Introduction. HIV/AIDS infection continues to be rampant in countries around the world, particularly in developing countries in Africa. The quality and effectiveness of interventions to reduce agent transfers is more important than ever. Purpose of the study. Through an observational assessment study, assess the quality of voluntary counselling services provided at three health facilities (health centers) under the Government's Program for the Prevention of Mother-to-Child Transmission in the Oron Aqua Ibom Region of the Republic of Nigeria. Materials and methods. Methods of observational research and assessment of the quality of voluntary consulting services and testing were used. Three health facilities participating in the State Program for the Prevention of Mother-to-Child Transmission in at Oron Akwa Ibom State were identified by targeted sampling. The subjects of the study were medical consultants (n=18) – public health workers, women mothers (n=216) who had been pre-tested. The research method is sociological, using two questionnaires developed. The materials were processed by the statistical method, the method of content assessments was used to analyze the literature. Outcomes. The results showed that the average age of health consultants - public health workers was 41±2.0 years, and the average age of female mothers was 27.7 ±5.4 years. Fourteen (78 per cent) of the eighteen health consultants who responded were adequately trained in program to prevent mother-to-child transmission of HIV/AIDS. The prevalence of HIV/AIDS among female mothers was 8.5%. Overall, the majority of public health consultants (56%) believed they had not achieved their goal, and (94%) believed that counselling services needed significant improvement. Discussion. HIV test acceptance rates after counseling were 93.1%, 96.2%, and 98.7% at Experience Centers with an overall average of 96%. Eighty-nine (89%) women who agreed to take the test actually took it. The level of use of services as a whole averaged 7.3%, and at the three centers separately - 3%, 5% and 11%, respectively. Conclusion. The low level of HIV/AIDS counselling coverage underscores the need to significantly improve the quality of counselling services in general and at Uya Oro Health Centre and Eyo Abasi Health Centre in particular.