Аннотация:In a cross-sectional study, 53.2% of 500 antenatal attendees at Hai-Phong Hospital accepted HIV testing and 55.3% returned for results. Factors associated with declining included opinions about providing testing or that only high-risk pregnant women need testing, intention to decline testing, being a housewife, perception of poor healthcare support, and worry about husband's disapproval. Low educational level was associated with not returning for results. Testing programmes need to address husbands' attitudes, low education levels, and perceptions of risk.