Abstract: Objective To explore the performance of VCT service delivery in program county of China Global Fund AIDS program Round 3.Methods To collect the case forms of HIV counseling and their test results and analyze it using descriptive statistics.Results 645 HIV counseling clinics were established to deliver VCT service in China global fund AIDS program counties from Sep.2004 to Dec 2006 and 3412 counselors from those VCT clinics were trained on HIV counseling and testing by nation,province or country program offices.Although the capacity of service delivery was improved greatly,there were only aver age 7158 persons to seek for VCT service per month for every clinic.From Sep 2004 to Dec 2006,the VCT clinics in program counties delivered HIV-related VCT ser vices to 134 098 clients,26.4% of them were pregnant women,29.46% were with risk behaviors identified,20.99% were former commercial blood and plasma donors and recipients and approx imately 17.7% of them were with high-risk sex experience.The average detection rate of anti-HIV in VCT clients were 2.62%,and that for former commercial blood and plasma donors and recipients,partners of PLWHA and drug users were 10.80%,7.45% and 2.29% respectively.Conclusion Although the capability and accessibility of VCT service delivery in program counties were improved g reatly with the support of global fund AIDS program,there was the limited usage and coverage of VCT service facility to population with high-risk behaviors.The strategy of VCT service delivery in every program counties must be or iented to the exactly needs of main targets population.