This book draws on the field work on awareness and attitude of pregnant mothers towards use of voluntary cancelling and testing (VCT) services. The field work of this publication employed both qualitative and quantitative research methods to evaluate attitude of pregnant mothers towards use of voluntary cancelling and testing (VCT) service. The finding of the study revealed that respondents were knowledgeable of the existing counseling and testing services. Some respondents reported to have attended VCT because of a strange illness, other had lost their siblings, and some said just to know their HIV status, and other said they are pregnant. The factors that make people do not to volunteer were as follows: “I don’t have time to have a test”, “this is my First time to visit VCT center, “I am afraid of the result”, and “there is no cure“. The overriding issue is how VCT programme implementers need to improve communication campaigns to address awareness and knowledge of VCT for pregnant women and especially for couples by providing increasing knowledge the benefits of VCT.