 This study found that there are significant rural-urban disparities in missed opportunities for vaccination, MOV, in Sub-Saharan Africa, with pro-rural inequality observed in 16 out of 35 countries and pro-urban inequality in 5. Household Wealth Index was the most frequently identified factor contributing to these disparities. This article was authored by Abdul-A'adamu, Al-Kana'i Ufman, Evanson Z. Sambala, and others.