Background: Febrile seizure is “a seizure in association with a febrile illness in the absence of a central nervous system infection or acute electrolyte imbalance in children older than 1 month of age without prior febrile seizure” Febrile seizure refers to the seizure associated with fever but excluding those related to CNS infections. It is the commonest cause of seizure in early childhood. It is related to abrupt increase in body temperature rather than degree of temperature rise. A relatively high prevalence of this disease due to the simultaneous combination of two major phenomena at a time, i.e. fever and seizure in children, cause severe anxiety in their parents so that sometimes they announced that their children are dying. Methods: In this study Pre-experimental (one group pre-test and post-test) research design was used and study was conducted in Karyuth, Kulath and Haloni Pul villages of District Sirmour, H.P. A total of 30 mothers of under five children were selected by convenience sampling technique. Results: Data analysis was done by descriptive and inferential statistics. Findings of the study reveals that the mean ± SD of post-test mean ± score (17.90±1.561) which was higher than the knowledge pre-test mean± SD (6.10±1.626) Thus, the improvements mean score is 11.8. There was significant difference between pre-test and post-test knowledge score with the ‘t’ value is 25.330 found to be significant at level of p<0.001. Conclusion: The results of the study suggest that mothers have inadequate knowledge and health education programme improved and updated the knowledge of the mothers to manage the febrile seizure conditions.