Impact of the intervention
’ breastfeeding self-efficacy, stunting
POSITIVE
This study utilized cluster randomized control trials to demonstrate the effectiveness of the Positive Deviant Approach (PDA) in enhancing various outcomes related to breastfeeding, complementary feeding, and child nutritional status among rural Ethiopian mothers and children. Specifically, the use of PDA resulted in increased knowledge, improved attitudes, and greater self-efficacy toward breastfeeding and complementary feeding. Moreover, the study indicated notable improvements in weight-for-age The role of knowledge in health behavior change is widely acknowledged. The study discovered that the intervention group demonstrated increased scores in breastfeeding knowledge when compared to the control group. This study aligns with previous research conducted in Ethiopia (The current study showed the effect of PDA on improving breastfeeding attitudes in the intervention group compared to the control group at the endline. This study is in congruence with previous studies done in Ethiopia using PDA (Self-efficacy significantly contributes to behavior change efforts. Higher levels of self-efficacy lead to increased motivation, perseverance, and confidence in one’s abilities, which can ultimately result in sustained behavior change. This study showed PDA improved mothers’ breastfeeding self-efficacy in the intervention group compared to the control group. This finding is in line with previous studies done in Ethiopia (This study revealed that PDA affects mothers’ complementary feeding (In our study, PDA improved complementary feeding self-efficacy among mothers in the intervention group compared with the control group. It has been demonstrated that self-efficacy is a powerful motivator for positive health behavior changes (In this study, PDA had no statistically significant effect on the prevalence of stunting in infants and young children in the intervention group compared to the control group. The findings of this study are in congruence with trials conducted in Malawi (In addition, this study revealed that PDA showed a statistically significant effect on the declining prevalence of underweight children compared with the control group. The results of this study are consistent with those of similar experiments conducted in Ecuador and Cambodia (