Abstract: Breastfeeding leads to both short and long-term benefits of a child. It helps reduce infections and mortality among infants, improves mental and motor development, and protects against obesity and metabolic diseases later in the life course. The ten steps are maternity proven practices which help in achieving exclusive breastfeeding which remains a challenge not only to the unemployed mothers but also to the working health care professional hence why this study was carried out with an objective of assessing the knowledge, practices and barriers to exclusive breastfeeding among caregivers/mothers in Nandi County.