HIV testing and counselling (HTC) is a gateway to all systems of AIDS-related care. This study examined national programme
data to highlight gaps in HTC service utilization, regional differences and differential use of various HTC programs in Ghana in
the period, 2007-2010. Analysis showed HTC increased rapidly across the country, however the increase was not uniform across
the 10 regions. Also huge differential use of current HTC programs (Diagnostic Centre(DCs), Know Your Status
campaigns(KYS) and PMTCT Centres) emphasized differential preferences of various testing programmes. Testing through KYS
was substantially higher than testing done at DCs. However, HIV positive test rates at DCs were comparatively higher across the
regions than those of KYS. KYS thus attracts and conducts huge numbers of HIV tests, yet it captures relatively low HIV
positives. A well structured and more targeted expansion of facility-based HTC services to capture most vulnerable population
groups is needed.