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Based on the findings the following recommendations are forwarded: BCC/IEC activities should be strengthened by wereda health office wereda HAPCO and other organizations working on HIV/AIDS, through health education to promote VCT service utilization, to increase knowledge of HIV/AIDS and to reduce stigma and discrimination. Home based HIV counselling and testing should be implemented by wereda health office, wereda HAPCO and other organizations working on HIV/AIDS by integrating to existing Health Extension Package. Other study should be conducted on feasibility and acceptability of HBVCT while implementing home based HIV counseling and testing in the study area. Home based HIV counseling and testing should be implemented at weekends and holidays so as consider participants needs and so as to get majority family members at home.