Socio-demographic characteristics of children.

Malaria vaccination using RTS,S/AS01 was introduced as part of Cameroon’s EPI to prevent malaria morbidity and mortality among children aged 6–24 months. This study aims to assess the coverage, completeness, and timeliness of this vaccine and to explore parental perceptions of children’s access to vaccination. This was a community-based, descriptive cross-sectional study targeting children aged 6–24 months and caregivers, selected by stratified random cluster sampling in Foumbot and Foumban health districts. Data were collected from caregivers by trained and supervised enumerators using a pretested questionnaire administered face-to-face. Malaria vaccine coverage, completeness, and timeliness were estimated with 95% confidence intervals. The contribution of caregivers’ perception on the first dose malaria vaccination status was explored by estimating crude odds ratio (cOR) and adjusted odds ratio (aOR) estimated from mixed-effects logistic regression. Of the 55 targeted and reached clusters, 399 children were included in this study. Vaccination coverage of first, second, and third doses of the malaria vaccine was 31.20% (95%CI 30.38 - 32.02), 22.61% (95%CI 21.85 - 23.37), and 17.70% (95%CI 16.88 - 18.52), respectively. Among the children who received the first dose, 56.49% (95%CI 44.61 - 68.37) completed the 3-dose schedule. The timeliness of the three administered doses was between 50–57%. In multivariate analysis, parental perception remained significantly associated with dose 1 malaria administration (aOR 15.54 (95%CI 12.63 - 19.10) p