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HIV/AIDS has become the most devastating global epidemic the world has ever faced and highly affecting young and economically active segment of the population. Effective behavioral change communication strategies need to be designed to rescue the future development force of the nation. Thus, VCT for HIV is included as one of the strategy for HIV/AIDS prevention in HIV/AIDS policy, yet very little is known about what determines VCT services. This Book attempts to identify determinants of Voluntary HIV counseling and testing among Addis Ababa University students. Based on the analysis the prevalence of HIV testing was found to be 39.7%. The major finding in logistic regression model showed that marital status, child hood place of residence, life time sexual partner, perceived confidentiality of VCT service, willingness to take VCT before marriage, stigma and discrimination and attitude towards VCT were found the key determinants of practicing VCT. The results indicated that, education, communication program and awareness raising with VCT service, encouraging marriage and reduce stigma and discrimination should be strengthened.