<p><strong>Results: </strong>Of the 401 participants (95% response rate), the average maternal age was 27.42 years. MCV2 coverage was 66% (95% CI [61%, 71%]), while MCV1 coverage was 100%. Major barriers to MCV2 uptake included lack of awareness of the need for a second dose (60%), insufficient knowledge (27%), and fear of side effects (5%). Higher MCV2 rates were associated with maternal education (primary AOR = 1.892; secondary AOR = 8.966; higher education AOR = 6.504), awareness of vaccine-preventable diseases (AOR = 1.613), and knowledge of the requirement for two doses (AOR = 1.807). Additionally, 27.2% of families had to walk more than 30 minutes to reach a health facility, and over 16% experienced waiting times exceeding 30 minutes.</p>