KNOWLEDGE ATTITUDES AND PRACTICES REGARDING CHILDHOOD IMMUNIZATION AMONG CAREGIVERS IN SELECTED COMMUNITIES OF UTURU.

This study examined the knowledge, attitudes, and practices regarding childhood immunization among caregivers in selected communities of Uturu, Abia State, Nigeria. Childhood immunization remains one of the most effective public health strategies for reducing morbidity and mortality from vaccinepreventable diseases, yet gaps in immunization uptake persist in many rural and semi-urban settings. A descriptive cross-sectional design was employed, and data were collected from 186 caregivers using a structured, validated questionnaire. Analysis revealed that 77% of caregivers possessed adequate knowledge of childhood immunization, while 78% demonstrated positive attitudes toward vaccination. However, only 61% exhibited good immunization practices, including timely clinic attendance and completion of immunization schedules. Major barriers identified included fear of side effects, long distances to health facilities, lack of transportation, forgetfulness, and occasional vaccine shortages. Hypothesis testing showed significant relationships between caregivers’ knowledge and immunization practices, attitudes and willingness to immunize, and healthcare service availability and immunization uptake. The study concludes that although knowledge and attitudes toward immunization are generally high, gaps in actual practices remain due to structural and socio-economic constraints. It recommends enhanced community education, improved access to immunization services, proactive follow-up for missed appointments, and interventions to address misconceptions and logistical challenges. These findings provide valuable insights for nursing practice, public health planning, and policy formulation aimed at improving childhood immunization coverage in Uturu and similar contexts.