Exclusive Breast-feeding culture is an important child survival strategy. Breast-feeding is the most effective intervention for saving new born and infant lives and preventing early malnutrition. Nearly, all studies mention that during first 6 months exclusive breast feeding produces higher survival rates than partial breast feeding. The extent and severity of infection among preterm and low birth weight infants are generally greater in infants endangered by infant formula inadequacies (Giashuddin and Kabir, 2004). Hence, Breast feeding puts favorable influence on infections diseases prevention, child development and survival as compared to bottle feeding (Brinton et al., 1995). The earlier breast-feeding expression is commenced the better the lactation outcome (Hill et al., 2001; Hartmann et al., 2003; Riordan, 2005). A World Health Organization study of less developed countries found a doubled risk of death in the second year of life for those weaned prematurely or never receiving breast milk (Morisky et al., 2002). Breast feeding also plays a major role in birth spacing (Sayers et al., 1995). The longer the duration of breast feeding; the longer is the interval between the last birth and next pregnancy (Economic Survey of Pakistan, 20042005). Of the 9.7 million under-five deaths globally 2.1 million are India alone. 27 millions births occur every year in India and Pakistan out of which 1.7 million children die before one year of age and 1.08 million new born die within one month of age. Most of these deaths during first few months are related to optimal breast-feeding. Early breast-feeding within one hour can reduce newborn infections by 6 times: exclusive breast-feeding for the first 6 months can reduce diarrhea and pneumonia by 3 and 2.5 times, respectively. Breastfeeding is thus and important issue for child survival: we can certainly reduce infant mortality breast-feeding rates are enhanced (Infant Health at Risk in India, 2008). World development report 2005 indicates that child survival statistics present a much bleaker picture for Pakistan as compared to other South Asian countries. Historical data shows that for Pakistan IMR was much below that of Bangladesh and only slightly higher than India but due to differences in rate of decline in 2005 IMR is the highest in Pakistan (Fig. 1). Table 1: United nations population divisio wn.orld population prospects: The 1998 revision. (United Nations publication, forthcoming) Country IMR U5MR PGR EBF Pakistan 67 95 1.9 16 India 55 78 1.5 51 Bangladesh 52 69 1.7 52 IMR: Infant Mortality Rate per 1000 Year 2003, U5MR: Mortality Rate under 5 per 1000 Year 2003, PGR: Population Avg. Annual (%) Growth Year 2003, EBF: Exclusively Breast Fed (0-3 Months), Source: World development report 2005