Knowledge and Uptake of Measles Vaccination Second Dose (MCV2) among Children under 5 in Ebonyi State, Southeastern Nigeria

Measles, a viral highly contagious infection, has posed significant threats to the lives of children globally. Introduction of Measles-Containing Vaccines has significantly reduced the burden of measles and prevented outbreaks of measles disease and averted deaths of children under 5 years old. This study aimed at examining the knowledge of health care providers of the measles-containing vaccine second dose (MCV2) in Ebonyi State, ascertain the level of uptake, explore the barriers and challenges, and propose the strategies that can be recommended to mitigate the challenges. A purposive sampling approach was employed that sought to identify specific groups of study participants who possessed the characteristics of, or lived in settings relevant to, the social phenomenon under study. Nurses, CHEWs, and other health practitioners who have in one/many way(s) rendered immunization services were included. Data collection was in the form of audio recordings of focused group discussions with study participants on the research subject using a validated interview guide. The result showed low uptake of MCV 2 across the facilities in the State, ignorance, forgetfulness and misconceptions among other factors are responsible for low uptake. Suggested ways to increase the uptake include periodic tracking and intensification of routine immunization, factoring engagement of adhoc health workers into facility business plan, and increased incentives. The study participants’ knowledge and perception of factors affecting uptake of MCV2 among under 5 children in Ebonyi State is consistent with evidence produced by other studies on the subject matter.