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At 12months, the proportion of children considered at low risk for dental caries was significantly higher in the intervention group compared to usual care (71% vs 15%, respectively, relative risk=4.82, 95% confidence interval=1.89-12.3, p0.001). The median duration of exclusive breastfeeding in the intervention group was 1.7 times higher than in the control arm (5months vs 3months, p=0.03). Altogether, our findings provide evidence that a low-cost, two-stage preventive strategy using photographs to deliver a stronger visual impact mi