Abstract—Introduction: In India, several thousand HIV-infected babies are expected to be born every year. The rising prevalence of HIV among pregnant women in rural India is of great concern. Pregnant women are much receptive on health matters. So, it is important to assess their knowledge, attitude and perception regarding HIV/AIDS. Hence the present study was conducted in a rural area of Belgaum District in Karnataka. Materials and methods: The present community based cross sectional study was conducted in three subcentres namely: Bhutramanahatti which belongs to Primary Health Centre (PHC) Vantamuri, Agasga which belongs to PHC Handiganur and Macche which belongs to PHC Kinaye which are run by the Department of Community Medicine, J N Medical College Belgaum. A total of 1792 married women, aged between 15-45 years were interviewed. Pretested pre designed questionnaire was administered to them. Data was compiled, tabulated and analyzed using percentages. Chi square test was used to find association between knowledge and demographic variables. Results: In the present study among the study population majority (81%) heard about HIV/AIDS. 40.2% gained knowledge about HIV/AIDS through health worker, 30.3% through media, 17.5% through doctors and remaining from other sources. Among the study participants 20.3% told that HIV/AIDS spreads through unprotected sex, 14.1% through blood products, 6.3% through infected syringes and 5.3% through mother to child. Most (53.9%) of the study participants did not know about mother to child Transmission of HIV/AIDS. Conclusion: There is a need for more information directly and indirectly through consistent awareness program among married women residing in rural areas.