“…Initially, HIV testing, as the entry point to PMTCT was based on the "opt-in" strategy. (Walmsley, 2003;Blott et al, 1999;Jayaraman et al, 2003;Chou et al, 2006;Walensky et al, 2005) and African countries ( Weiser et al, 2006;Homsy et al, 2006;Manzi et al, 2005;James, et al, 2000;Marum et al, 2006), the Zimbabwean Ministry of Health and Child Welfare (MoHCW) decided to review its policy to introduce a new HIV testing approach regardless of the individual's reason for presenting to the health facility (Ministry of Health and Child Welfare-Zimbabwe, 2005b). A survey evaluating the theoretical acceptability of routine offer of HIV testing in ANC services, in two rural districts of Zimbabwe, provided a solid rationale for applying this strategy in PMTCT programs (Perez et al, 2006).…”