8%) were lost to follow-up. The mean age of participants at follow-up was 27.1 years (SD 6.1 years) (compared with 26 years at baseline; SD 6.5 years) and HIV prevalence was 35.3% (78 learn more of 221). Among those who had received their serostatus 1 year before, a majority reported having disclosed their serostatus following

VCT (178 of 198; 89.9%) (Table 3). Of the 20 women who had not revealed their status, seven (35%) feared harassment or banishment by family, while 13 (65%) declared that one’s serostatus is private and thus does not have to be revealed. Seronegative women at follow-up were more likely to report status disclosure than seropositive women (93.8% vs. 82.4%, respectively; P=0.011). Serostatus (negative or positive) was generally revealed in the work environment, to other FSWs (56.2% of cases) or to worksite managers or owners (53.3%). Disclosure to significant others or health professionals occurred less frequently: ABT 263 29.8% reported disclosure to a regular partner, 19.7% to

the family and only 8.4% to a health agent (Table 3 reasons for disclosure included to receive moral support (52.2%), to encourage other people to be tested (29.2%) or to strengthen the relationship with their partner (12.4%). Other reasons for disclosure were also reported. Three participants (1.7%) reported having been forced to reveal their serostatus in order to be able to continue practising sex work at their worksite. Moreover, qualitative data collection confirmed these results by

showing that women who disclosed their serostatus at their worksites increased the pressure for disclosure on women who would not have otherwise disclosed their serostatus. Seronegative FSWs tended to disclose their status spontaneously and publicly, leading to suspicion of HIV seropositivity for women who chose to remain silent. Some sex workers reported that some peers revealed friends’ status to be detrimental to them. Qualitative data also confirmed that certain managers or owners of sites asked FSWs to disclose their serostatus if they were to continue to work at their sites. These managers wanted to be able to assure their customers of the ‘safety’ of their bars. Among disclosers, most (89.3%) reported receiving very positive reactions from the people to whom they disclosed their serostatus (Table 3). These positive reactions included moral Cepharanthine support, access to treatment and reinforcement of the relationship with the FSW’s regular partner. In fact, a quarter of subjects with regular sexual partners at baseline (boyfriend or husband) (42 of 168; 25.0%) reported that their partner was tested for HIV after the FSW’s own VCT, and the partner later disclosed his serostatus to the FSW in most cases (38 of 42; 90.5%). A few participants (nine) sought and obtained medical care after VCT and two are now receiving ART (Table 3). Psychosocial assistance was also provided to six participants in the AHS and in other health centres.