Introduction: HIV counselling and testing impacts on psychosocial and emotional needs of women and families who are HIV infected. Counselling addresses the emotional, psychological and personal/social/legal needs of the persons being counselled. Issues of family violence, abuse, legal inequity, discrimination, stigma, poverty and others lead to vulnerability and oppression for HIV–infected women and their families. Objectives: The study compared counselling services given in integrated and non–integrated facilities. Methods: Mixed methods study design was used which employed qualitative and quantitative techniques of data collection. The study recruited 340 HIV positive postnatal mothers with children of known status in both integrated and non–integrated facilities. A comparison between integrated and non–integrated facilities was carried out using Students T–test for normally distributed continuous variables and Mann–Whitney U test for skewed continuous variables. Chi–square analyzed categorical variables and where applicable Fisher’s Exact probability test was used. P–value of less than 0.05 was considered significant. Results: Counsellors’ approach and attitude on client satisfaction in counselling services scored the highest with 97.8% from integrated and 98.8% from non–integrated facilities, (P=0.6804). Integration of PMTCT and SRH increased services uptake. Conclusion: One on one method of counselling methodology conducted in non–integrated facilities impacted on their increased knowledge on MTCT and PMTCT compared to PNC mothers from integrated facilities