Vaccination coverage is low in Congo (< 95%) with analysis of Nkayi vaccination reports showing low coverage of Penta 1(64.34%) Penta 3(54.65%) and RR1(54.49%) for a dropout rate >10% classified as category 4. The aim was to study the factors associated with low vaccination coverage of children aged 0-18 months in the Nkayi health district in 2023. We conducted a cross-sectional analytical study of children aged 0-18 months attending vaccination services in Nkayi. It was carried out from September 25 to October 24 2023 and included information on socio-demographic profile knowledge of vaccination children's vaccination status and reasons for non-vaccination. A total of 469 mothers participated in the study. Frequencies and proportions for qualitative and quantitative variables were calculated. The average age of the mothers was 26 67.4% were living with a partner and 56.5% had a secondary education; 96.6% of the mothers had a good knowledge of vaccination and 35% of the children were not or insufficiently vaccinated.
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