cost of meals in the cafeteria as compared to the local market. The food items which were found expensive as compared to local market were snacks (p-value<0.01) and cold drinks (p-value<0.01). About 47.3% of students revealed that the cost of mineral water was high in the cafeteria as compared to the local market. Majority (90.3%) of the students liked the flavor and taste of the meal (p-value<0.004). About 79.5% were satisfied with the flavor and taste of snacks.

 

Table 1: Demographic Characteristics of Medical students.

Variables

Frequency n=400

Percentage

Age (Years)

≤ 20

≥ 20

201

199

50.3

49.7

Gender

Male

Female

139

261

34.8

65.3

Class

First year

Second year

Third year

Fourth year

Final year

170

37

12

116

65

42.5

9.3

3.0

29.0

16.3

Cafeteria used

Male

Female

Both

125

75

50

31.3

18.8

50.0

Satisfied with cafeteria services

Yes

No

184

216

46

54

 

High quality of satisfaction with meals was reported by majority of students (81.8%, p-value-<0.00). About 75.3% of students were satisfied with the quality of snacks (p-value<0.00). About two-thirds of the students were satisfied with the quality of cold drinks (p-value<0.001) and hot drinks (p-value<0.00).

ajority (84%) of the students reported that the cost of meals in the cafeteria fits in their budget (p-value<0.001). About, three quarter of the students indicated that the cost of snacks, cold drinks and hot drinks in the cafeteria fits into their budget. Most of the students (88.3%) stipulated satisfaction regarding the cleanliness of washroom (p-value<0.00) and serving area (p-value<0.00) of the cafeteria, only a small number of students were not satisfied with the cleanliness of washrooms (11.8%) and serving the area (20.3%) of the cafeteria. Majority (81.5%) students reported the seats are comfortable, and 76.5% were satisfied with the seating arrangement in the cafeteria (p-value<0.00).

Approximately, more than half of the students (57.8%) were contented with the attitude of cafeteria staff (p-value<0.001) and 42.3% were not satisfied with the staff attitude. Predominantly, students were pleased with the appearance (76%), cleanliness (80.8%) and training (73.3%) of the cafeteria staff (p-value<0.00), 24% were not happy with the appearance of the staff and 19.3% stated that the staff was not clean, and 26.8% of students reported that the cafeteria staff was not well trained.

 

Table 2: Distribution of variables showing satisfaction with cafeteria services.

Variables

Satisfied with cafeteria services

N= 184

Not satisfied with cafeteria services

N= 216

Chi square

p value

Age

≤ 20

≥20

99

85

102

114

1.72

0.18

Gender

Male

Female

75

109

64

152

5.43

0.02

Cafeteria used

Male

Female

Both

65

36

83

60

39

117

3.65

0.16

High cost in cafeteria compared to local market

Meals

Yes

No

129

55

172

44

4.83

0.02

Snacks

Yes

No

81

103

122

94

6.17

0.013

Cold drink

Yes

No

85

99

126

90

5.87

0.015

Hot drink

Yes

No

83

101

110

106

1.34

0.24

Mineral water

Yes

No

83

101

106

110

0.62

0.42

Cost of food fits in budget

Meal

Yes

No

142

42

194

22

11.81

0.001

Snack

Yes

No

128

56

172

44

5.36

0.021

Cold drink

Yes

No

123

61

176

40

15.18

0.001

Hot drink

Yes

No

111

73

169

47

15.18

0.000

 

Student satisfaction regarding waiting time for food was 75% (p-value<0.005). On the contrary 25% were dissatisfied with waiting time for food. Food price matches the quality of food according to most of the students (83.8%), 16.3% stated the quality of food was unsuitable for the price paid. Satisfaction with the availability of food in the cafeteria was significant (p-value<0.004) reported by 56.8% of students whereas 43.3% were dissatisfied with the availability of food.

 

Table 3: Distribution of variables showing satisfaction with cafeteria services.

Variables

Satisfied with cafeteria services

N= 184

Not satisfied with cafeteria services N= 216

Chi square

p value

Flavor and taste of food

Meal

Yes

No

157

204

27

12

9.38

0.00

Snack

Yes

No

140

144

178

8

2.43

0.11

Cold drink

Yes

No

104

80

138

78

2.25

0.13

Hot drink

Yes

No

121

63

150

66

0.61

0.43

Quality of food is satisfactory

Meal

Yes

No

135

49

192

24

16.04

0.000

Snack

Yes

No

127

57

174

42

7.09

0.008

Cold drink

Yes

No

102

82

146

70

6.23

0.01

Hot drink

Yes

No

107

77

153

63

7.02

0.008

Cleanliness of café

Serving

Yes

No

135

49

184

32

8.59

0.003

Seats comfortable

Yes

No

133

51

193

23

19.20

0.000

Seating arrangement

Yes

No

118

66

188

28

29.00

0.000

 

Table 4: Distribution of variables showing satisfaction with cafeteria services.

Variables

Satisfied with cafeteria services

N= 184

Not satisfied with cafeteria services

N= 216

Chi square

p value

Attitude of staff

Attitude of staff

Yes

No

93

91

138

78

7.25

0.007

Appearance of staff

Yes

No

114

70

190

26

36.84

0.000

Staff clean

Yes

No

123

61

200

16

42.366

0.000

Staff trained

Yes

No

114

70

179

37

22.17

0.000

Waiting time for food

Yes

No

126

58

174

42

7.72

0.005

Money spent per day

Yes

No

111

73

119

97

1.11

0.29

Availability of food

Yes

No

90

94

137

79

8.52

0.004

 

The student satisfaction regarding quality of cafeteria services is important because students spend majority of their time on campus and it’s their right to have quality meal at cost effective prices in conducive environment. This study is conducted to determine the student’s satisfaction for quality of food, atmosphere, and price of food which can influence student’s satisfaction towards on-campus food service. Food quality and food prices are important factors that determines the satisfaction level of customers. The quality assessment of food service cafeterias in educational institutions is an important research area that is explored in this study. The findings of this study reported that students were not satisfied with cost, attitude of staff, and availability of food in cafeteria.

The result showed that students’ satisfaction with campus cafeteria is affected by cost of the food price and value fairness which is consistent with the findings of other studies conducted on similar research area (Ha and Jang, 2010; Ha et al., 2007; Martin et al., 2007; Ahmed et al., 2019; Herrmann et al., 2007) proposed that price value must be affordable to students to make value relationships whether the price is higher or lesser in association of the food and beverage offered by the campus cafeterias. In our study students reported that cost of food and beverages are higher than local market which is not acceptable and at least the cafeteria administration should provide quality food with same price as available in local market. It is critical for campus cafeteria administrators to continue enhancing the quality of food and beverage served to the students to increase their satisfaction level. It’s important to serve an attractive menu with different food varieties at a reasonable cost to the students and served in an appropriate ambience that can provide energy that can promote their enthusiasm for dining at the cafeteria. Previous studies confirmed that food, beverage, and service quality have positive and significant relationship with consumer satisfaction in university cafeteria service which is consistent with the findings of this study which also supported the positive affiliation of food and service quality with customer satisfaction (Ha and Jang, 2010; Oliver and Swan, 1989). Another research showed that cafeteria services from university hospital needs improvement in healthcare service quality in all dimensions by paying particular attention to responsiveness and tangibility to minimize gaps in provision of quality services (Ozretic et al., 2020). The study findings strongly suggest quality improvement of the cafeteria on the identified factors like cost, availability and attitude of the staff by involving all stakeholders, university administration, students affairs and student representatives to work in mutual interest for the improvement of quality of life of the students so that they can be healthy individuals working in national interest of the society.

Conclusions and Recommendations

This study concluded that the students were not satisfied with quality of food, atmosphere, staff attitude, and cost of food which are leading to student’s dissatisfaction towards on-campus food service.

Food quality and food prices need important which determines the satisfaction level of students utilizing cafeteria services. The quality assessment of food service cafeterias in educational institution’s is an important research area that needs further exploration and needs attention.

Limitation of study

This research is limited to one university so the findings and suggestions will be applied to this university. There are several universities across the country so future researches must have included these in research sample. The large sample size increases the representativeness of research findings.

Acknowledgement

We acknowledge all the study participants for the

contribution and time for this research study.

Novelty Statement

This is an evidence-based findings or enhancing quality of healthy food provision to the students at study place where they spent most of their time. This will have great impact on their health and quality of life.

Author’s Contribution

NN, HMQ, AA, MSK, MAK: contributed to conception of research idea and execution of research. MHQ, AA, MSK, MAK: collected and analysed data and assisted in writing manuscript. NN: written and edited manuscript and supervised research.

Conflict of interest

The authors have declared no conflict of interest.

References

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Journal of Innovative Sciences

December

Vol.9, Iss.2, Pages 192-241

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