This qualitative analysis describes parents’ decision-making process and the factors influencing decisions regarding children’s participation in the MeNZB™ immunisation programme. Semi-structured interviews were conducted with 21 parents, 10 of whom had consented to immunisation, 10 who had not, and 1 who chose to immunise only 1 of their 2 children. Despite different outcomes, the parents were influenced by similar factors and they followed similar decision-making processes consisting of four non-linear phases; a gut reaction, a trigger, reconnaissance, and risk analysis. Most parents expressed a degree of uncertainty about their decision. “Parents’ generally negative view of official information provided in the MeNZB immunisation programme suggest that communication strategies may require rethinking for future programmes”, conclude the authors.