Publication:

Knowledge, attitudes and practices of mothers toward febrile seizures in children

Background Febrile seizures are among the most common neurological emergencies in children and are a major source of parental anxiety. This study aimed to assess mothers’ knowledge, attitudes, and practices (KAP) regarding febrile seizures in Tuléar, Madagascar.

Methods A cross-sectional KAP study was conducted in April 2023 among 400 mothers of children aged 1 to 5 years attending a primary health center and a university hospital. Data were collected using a structured questionnaire. Variables included sociodemographic characteristics, knowledge of febrile seizures, and reported attitudes and practices.

Results The mean maternal age was 34.9±9.2 years, and 70% had previous exposure to febrile seizures. The most commonly recognized clinical signs were abnormal limb movements (85.75%), fever (85.25%), and loss of consciousness (85%). However, neurovegetative signs were less frequently identified (56%). Overall knowledge was considered adequate in 60.5% of participants but remained insufficient regarding causes (74%). While 85% of mothers reported immediate healthcare seeking, first-aid management skills were limited.

Conclusions Despite relatively good recognition of clinical features and high healthcare utilization, significant gaps persist in understanding and home management of febrile seizures. Targeted health education programs adapted to the sociocultural context are essential to improve early management and reduce inappropriate practices.