Childhood immunization is a cornerstone of public health, yet coverage remains suboptimal in low-income settings. This cross-sectional study explored the association between maternal education and immunization coverage in children aged 12–36 months in three low-income regions. Data were collected from 2,500 mother-child pairs using structured interviews and vaccination records. Findings revealed that children of mothers with secondary or higher education had significantly higher full immunization coverage (OR = 2.5, 95% CI: 1.9–3.3) compared to children of mothers with primary or no education. Barriers to immunization included lack of awareness, limited access to healthcare facilities, and sociocultural factors. The study underscores the importance of maternal education as a determinant of child health and recommends targeted educational interventions to improve vaccination rates in underserved communities.

Keywords:
Child immunization, maternal education, vaccination coverage, low-income settings, public health