Immunisation remains one of the most important public health interventions and a cost effective strategy to reduce both the morbidity and mortality associated with infectious diseases. Over two million deaths are delayed through Immunisation each year worldwide. Despite this, Vaccine preventable diseases remain the most common cause of childhood mortality with an estimated three million deaths each year. Uptake of vaccination services is dependent not only provision of these services but also on other factors including knowledge and attitude of mothers, density of health workers, accessibility to vaccine clinics and availability of safe needles and syringes. Assessing Immunisation coverage helps to evaluate progress in achieving programme objectives and in improving service delivery. With this perspective the above survey was conducted for assessing vaccination coverage for childhood vaccines and maternal factors impacting coverage in a Rural and urban communities of Bellary, Karnataka.