Abstract

This cluster-randomized controlled trial evaluated the effectiveness of video-based behavior change communication (BCC) on breastfeeding practices in the Dirashe District, Southern Ethiopia. Using maternal self-reports and the deuterium oxide dose-to-mother technique, the study compared exclusive breastfeeding (EBF) rates between intervention and control groups. While video-based education improved reported EBF adherence beyond three months postpartum, objective measurements revealed no significant differences at three or five months. The intervention increased human milk intake but did not substantially alter nonmilk oral intake. Results suggest that video-based BCC can enhance maternal knowledge, though additional efforts are needed to overcome behavioral barriers and sustain EBF practices.