Navigating COVID-19 Challenges through the Maternal and Child Health, and the Paternity Projects

The onset of COVID-19 greatly affected individuals and families globally, nationally, and locally, especially their standards of living. The situation in Bamenda, North West Region of Cameroon became worse as the population is surviving an ongoing civil war which started in 2016. Many people lost their jobs to COVID-19 prevention measures, and others experienced a massive decrease in working upon the one-day per week ghost towns stipulated by the separatist moving fighting for the autonomy of the Anglophone region in Cameroon. This handicapped their ability to feed and acquire some basic commodities. This was the case of a good number of the Paternity Project beneficiaries, most of whom were of the informal sector and rely primarily on their day-to-day earnings.  

The paternity project has benefited 260 couples through the provision of life-saving maternal, newborn and child health education and long-term follow-up. The project mostly targets the husbands/boyfriends of pregnant adolescents and women whose pregnancy and birthing experience could be improved by simple compassion and care from these men. The beneficiaries are comprised of persons of different ages, professions, and living standards, including bike-riders, taxi-drivers, teachers, builders, students, hairdressers, seamstresses, uniform officers, businessmen/women, shoemakers, etc.

The COVID-19 Response grant of $3000, generously donated to CASD by the Global Force for Healing, provided:

  • Food and nutritional supplementation for 116 pregnant women, breastfeeding mothers, and newborns (where exclusive breastfeeding is not feasible).
  • Nutritional supplementation and psychosocial support for 35 adolescent girls living with HIV contracted at birth. 
  • 1000 locally made cotton/polythene face masks to pregnant women, breastfeeding mothers, adolescents living with HIV and members of their households.
  • Communication, transportation, and meals expenses incurred by Julie Shu, the community health worker in charge of the project
Based on the available resources, it was necessary to identify the beneficiaries most in need to provide the available support. The identification process was done by the Paternity Project staff who had been in direct contact with all the beneficiaries. Through mobile phone calls and home visits, she was able to confirm those who were most in need and their specific needs for either the mother or baby. Their needs were as varied as they were, amongst which were baby diapers, formula milk, detergents, vegetable oil, soya beans, baby body lotion, baby bathing soap, mineral water, wipes, antiseptics (Dettol), face masks, etc. Besides the pregnant women and their families, the funds also provided emergency nutritional supplementation and psychosocial support for 35 adolescent girls living with HIV contracted at birth.  This class of beneficiaries was identified through the Girls Choice Program also implemented by CASD. The program conducted over 26,000 free HIV screenings for adolescents in Cameroon between 2016-2020. With live-saving antiretroviral treatments, these children survived pediatric HIV and are now entering adolescence with many neglected needs. CASD has been helping them with the much-needed psychosocial support and systematic disclosure of status. With the sudden arrival of COVID-19, their families were also affected, and their needs spanned to nutritional supplements.

The distribution exercise was done individually and in groups. Group meetings were encouraged for those living closer to the CASD office in Bamenda.  As the families gathered, small symposiums were organized to enable them to interact, share best practices, and receive lectures on COVID-19. Topics treated include the impact of being a parent/would-be parent. Participants all shared their experiences; some reported being more responsible with regard to their financial expenditures given taking care of the newborn requires finances, and some explained they were busier than before as giving the pregnancy/baby the needed attention and catering to their needs was very time consuming, some men affirmed they were now more committed to their relationships, while some mothers/would-be mothers were concerned about their change in size (weight gain), others talked about missing employment opportunities due to their pregnancies and COVID-19. They all however rejoiced at being parents/would-be parents.

The participants were enlightened on the fact that as parents/would-be parents, their lives will never be the same, and the need to invest in children and family planning. Ideas were shared on the topic “Women as catalysts of happy homes/families” with some of the best practices recorded being respect, forgiveness, cleanliness, and avoidance of nagging, among others. Lastly was a brief education on COVID-19, followed by questions and answers, distribution of the gifts, and taking of photographs. 

A total of 33 beneficiaries attended the group sessions, and 83 attended the one-to-one sessions. They all greatly appreciated the gifts and much more the maternal and child health education and follow-up they had received. They also acknowledged how useful the knowledge gained was and continues to be. The men who accompanied their spouses also celebrate the paradigm shift in their approach to pregnancies and building prosperous homes.

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