Objective: This cross-sectional study investigated parents' knowledge, perceptions, and practices regarding otitis media and middle ear infections in children under 5. The study assessed parental understanding of otitis media, its symptoms, prevention strategies, causes, and consequences. It also examined parental knowledge of middle ear infection symptoms and perceptions of breastfeeding position's importance. Attitudes, care-seeking practices, and experiences with health facility services were explored. Results: The study found a concerning lack of parental knowledge about otitis media, including symptoms, prevention, causes, and consequences. Participants demonstrated poor knowledge, indicating the need for targeted education and awareness campaigns. Limited awareness of specific symptoms like hearing loss and ear discharge associated with middle ear infections was observed. Improving parental understanding of these symptoms is crucial for early detection and intervention.The study emphasized the importance of accurate information and education about otitis media causes, dispelling misconceptions, promoting preventive measures, and providing appropriate management strategies. Public health initiatives should raise awareness, deliver accurate information, and address misconceptions. Regarding breastfeeding position, the study revealed varied parental perceptions, requiring further education and clarification. While many participants displayed positive attitudes towards seeking treatment, negative practices like selfmedication or reliance on traditional healers were observed. Promoting positive attitudes and discouraging hindrances to proper treatment are essential. Most participants reported thorough examinations using specialized ENT equipment at health facilities. However, a small percentage reported inadequate referrals or ineffective treatment, emphasizing the need for comprehensive care for children with ear infections. Conclusion: This study emphasizes the need for increased education, awareness campaigns, and accurate information for parents regarding otitis media, symptoms, prevention, causes, consequences, and breastfeeding position. Enhancing parental knowledge and care-seeking practices can reduce the burden of ear infections, improve health outcomes, and provide effective management. Improving the quality of health facility services is crucial for comprehensive ear infection care