Accidents are the main cause of injury and even death in children. People only relate accidents to a traffic accident or accidents in outdoor activities. However, as a matter of fact, the place where people regard as the safest place–home–hides many “hazards”. Accidents are a major cause of morbidity and mortality in children. The largest number of accidents happen in the living/dining room. However, the most serious accidents happen in the kitchen and on the stairs. Every year more than 67,000 children experience an accident in the kitchen - 43,000 of these are aged between 0-4 years; 58,000 children have accidents on the stairs. About 90% of all accidents are preventable by safety measures. Most of these accidents are preventable through increased awareness, improvements in the home environment and greater product safety. Objective: To evaluate the effectiveness of video teaching programme on knowledge regarding prevention and first aid management of selected home accidents. The study adopted quasi-experimental pretest-post control group test research design and was conducted at selected villages of District Sirmour, H.P. A total of 60 mothers (30 experimental groups) (30 control group) were selected by Non-probability convenience sampling technique. A structured knowledge questionnaire was used to assess the knowledge regarding prevention and first aid management of selected home accidents among mothers of under-five children. Data analysis was done by descriptive and inferential statistics. The study results showed that in experimental group knowledge pre-test mean ±SD was (18.50± 3.739) and post-test mean and SD was (23.87 ± 2.177) and p<0.05 level of significance i.e. (0.001**). There is a highly significant increase in knowledge of mothers of under-five children after the video teaching programme. Hence it is proved that the research hypothesis is accepted. In the control group pre-test mean and SD was (19.30 ± 2.731) and post-test mean and SD was (20.00 ± 2.378). By organizing and providing the educational aid session we can improve the awareness and motivation to prevent household accident among under five children.