Aims and Objectives:Assess the immunization status of children age group between 12-23 months from Kamrup Metro district. To identify and explore the factors affecting immunization status in children of Kamrup Metro and reasons for drop out from vaccinations. Design:It is hospital based study conducted in OPD, Guwahati medical college &hospital, Guwahati for 1year from 1 st June 2012 to 31 st May 2013. Participants:Children between 12-23 months of age belonging to Kamrup Metro district of

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... who do not have immunosuppressive diseases & not on steroids are included in the study. Results:64.17% of children were fully immunized, 30.12% and 5.70% were partially and unimmunized respectively.BCG has maximum coverage (93.93%) & minimum for measles (64.88%). Hindus were better immunized 70.18% compared to other religions. Parenteral age and education also significantly proportional to immunization status. Immunization increases with increase in socioeconomic status (91.66% for class 1). Increase in birth order decreases chances of immunization. Practices like hospital deliveries and health care workers visits promote vaccination. Reasons for dropout were sickness, fear of side effects and family problems. Conclusion:Immunization coverage for children is still lagging behind significantly mainly because of social and economic reasons. Literacy has positive effect on immunization. Hence there is a lot of scope of improvement by spreading awareness and improving the living standards and providing better healthcare facilities which will in turn lead to complete immunization coverage and safe childhood.