Coronavirus-19 (Covid-19) Knowledge, and the Influence on Infants and Young Children Feeding Behaviors and Practices in the Mifi Health District, West Cameroon: Qualitative Study

Introduction: COVID-19 presents immediate and long-term nutritional challenges. Improving infant and young children feeding (IYCF) at the community level is a key priority for optimizing the survival, growth, and development of children. The study assessed the influence of the Covid-19 pandemic on the feeding behaviors and practices of children under five in households of the Mifi Health District. Methods: This qualitative study used the non-random sampling technique; data was collected during focus groups (FG) among mothers & fathers, face-to-face individual interviews with Key informants (KI), and In-depth interviews (ID), and document review. Discussions were transcribed verbatim and repeated data was deleted. A thematic analysis was carried out. Results: Forty-five participants (76% Female; 24% male), 03 FG, and 30 face-to-face individual interviews were conducted (15 KI; 15 ID). Demographically, 82.2% were Christians; 11.1% Muslims and 6.7% traditionalists. Mothers knew that it’s necessary to exclusively breastfeed children up to six months and incorporate complementary foods beyond six months even during COVID19. They however believe that breastfeeding in public places exposes babies to COVID19; complementary foods from markets are a potential source of infection and an infected mother should not breastfeed. Participants mentioned a reduction in the consumption of meat and fruit in households. The spread of rumors led to increased demand for foodstuff. Mothers reported the need to wash their hands and wear face masks before breastfeeding. Equally, a decrease in attendance of vaccination services was noted. Conclusion: Creating breastfeeding rooms in public places and an intensive sensitization on nutrition in the COVID19 context can improve IYCF. Keywords: Infant and young child feeding; Health crisis; COVID-19; Cameroon, Knowledge attitudes practices