Abstract:
BACKGROUND: Coverage assessment of Voluntary Counseling and Testing (VCT) service is useful to
measures the health system effort or performance of health service delivery function and to influence
decisions. The objective of this study was to assess effective coverage level for Voluntary Counseling and
testing services in major health facilities of Jimma Zone.
METHODS: Health institution based cross-sectional quantitative and qualitative study on health
facilities that provide voluntary Counseling and testing services.
RESULTS: The over all HIV/AIDS service package indicators availability coverage were 45.5% across
the zone. The over all coverage for target population were 1.3%. The primary health care centers served
only 18% of total registered Voluntary Counseling and Testing service users. Out of total positive serostatus clients, only 5% received condom. The coverage for post result counseling was 98.7% for all tested
clients. Seventy-four (1.3%) of clients who were tested for HIV did not returned to know their results.
CONCLUSION: This study demonstrated that effective coverage of Voluntary Counseling and Testing
service was very low based on the providers view and records available. Thus we recommended that the
services has to be strengthened, supervised and monitored to have a better achievement and improving
the coverage status in addition to scaling up the services in the Zone.
