Assessment of post-test reaction of discordant couples and perceived competency of counselors towards couple counseling will also be assessed. This study aims to assess the prevalence of HIV sero-discordant test results and possible socio-demographic and behavioral determinants. Qualitative data was generated from... There is no room for complacency about AIDS anywhere. The study is retrospective crossectional study design based on simple random sampling of couples tested for HIV in 2004/5. The calculated sample size for the quantitative study was 601 couples (1202 individuals). Since the major means of transmission for the virus is heterosexual intercourse, identifying sero-discordant couples/partners through Voluntary Counseling and Testing (VCT) will have paramount importance to mitigate the epidemic. The Ethiopian Standard VCT client record formats was sorted chronologically to serve as sampling frame. It is estimated some 5 million people become infected with HIV per annum.