Immunization coverage in Bida Emirate Area (BEA) is still very low in spite of the huge financial
resources expended in Nigeria.This however, raises concerns as to what could be responsible. This study aimed
at assessing the effects of mothers’ knowledge, attitude and practice (KAP) on immunization coverage in the
rural communities of BEA of Niger state. Chi square was used to determine the effect of KAP and multiple
logistic analyses was used to determine the likelihood effects of these factors on immunization status.The full
immunization (FI) coverage was 27.81%. The study revealed that the percentage of those who had considerable
knowledge of: number of times OPVs are given, the age of the child at which MCV is given and BCG
preventable symptoms were significantly higher for those who have their children completely immunized. The
low literacy level in these rural communities may be responsible for the very low KAP of mothers recorded,
which also may have contributed to the very low immunization status. We recommended among others that girl
child education is given more priority over early marriage in this area as well as increased rural community
mobilisation and participation for both men and women in immunization services.