KNOWLEDGE, ATTITUDE AND PRACTICE OF IMMUNIZATION OF CHILDREN UNDER FIVE AMONG MOTHERS ATTENDING ANTENATAL CLINIC IN FUTH, OWERRI, IMO STATE

Immunization remains one of the most effective public health strategies for reducing childhood morbidity and mortality, yet coverage gaps persist in Nigeria. This study assessed the knowledge, attitude, and practice of immunization among 425 mothers attending antenatal clinics at the Federal University Teaching Hospital (FUTH), Owerri, Imo State. A descriptive cross-sectional design was used. Quantitative data showed that 93.4% of mothers understood the benefits of immunization, but only 58.6% could correctly name at least three vaccines, and 51.8% knew the correct schedule. Attitudes were largely positive, with 95.8% agreeing that vaccines are beneficial and 89.2% believing they are safe, although 47.1% expressed fear of side effects. In practice, 72.5% had fully immunized their last child, while 41.8% had missed at least one appointment. Statistical analysis showed significant associations between maternal education and all KAP components (p < 0.05). The study concludes that although knowledge and attitudes are high, practical adherence to vaccination schedules remains suboptimal. Targeted education, improved ANC communication, and follow-up mechanisms are recommended.