A cross-sectional study design using questionnaire survey and coprological examination was carried out between December 2021and August 2022on small ruminant lung worm infection in Hulet Ejjue Enesie and Bibugne Districts of East Gojjam Zone, Northwest Ethiopia. The objectives of the study were to; i)determine the prevalence and species composition of small ruminant lung worm infection, ii) identify the associated putative risk factors affecting the prevalence of lung worm infection and, iii) explore small ruminant management and lung worm control practices in the study areas. A multistage stratified sampling technique was used to sample study Districts and the respective small ruminant producers and animals. Accordingly, a total of 384 small ruminants from 100 farmers were sampled. Fecal samples were randomly collected directly from the rectum of individual animal and examined for the presence of lung worm infections using modified Berman technique. The overall prevalence of lung worm infection in small ruminants in the study areas was 20.5% (79/384), in which 65.82% (52/79), 24.05 % (19/79) and 10.12% (8/79) of infections were due to D.Filaria, M.Capillaris and P.Rufences, respectively. A relatively higher prevalence of lung worm infection was recorded in sheep 27.8 %, (74/266), when compared to goats 4.2%, (5/118).A statistically significant difference (P < 0.05) was found in the prevalence of lung worm infections between species, age group, body condition and study locations. Lungworm infection in goats was lower (OR=0.11; 95%CI; 0.0432-0.292; p=0.000) when compared to sheep. Likewise, the likelihood of lung worm infection in adult (OR=3.9, 95%CI=1.820-8.632; p=0.001) and older (OR=2.9, 95%CI=1.089- 7.879; p=0.033) small ruminants was higher when compared to younger small ruminants. Likewise, a higher prevalence of lung worm infection was observed in poor (OR=5.06, 95%CI=1.910- 13.43; p=0.001) and medium (OR=3.4, 95%CI=1.341- 8.658; p=0.010) body conditioned small ruminants as compared to good body conditioned small ruminants. Location wise, the prevalence of lung worm infection in Bibugn (OR=0.42, 95%CI=0.226- 0.792; p=0.007) was lower when compared to Hulet Ejju Enesie District. Survey findings showed that majority (45%) of respondents manage their flock in communal grazing areas; of which 23% and 15% of them graze their animals on dry and marshy grazing areas respectively. Among surveyed farmers, respiratory tract infections (RTI) account the larger (92%) of small ruminant health problems. However, majority (96%) of them were not be able to differentiate lung worm infection from other respiratory disorders. This suggested that majority of small ruminant producers in the study area lack awareness about lung worm infection and its control methods. In conclusion, the coprological result revealed that the prevalence of lung worm infection in the study area was higher. This high prevalence could affect the productivity of animals and income of small ruminant producers through lung worm infection associated morbidity and mortality. Therefore, intervention measures against the identified risk factors, including proper management of pasture and rational use of anthelmintics is suggested to control small ruminant lung worm infection in the study areas.