 The objective of this research is to evaluate the effectiveness of couples Voluntary Counseling and Testing for HIV CVCT compared to individual VCT IVCT in preventing MTCT, and in increasing preventive behaviors and minimizing spousal abuse among HIV positive women. We hypothesize that offering CVCT will not decrease uptake of VCT among women. This research will be carried out in 3 antenatal clinics in Dar es Salaam, Tanzania. 