The present study demonstrated a significant improvement in the IYCF practices evaluated when pregnant and lactating mothers were supported with skilled counselling. The project interventions have been effective in increasing the initiation of breastfeeding within one hour of birth of baby, exclusive breastfeeding for 6 months, and appropriate start of complementary feeding. The fact that such an intervention could be implemented in a whole district with a population of over a million, using local resource persons indicates that it could be scaled up in other parts of the country also.