Abstract: Globally, 535 000 children died of measles in 2000. By 2010, there was a global push to improve vaccine coverage which resulted in a 74% reduction in deaths. These efforts contributed to 23% of the overall decline in under-five deaths between 1990 and 2008. However, in several countries in African, measles is still a major public health problem. Rubella remains a threat to pregnant women and their fetus, with more than 100 000 children born each year with congenital rubella syndrome (CRS). (World Health Organization 2012).Kenya in May 2016, introduced Measles-Rubella (MR) combined vaccine in its nationwide supplementary immunization activities (SIA) campaign. However, since its introduction, the coverage has been very low especially in urban areas.(SAGE,2016.