Background:Fever without focus (FWF) in children aged 1 month to 12 years presents a diagnostic and therapeutic challenge. This study aims to determine its prevalence, associated morbidities, and influencing sociocultural factors.Methods:A cross-sectional observational study was conducted at a tertiary care center with 300 children presenting with FWF. Stratified random sampling ensured representation across four age groups. Clinical, laboratory, and sociocultural data were collected using structured protocols.Results:Key findings included age-specific etiologies, healthcare-seeking behaviors, and antibiotic usage. Diagnostic protocols and sociocultural influences significantly impacted management outcomes.Conclusion:FWF management in children requires a multifaceted approach incorporating clinical, laboratory, and sociocultural dimensions. The study highlights gaps in current practices and provides insights for improved diagnostic and therapeutic strategies.