knowledge and attitudes.

Background: Developmental milestones mark a child’s progress in physical,cognitive , language and social abilities, typically achieved within specific age ranges. Delayed developmental milestones (DDM), affecting 8 -12% of children aged 0-5 in Nigeria can stem from birth complications, genetic disorders, neurological conditions, poor nutrition and environmental factors. Physiotherapy is crucial for early intervention, improving motor functions and quality of life in children with DDM, such as cerebral palsy. Caregiver’s knowledge and attitude significantly influence the success of physiotherapy, yet in Nigeria, cultural beliefs, limited information and financial constraints often hinder it’s utilization. Aim: This study was done to assess the level of knowledge and attitudes of caregivers towards physiotherapy for children with delayed developmental milestones in University of Benin Teaching Hospital. Method: A descriptive cross sectional study was conducted, recruiting 94 caregivers of children with DDM at University of Benin Teaching Hospital. Participants were selected using a purposive sampling technique. Data were collected through a self administered questionnaire comprising socio-demographic questionnaire and a self developed questionnaire based on Knowledge, Attitudes and Practice (KAP) model assessing knowledge and attitudes towards physiotherapy. Analysis involved descriptive statistics and chi-square tests, with a significance level set at 0.05. Results: Sixty one (64.9%) of caregivers had good knowledge of physiotherapy, though gaps existed in understanding the causes and goals. A total of ninety one (97.9%) displayed positive attitudes towards physiotherapy. Educational level was significantly associated with knowledge (p < 0.001). Major barriers to participation included financial limitations, transportation difficulties , lack of understanding and work schedule conflict. Conclusion: Caregivers possess good knowledge and positive attitudes towards physiotherapy, with educational level influencing knowledge. However, financial and transportation difficulties hinder its utilization, suggesting the need for targeted education and support programs to enhance treatment outcomes