Only 850 000 South Africans have actually been tested for HIV in the past four years, while 1.2 million people have had pre-test counselling. The low rate of testing is a common problem worldwide, which has led to countries such as Botswana and the US making the HIV test a routine service available at primary health facilities. Does South Africa plan to change its approach to Voluntary Counselling and HIV testing? Health-e finds out.