Dissertation (MSc Nursing Education)Pre-school teachers are not well informed on managing pediatric injuries. The key objective of this study was to assess the effectiveness of pediatric first aid training programme on improving knowledge, attitudes, and intention to practices of managing pediatric injuries among pre-school teachers in Pemba Island. The study adopted a quasi-experimental study with one group pre-test and post-test with quantitative approach to meet the study objectives. A multistage selection of participants was employed to achieve a sample size of 120 pre-school teachers.The pre-test was conducted followed by the administration of pediatric first aid training programme for 30 minutes each session using lecture discussion and demonstration after which post-test was conducted immediately after pediatric first aid training programme. Data were analyzed by using SPSS version 20 to compute both descriptive statistics such as percentage, frequencies and chi-square and inferential statistics such as sample t-test, odd ratio and adjusted odd ratio. The findings of the current study revealed that in the pre-test, the level of knowledge was 65 (54.2%) of pre-school teachers had inadequate knowledge. In the pre-test level of attitude, among 87(72.5%) of pre-school teachers had positive attitude. Concerning intention to practices, among 74 (61.7%) had poor intention to practices at pre-test. This shows that the pre-school teachers had an inadequate knowledge, poor intention to practices but positive attitudes before intervention of pediatric first aid training programme. The findings also revealed that in the post-test level of knowledge on managing pediatric injuries, 96 (80.0%) of pre-school teachers had adequate knowledge while only 24 (20.0%) had inadequate knowledge. In the post-test level of attitude on managing pediatric injuries, 89 (74.2%) of pre-school teachers had positive attitude while 31(25.8%) had negative attitude. Also, in the post-test level of practices 102 (85.0%) of pre-school teachers had good practiceswhile 18(15.0%) had poor intention to practices.This reveals that, the pre-school teachers had adequate knowledge, positive attitude and good practices in the post-test after intervention of pediatric first aid training programme. Hence, null hypothesis was rejected and the alternative hypothesis was accepted, because the pediatric first aid training programme was effective to improve the level of knowledge, attitudes and intention to practices on managing pediatric injuries among pre-school teachers.