Abstract: Food and waterborne diseases such as cholera are a major public health problem in African cities. Residents of secondary cities are often more at risk due to relatively low capacity for municipalities to provide hygiene infrastructure and to enforce food safety regulations. This study aimed to explore underlying factors that are associated with hygienic practices among food traders in Mzuzu, Malawi and Dschang, Cameroon. A multistage cross-sectional study design was conducted to sample 497 food traders in Mzuzu and 848 traders in Dschang. A questionnaire was administered to obtain data related to food safety practices and resources, knowledge and sociodemographic characteristics of participants. Problems revealed by the survey included a lack of the following: knowledge about food safety regulations; toilet and hand washing facilities; waste bins and health inspections. The study suggests poor compliance of food hygiene practices among food traders. It highlights the lack of adequate action by the municipal government in educating food traders and enforcing food safety regulations.
Keywords: Food safety; Public Health; Urban food systems; urban planning; Cameroon; Malawi