The aim of study to evaluate the factor affecting underutalization of childhood vaccination immunization among childern below two years of age.

Childhood vaccination has proven to be one of the most effective public health strategies to control and prevent disease.1-5 In an effort to reduce childhood morbidity and mortality, the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) issues annual recommendations and guidelines for childhood and adolescent immunizations.2,6-8 However, some parents decline or delay vaccinating their children or follow alternative immunization schedules because of medical, religious, philosophical, or socioeconomic reasons.2,3,4,5,7,9-12Health care provider-based interventions have been suggested to overcome such vaccine noncompliance, including patient counseling; improving access to vaccinations; maximizing patient office visits; offering combination vaccines; and using electronic medical records (EMRs) and practice alerts.2,3,4,7,10,11 Community- and government-based interventions to improve parent and patient adherence include public education and reminder/recall strategies, financial incentives, and providing alternative venues for vaccination.2,7.

Inclusion Criteria:

• All childern in first two years of life who admmitted in hospital or out patient clinic.

Exclusion Criteria:

• : Immunodeficiency (e.g chemotherapy,long term immuno suppressive therapy, hematologic tumor).

childern below two years