Mass Sensitization and Uptake of Measles–Rubella Vaccination in Rural Communities: A Study of Atta, Ikeduru Local Government Area, Imo State, Nigeria

Abstract

This study examines mass sensitization and uptake of the Measles–Rubella (MR) vaccine in Atta community, Ikeduru Local Government Area of Imo State, Nigeria. A descriptive survey design was used to engage four hundred antenatal and postnatal mothers attending Ntu Atta Primary Health Care Centre and Atta Health Centre, Ogada. Guided by the Health Belief Model, data were analysed using frequencies and percentages. Findings show that although 51% of respondents had heard of the MR vaccine, awareness was driven by health centres (32%) and churches (24%), with minimal contribution from broadcast media. Uptake remained moderate: 54% had vaccinated their children, 29% had not, and 17% were undecided. Despite awareness, many caregivers demonstrated limited understanding of the vaccine’s importance in preventing complications such as pneumonia, encephalitis, and long‑term cognitive impairment. Hygiene practices were also poor, with 46% relying on unventilated pit toilets, 41% unaware of the need for handwashing after toileting, and 36% not washing hands before preparing baby food. These findings highlight the need for intensified, community‑based public health education to improve knowledge of measles transmission, strengthen preventive behaviours, and enhance MR vaccination uptake in rural communities.