Exclusive breastfeeding practice was associated with breastfeeding counseling during antenatal visits and postnatal visits, but not with the number of ANC visits. Similar findings were observed in Bahir Dar, Debre Markos northwest Ethiopia, India and Tanzania. Mothers informed about breastfeeding at the antenatal clinic had better feeding practices. Residing in an urban area might be a proxy measure of receiving greater exposure to information from different media channels or greater utilization of health services with staff better trained on infant feeding [14], [16], [17]. This shows that counseling at the facility is important to improve maternal knowledge and breastfeeding practices.