PMTCT services have registered very low number of couples visiting them in Addis Ababa. Damen, (2010, p. 94) reveal that couples who happen to be expecting a baby have been left behind either in seeking counseling services although this is the most effective way of preventing mother to child transmission. Attendance for such services in 2004, 2005, and 2006 for a certain VCT center was 151, 493, and 39 in a month respectively according to unpublished report
of AAHB Routine PMTCT for Addis Ababa (Ayalew, 2007, p. 81).
These figures are very low compared to the estimates of HIV positive mothers suffering from the disease. Although Kelo et al. (2004) reveal that 16,480 visited these centers between February 11, 2001 and November 30, 2003, the number is very low compared to the number of expectant mothers affected. Despite a shortage in the number of health professionals, social-cultural reasons are also probable with most men preferring not to accompany their wives to the centers. Lack of information is also another factors demeaning counseling among couples. This has lead Addis Ababa PMTC services provider to describe the efforts counseling a far away from achieving (Alem, 2006, p. 98).
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