Introduction: Stroke is a major cause of death and long-term disability worldwide, necessitating prompt recognition of symptoms and immediate medical intervention to minimize brain damage and improve outcomes. Public awareness and knowledge about stroke symptoms and prevention tactics are crucial in reducing its incidence and impact. Shimla, the capital of Himachal Pradesh, presents a unique demographic mix of urban and rural populations, providing a comprehensive perspective on community health literacy.

Objectives: The primary objective of this study was to gauge awareness and knowledge about stroke among the general public in District Shimla. By identifying gaps in awareness and common misconceptions, this research aimed to support the development of targeted educational programs and public health initiatives.

Methodology: A descriptive, cross-sectional survey was conducted between January 2024 and May 2024 in District Shimla. The study targeted adults aged 18 and above who had resided in the district for at least 12 months. A sample size of 400 adults was determined using a 95% confidence level and an estimated knowledge level of 50%. Data was collected using a Google Form questionnaire circulated via email and social media. The data was analyzed using Epi Info V7 Software.

Results: The study revealed that 80.5% of participants were knowledgeable about stroke symptoms, and 73% were aware of stroke risk factors. Understanding the importance of immediate medical help was noted in 77.8% of participants, and 70.5% were aware of lifestyle changes to prevent stroke. Overall, 26% of participants demonstrated very good knowledge, while 36.8% had good knowledge, 24.3% had fair knowledge, and 13% had poor knowledge. Notable gaps were found in the understanding of the difference between ischemic and hemorrhagic strokes (60.5%), signs of transient ischemic attacks (57%), and the role of medication adherence (62%).

Conclusion: While a significant portion of Shimla's residents are aware of stroke symptoms and prevention tactics, critical knowledge gaps remain. Continuous public education and targeted interventions are necessary to bridge these gaps, improve health outcomes, and reduce the incidence and severity of strokes. The findings provide a foundation for developing effective health promotion strategies tailored to the specific needs of Shimla's population.

Keywords: Stroke awareness, Stroke prevention, Public health, Health literacy, Shimla, Himachal Pradesh, Community health education, Stroke risk factors, Immediate medical intervention, Stroke symptoms recognition.