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HIV/AIDS counseling service is one of an entry point to HIV preventions. In Ethiopia HIV counseling service began in the late 1980s. But up until now only a small percentage of those with HIV/AIDS have had access to reliable VCT service. The book mainly categorized into five chapters mainly dealing about introduction, review of related literature, results and discussions. The author of this book believed that the book will give an insight about the practices and problems of HIV /AIDS counseling service in developing countries like Ethiopia. It is also believed that it will be important for those who are working on HIV/AIDS prevention and specifically to those who are working on HIV /AIDS counseling.