Barriers Related to the Follow-up of the Vaccinal Schedule for the 2nd Dose of The Measles and Rubes Vaccine in The Bafia Health District

Introduction: Compliance with measles-rubella (MR) vaccine completeness is a performance indicator for the immunisation service and helps to protect children. The aim of the study was to determine the factors influencing behavioural change linked to achieving MR2 vaccination coverage in the Bafia health district. Materials and Methods: This quantitative research conducted in the Bafia health district in May-June 2024 assessed the knowledge, attitudes, practices and perceptions of 51 mothers of children aged between 15 months and 2 years in the community. Results: 45% of mothers declared that their children had not received the 2nd dose of MR and 45% were not familiar with the vaccination schedule. The factor significantly associated with non-compliance with the vaccination schedule was accurate knowledge of the vaccination schedule (Chisquare =34.412; P-value-0.00). 69% of mothers were partially satisfied with vaccination services and 33% felt that the vaccination site was too far away. The barriers identified were knowledge, access to information and financial resources at individual, family, community and institutional levels respectively. Conclusion: In order to improve measles vaccination coverage in the Bafia health district, our suggestions focused on: training/raising awareness among mothers; organisation of advanced vaccination strategies, community involvement and nudge.