Introduction: HIV/ AIDS continue to be a major global health priority. HIV counseling and testingrnis a key strategic entry point to prevention, treatment, care and support services. But according tornEDHS 2005 voluntary HIV counseling and testing utilization in Ethiopia is low; this means: peoplernliving with HIV get testing and counseling only when they already have advanced clinical disease.rnAssessing willingness of home based HIV counseling and testing service is essential for promoting,rnexpanding and accessing HIV counselling and testing service to the community.rnObjective: To assess willingness to home based HIV counseling and testing service among residentsrnin Chagni town administration and Guangua wereda.rnMethodology: Cross-sectional household survey both quantitative and qualitative methods wasrnconducted from August 2010 to June 2011.rnResult: A total of 480 study participants were included in the study with the response rate of 99.6%.rnOf the total respondents 243(50.6%) were females. The mean age of the respondents was 30 yearsrn(Â±sd 9). This study also indicated that 445(92.7%) the respondents were willing to undergo HIVrncounselling and testing at home. Multivariate analysis showed that study participants who ever hadrnHIV test, participants who knew availability of VCT service in their locality and respondents whornever had sexual intercourse have statistically significant association with willingness to have HIV testrnat home. But only 190 (39.6%) respondents ever had HIV test. The main reasons of HIV test were tornknow self status and to plan future life, on the other hand the main reasons for not had HIV test werernself and partner trust followed by fear to know results. Multivariate analysis showed that beingrnmarried, individuals who had good knowledge about HIV/AIDS and individuals who had nonernstigmatizing and discriminating attitude were more likely to utilize VCT service.rnConclusion and Recommendation: Even though majority of the study participants were willing tornundergo HIV counseling and testing at home, only few respondents ever had HIV test. Based on thernfinding BCC/IEC activities should be strengthened to promote VCT service utilization, to increasernknowledge of HIV/AIDS and to reduce stigma and discrimination. Home based HIV counselling andrntesting should be implemented by wereda health office in collaboration with wereda HAPCO andrnother organizations working on HIV/AIDS by integrating to existing Health Extension Package.