Abstract:

Despite the availability of reliable and affordable measles vaccines, Nigeria is still experiencing low vaccination coverage, resulting in high cases of measles and related complication. This study assessed the determinants of caregivers’ knowledge and attitude towards measles and MCV2 in Adamawa State, Nigeria. A three-arm, parallel randomized control trial was conducted in four health facilities sampled through three-stage multistage sampling technique in Adamawa State. Semi-structured interviewer-administered questionnaire was administered to 351enrolled caregivers. Mean age of caregivers was 30.7 (SD±6.7); 212 (60.39%) of caregivers had good knowledge of measles and MCV2 and 265 (75.5%) had high level of positive attitude toward measles and MCV2. Major factors statistically associated with good knowledge of measles and MCV2 among caregivers include: age (X²=27.1, p-value=<0.001) marital status (X²=37.0, p-value=<0.001) and Family size (X²=15.1, p-value=<0.001). Factors statistically associated with positive attitude of mothers towards MCV2 include: marital status (X²=49.0, p-value=<0.001), religion (X²=73.3.0, p-value=<0.001) and occupation of caregiver (X²=11.1, p-value=<0.049) and factors associated with practice of timeliness towards MCV2 uptake were marital status, place of residence, and the age group of caregivers. Several factors influence caregivers' knowledge and attitude towards MCV2. Therefore, the Adamawa State government should implement measures to enhance measles vaccination coverage by increasing awareness of MCV2 through monitoring and addressing knowledge gaps on MCV2.

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