According to UNAIDS it is estimated that 38% of adults living with HIV/AIDS are women. The increasing prevalence of HIV among women can consequently be seen in the form of increased mother to child transmission of HIV and nearly five percent of infections are attributed to it. Preventing unintended pregnancy among HIV-positive women constitutes a critical and cost-effective approach to primary prevention of mother-to-child transmission of HIV and is a global public health priority for addressing the desperate state of maternal and child health in HIV hyper-endemic settings. However, very little is known about the knowledge, attitude and practices about contraceptive usage in HIV couples. There is also a need to know about the factors influencing the choice of contraceptive measures and the level of awareness of mother to child transmission of HIV and its prevention which explains the rationale behind the work.