Introduction: Choking is defined as the hindrance of respiration by a foreign body rnobstruction in the internal airway, including the pharynx, hypopharynx, and trachea. It is arnleading cause of morbidity and mortality in the pediatric population with preschool children atrnthe greatest risk. Young children are at increased risk because of their tendency to put objectsrnin their mouth, immature dentition, inability to adequately chew their food, poor coordinationrnof swallowing, and smaller airway. Lack of kindergarten teacherâ€™s knowledge and skills towardrnchoking first aid may led to serious health consequences. rnObjectives: The objective of this study was to assess knowledge, attitude and practice towardsrnfirst aid management of choking among kindergarten teachers in Addis Ababa governmentalrnschools, Addis Ababa, Ethiopia.2019. rnMethods and material: Institutional based cross-sectional study design was applied to thernstudy area, pretested structured self-administered questionnaires was used for data collection. rnResult: None of the study participant answered all questions correctly; only 83(37.05%)rnscored mean and above for knowledge questions on choking first aid. rnAmong all participant 97 (43.3%) had faced the choked child in the school compound and onlyrn42 (43.2%) of them had provided choking first aid to the victim. rnMajority of the respondent agree that choking need immediate management and most of thernstudy participant had positive attitude towards choking first aid. rnMultiple logistic regression analysis showed Kindergarten teachers with the previous first aidrntraining were 2.902 times more knowledgeable than those kindergarten teachers withoutrnprevious first aid training (AOR: 2.902, 95% CI: 1.612, 5.227).rnConclusion and recommendation: The level of choking first-aid knowledge and skills amongrnkindergarten teachers in Bole, Gulele and kirkos subcities in Addis Ababa was low. There isrnan urgent need to train teachers regarding choking first aid management.