A large proportion of Nigerian adolescents are sexually active and the country has one of the highest HIV prevalence among youths globally. This study was done to assess the perception and practice of HIV/AIDS counseling and testing (HCT) among secondary school adolescents in a rural community in Southwest Nigeria. A cross-sectional descriptive study was carried out using multistage sampling method. The results showed that despite high level of HCT awareness, majority of the adolescents (62.9%) had negative attitude toward it. The practice of HCT was poor among majority of the respondents as less than 15% of the adolescents had ever done HCT. This study recommends that adolescents should be better informed on the locations of the health centers within the community and services rendered by them. Peer education on HCT should also be intensified in schools to promote positive healthy sexual lifestyles among adolescents.
Keywords: HIV; adolescent; counseling; perception.