Background - Integrating family planning services with HIV/AIDS services such as VoluntaryrnCounseling and testing (VCT) is imperative in preventing unintended pregnancy, reducing number ofrnAIDS orphans, preventing vertical transmission of HIV and sexually transmitted infections includingrnHIV/AIDS. Information lacks on the family planning needs of VCT clients. It is essential to determinernthe extent of demand and provision of family planning in VCT settings as well as the potentialrnopportunities & challenges of integrating family planning services with VCT.rnObjective - To assess the demand for family planning among VCT clients and the integration ofrnfamily planning services with voluntary counseling and testing services.rnMethods- A facility based cross-sectional study was carried out in VCT centers in Dessie town,rnNortheast Ethiopia between December, 2006 and February, 2007. The study participants were femalernVCT clients who are in reproductive age group. The study employed both quantitative and qualitativernstudy methods. The data were entered, cleaned and analyzed using SPSS statistical soft ware versionrn11.rnResult- Of the 422 female VCT clients participated in the study, 11.8% were counseled for familyrnplanning. VCT centers owned by NGOs were more likely to counsel their clients on family planningrnthan governmental VCT centers: [AOR (95%CI) = 7.28 (2.07, 25.58)]. Great proportion of VCT clientsrn(90%) want either to limit or to postpone child bearing. Among 166 sexually active clients 35% wererncurrent users of family planning methods and out of 384 non users of family planning methods 60%rnintended to use in the future. The unmet need for family planning among sexually active clients wasrn55%. The sero-status of the client was not significantly associated with the extent of family planningrncounseling and the level of unmet family planning need. Multivariate analysis showed that those whornwere in the age groups 15-19 and 20-24 years were more likely to have high unmet need for familyrnplanning as compared to those who were beyond 24 years: [AOR (95%CI) =6.46 [1.65, 25.33], andrn5.46 (1.64, 18.20)], respectively. Ninety eight percent of clients and majority of counselors supportedrnprovision of family planning services at VCT centers. Though the existing policies, strategies andrnguidelines seem to be supportive to integration of family planning services with VCT services, therndocuments do not adequately and explicitly mentioned on what and how to implement.rnRecommendations- Provision of family planning services at VCT centers, as well as reviewing of thernexisting guidelines and developing of the new one is essential.