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According to 2011 Ethiopian demographic health survey result, about 2.2% mothers were HIV (Human Immunodeficiency Virus) positive in Amhara regional state. HIV testing during pregnancy is the gateway for PMTCT (Prevention of Mother to Child Transmission) of HIV though its coverage was 72.0% to 82.5% in North-West Ethiopia. Objective: To assess VHCT (Voluntary HIV Counseling and Testing) service utilization and its determinants among pregnant mothers in North-West Ethiopia in 2014. Methods: A community based cross sectional study using both quantitative and qualitative research methods was conducted in Enemay woreda/district. Data was collected on systematically selected 386 pregnant mothers and 4 FGDs (Focus Group Discussion) on purposively selected pregnant mothers and their partners. A pre tested closed ended structured questionnaire and open ended questions were used to collect the quantitative and qualitative data respectively. Binary logistic regression was used for multivariate analysis of quantitative data. Result: Majority (81.6%) of participants were known transmission of HIV during pregnancy and about three quarter (76.2%) of them were tested for HIV in current pregnancy. In FGD, all participants were not agreed as HIV testing was important during pregnancy. The repeatedly cited reason for not up taking HIV testing during pregnancy was fear of stigma and discrimination if test result becomes positive. Pregnant mothers not knowledgeable about MTCT (Mother to Child Transmission) of HIV; have not intension for ARV Prophylaxisis, unable to bring their partner for test and mothers who believe VHCT was importance before marriage only were less likely utilizing VHCT service thus organizations working on VHCT should further enhance awareness creation by giving especial attention for these groups of pregnant mothers.

Voluntary HIV Counseling and Testing Service Utilization among Pregnant Mothers in North West Ethiopia In 2014