Aim : Infant walkers are widely used in Singapore despite reports of injuries associated with their use. This study of 445 principal caregivers at two primary care polyclinics aimed to determine their knowledge and practice of use of walkers for their children/wards. Methods : This was a prospective descriptive study, carried out in two polyclinics in Singapore. Care‐givers of children brought to the clinic at 4–6 months age for routine immunizations were recruited. A questionnaire was administered which had been previously piloted. A follow up survey was conducted at the next immunization session. Results : The study found 66.7% of young infants caregivers were unaware of walker related injury and only 37.5% of them were aware of alternatives to walkers. In addition, 48.3% thought that the walker helped the child to walk faster than the normal age of child development, although current evidence suggested that a walker could delay the walking milestone. The study also found 20.1% of caregivers who plan or have already started their child/ward on a walker would take precautions. Conclusions : Factors that seemed to influence caregivers use of walkers include parental education, total household income, housing type, walker availability and the perception that walkers promote walking. Awareness of walker‐related hazards, alternatives to walkers, and the total number of children in the household did not have a significant impact on the caregivers’ decision to use the walker. There were 24 self‐reported cases of walker‐related injuries representing 7.7% (n = 311). The main types of injuries included toppling over flat ground (5.5%) and falling over stairs/steps (1.9%). 2003 Blackwell Publishing Asia and Wonca