Abstract: Objective To examine the status of accquired immunodeficiency syndrome(AIDS)counseling and human immunodeficiency virus(HIV)test and its influencing factors among rural pregnant women in some low prevalent regions for making policies of HIV/AIDS prevention in the rural pregnant women.Methods Totally 401 rural pregnant women in 4 counties of Jilin province were investigated with a questionnaire survey.Univariate analysis with chi-square test and multivariate analysis with logistic regression were applied in the study.Results The rates of AIDS counseling and HIV test were 8% and 57.9%.Of the women taking AIDS counseling and HIV test,14.7% were at early pregnancy and 74.6% were during the second trimester.The rate of AIDS counseling was relatively high among minority pregnant women,the women having common affection with hasbands,attending school training,having prenatal check 5 times or more,having the knowledge of mother to child transmission,and participating education program on prevention of mother to child transmission.The rate of HIV test was higher among minority women,the women having 2 deliveries,attending school for pnegnant women,and having prenatal check 5 times or more.Conclusion The service utilization of AIDS counseling and HIV test was low among rural pregnant women in Jilin province.Minority women,pregnant women attending training programms,and having pregnancy check 5 times or more had higher utilization of AIDS counseling and HIV test.