This behavioral change communication material development guideline has been developed by the Federal HIV/AIDS Prevention and Control Office (FHAPCO) in collaboration with the Ethiopian health sector development partners working on communication in HIV. The document offers step-by-step guidelines for developing/producing accurate, useful, and action oriented behavioral change communication materials to meet the communication needs of HIV/AIDS prevention, treatment and care and support programs. The document is divided into three major sections. The first section presents introduction and background information about the guideline. Brief background about communication will be discussed in the second section. The final section covers the steps involved in the production of BCC materials, which comprises five steps that could be followed in order to design effective behavioral change communication (BCC) materials. This guideline should be used with other previously developed communication manuals and guidelines, national communication framework, national HIV/AIDS advocacy framework and guidelines on social mobilization for prevention and control of HIV/AIDS.