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Background : VCT is an important component of the HIV/AIDS prevention and control interventions. The services are available in government non-government and HIV are health facilities. However, vary little is known about the profile and HIV prevalence among VCT clients. Objective : The study aims at describing the socio-demographic profile of VCT clients and estimating the prevalence of HIV infection. Methods : The data for this study were taken from VCT clients' records in the Kassanchis health center. Data were analysed using EPI-Info and SPSS. Result : A little over half (54.1%) of the clients were females and the clients' average age was 27.4 years (SD +8.6). Seven in ten of the clients were never married and nearly half of the clients (48.8%) have attended secondary school. Unemployed clients accounted for about two-thirds (66.4%) of the total clients. The overwhelming majority of clients (88.2%) have had sexual practices in the past. Condom use among sexually active clients was found to be low. Prevalence of HIV infection among VCT clients was estimated to be 24.5% and varied by socio-demographic characteristics of the clients. Most of the variables included in the regression model had significant effects, however, sex, employment status and a history of STIs had considerable and statistically significant influence on HIV infection than any other single factor. Conclusion : Considering the prevailing high level of HIV infection rate among VCT clients, appropriate Behavior Change Communication (BCC) strategies need to be designed particularly focused on people with low socioeconomic status to help them lead healthy lives. In addition, strong referral linkages need to be established for the provision of care and support services. ( Ethiop.J.Health Dev. 2005;19(2):109-116) Background Voluntary Counseling and Testing (VCT) are key components in prevention and care programs (1). The need for VCT is increasingly compelling as HIV infection rates continue to rise and; countries recognize the need for their citizens to know their sero-status as an important prevention and intervention tool (2). In the prevention aspect, VCT helps people to learn about how HIV is transmitted, practice safer sex, get HIV test and, depending on the result, take steps to avoid becoming infected or infecting others. With in the care and support programs, HIV test results and follow up counseling mean people can be benefit from care and support services (2). It should be emphasized that access to VCT is recognized as a critical strategy for responding to HIV/AIDS in low and middle-income as well as in high-income countries. It is thus, recommended that investing in VCT is more cost-effective and its uptake should be taken as a critical entry point to PMTCT programs (2).

Socio-demographic profile and prevalence of HIV infection among VCT clients in Addis Ababa