Determinants of Measles Vaccination Coverage and Preventive Practices Among Mothers Attending a Tertiary Care Hospital

Abstract

Background: Measles is a very contagious viral illness and a significant contributor to child illness and death, which can be prevented with vaccination. It persists when protection falls short of herd immunity. Uptake is affected by maternal education, socioeconomic position, and access to healthcare. In Bangladesh, disparities remain evident despite advancements, especially among rural and marginalized communities. This research seeks to evaluate factors influencing measles vaccination rates and preventive behaviors among mothers visiting a tertiary care hospital. Materials and Method: This cross-sectional research took place at Patuakhali Medical College Hospital, Bangladesh (2025–2026) with 250 mothers chosen consecutively from the OutPatient Department (OPD). Information on sociodemographic characteristics, measles vaccination history, knowledge, and practices were gathered through a standardized questionnaire with card verification when possible. Chi-square and logistic regression analyses were conducted using SPSS, and informed consent along with ethical approval was obtained. Results: Out of 250 mothers, the majority were aged 20–29 years (52.8%), resided in rural regions (61.2%), and belonged to a low socioeconomic status (49.6%). In total, 64.8% of children received complete vaccinations, 23.2% were partially vaccinated, and 12.0% did not receive any vaccinations. Knowledge was satisfactory (56.8%) and practices were fair (55.2%). Complete vaccination showed a strong connection with maternal education, living in urban areas, antenatal care, and knowledge (p<0.05), with knowledge being the most significant predictor.  Conclusion: The coverage for measles vaccination was inadequate. Maternal education, awareness, antenatal care, and practices had a significant impact on vaccination, with awareness being the most influential predictor. Enhancing maternal knowledge and healthcare utilization is crucial to boost coverage.

J Med Coll Women Hosp.2026; 22(2): 159-167