Barriers And Enablers of Immunization Uptake in Isolated and Displaced Areas: Findings on Measles Coverage Gaps and Maternal Trust in Health Services

Abstract

Immunization is a highly effective public health intervention, preventing the spread of infectious diseases and reducing child mortality. This study examines the factors influencing children's immunization rates in the Municipality of Godod for the year 2024 and beyond. It investigates how demographic and socioeconomic variables, healthcare accessibility, awareness campaigns, government policies, and healthcare infrastructure affect children’s immunization rate and overall health outcomes. A quantitative descriptive-correlational design was employed, with 60 respondents. Data were analyzed using frequency and percentage, weighted mean, and the Kruskal-Wallis Test for meaningful comparisons. The study revealed that, while overall immunization coverage is relatively high, gaps persist in MCV₁ and MCV₂ vaccination. Mothers demonstrated strong awareness and trust in healthcare providers, but challenges remain in accessing immunization services, particularly in rural and geographically isolated areas. Key factors influencing immunization rates included healthcare accessibility, community engagement through awareness campaigns, healthcare infrastructure, and government programs targeting child health. Socioeconomic factors such as marital status, education, and financial stability also had a significant impact on vaccination uptake and completion. Conversely, religion, ethnicity, and family size showed no statistically significant impact. However, the need for culturally sensitive and respectful communication remains vital in fostering trust and engagement with healthcare services. These findings emphasize the importance of strengthening health outreach initiatives, enhancing health education, and investing in healthcare infrastructure to ensure equitable vaccine access. Expanding government-supported immunization programs and improving service delivery, especially in underserved communities, will be essential to achieving complete and sustained immunization coverage for all children in the municipality.