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Background: Low vaccination rates, especially in rural regions, and vaccine hesitancy are serious problems for public health. The goal of this study is to determine whether the BeSD (Behavioral Support for Vaccination) tool has a positive impact on parents who live in rural areas near Visakhapatnam who choose to vaccinate their children. The BeSD tool is made to help people make educated decisions about immunizing their children and to alleviate vaccination hesitancy. Methods: To assess the effect of the BeSD tool on immunization uptake, a quantitative research technique was used. Using a standardized questionnaire, a sample of 374 parents from rural areas near Visakhapatnam were questioned. The survey had parts on vaccination uptake, risk factors for vaccine hesitancy, and the use and efficacy of the BeSD tool. A statistical analysis of the data was done using the right techniques. Results: According to this study's findings, 64.17% of the parents who participated in the survey said their children had received all recommended vaccinations, 23.00% said their children had received some vaccinations, and 12.83% said they had not. Lack of knowledge (32.09%), safety worries (20.86%), and a lack of faith in vaccines (17.38%) were all factors in vaccine hesitation. The BeSD tool's use led to a 64.17% vaccine uptake among the intervention group. Conclusion: The findings of this study show that the BeSD tool has the potential to increase vaccination rates among parents who live in rural areas close to Visakhapatnam. The BeSD tool can assist increase immunization rates and contribute to better public health outcomes by addressing vaccine reluctance through focused interventions, such as offering information and support. The results highlight the significance of specialized approaches to overcoming vaccine reluctance in rural communities. [ABSTRACT FROM AUTHOR]