<p>A cross-sectional study was conducted, using quantitative and qualitative methods from December 2019 to August 2020. We performed a two-stage cluster sampling and interviewed caregivers of 400 children aged 24-59 months in the community, using a structured questionnaire. In-depth interviews were conducted among health staff to assess health system factors influencing MVC. We estimated MVC and performed regression analyses to determine significant associations at p&lt;0.05. Qualitative data was analyzed thematically and triangulated.</p>