Farmers' knowledge and farm management practices can potentially help to mitigate the prevalence and severity of chicken coccidiosis, a devastating protozoan disease. Here, we assessed the farmers' perception and on-farm practices of coccidiosis management in small-scale broiler farms at Gazipur district, Bangladesh. A semi-structured questionnaire was used to obtain data from the randomly selected 119 small-scale broiler producers followed by detection of coccidiosis cases through gross and microscopic examination of 58 broilers. Overall bird-level prevalence of coccidiosis was 34.48% in this study. Survey data revealed that most of the farmers maintained all-in-all-out strategy (68.91%), good quality chicks (73.11%) and floor system rearing (96.63%) in their farms, and a mixture of old and new litter was used as bedding in all the study farms. Interval between flocks in 57.99% of farms was 8 to 14 days. Prevalence of coccidiosis was recorded in all surveyed farms, even though routine anticoccidial treatment. At the age of 15 to 18 days of broiler, 68.07% of farmers used chemoprophylaxis. Usage of amprolium was the highest (74.78%) followed by toltrazuril (55.46%), sulphaquinoxaline (23.52%), sulphaclozine (28.57%), sulphadimidine (24.36%) and sulphadimethoxine (24.36%). Traditional herbal medicines like extracts of bollygum (Litsea glutinosa), sal (Shorea robusta) and arjuna (Terminalia arjuna) bark and leaves were also in-use by 4.20% farmers during coccidiosis outbreak. In conclusions, this study explored the field scenario of coccidiosis, relevant farmers' knowledge and practices, and recommends the judicious use of drugs for safe broiler production.