To date all efforts that are aimed at developing a drug that completelyrnclears HIV infection and a vaccine that prevents it have ended up in nornconclusive outcomes. The disease is overwhelmingly spreading and it isrnresulting in huge tolls of morbidity and mortality of human kind all over thernworld. The only option to avert the spread of the infection is changingrnbehavior through proper behavior change communication. In this study,rnKnowledge, Attitude and practices related to HIV test and counseling andrnits link with FP, ANC, and Delivery care services were assessed on thosernmothers coming to health facilities for the later services.rnA cross - sectional study was carried out from Jan10-Feb 15, 2006 amongrnattendees of FP, ANC, and Delivery care Services at Butajira Hospital andrnButajira Health center. A total of 405 women participants involved usingrnquota sampling technique. Quantitative and qualitative methodologiesrnused. Questions addressed socio-demographic characteristics, VCTrnrelated knowledge, attitude and practices, and the linkage between VCTrnand FP, ANC, and Delivery care services. Data collected using anrninterviewer administered Amharic version structured questioner, nonparticipantrnobservation checklist for the process of service delivery, and indepthrninterview with service providers. Trained interview teamsrnadministered the questioner. Finally the data were analyzed for the targetrngroup as appropriate.rnOverall, 52.8% of the study subjects have sufficient knowledge score andrn81.2% have favorable attitude and 44% have good VCT practice. Therernwas a significant difference between ANC and FP attendees, respectively,rnlevel of knowledge 53% & 50%, favorable attitude 86%& 77%, and goodrnVCT practice 86% and 29% (p