<p>We conducted a 1:1 community-based unmatched case-control study in the North Bench District from July 10 to 30, 2024. The study included 143 cases, randomly selected from a line list of individuals with laboratory-confirmed rubella or epidemiologically linked cases, and 143 controls chosen through simple random sampling from neighborhood residents without rubella. Data were collected using the Kobo Toolbox and structured questionnaires. Variables with p-values less than 0.25 in the bivariable analysis were analyzed using multivariable logistic regression, with significance set at p &lt; 0.05.</p>