Abstract: | Many have alleged that those who are now aware that they are HIV‐positive are driving the epidemic. This article reports the results of a study in Malawi that provides empirical evidence of differences in knowledge, attitudes and behaviour between HIV‐positive people and those unaware of their sero‐status. It comes to three conclusions: HIV‐positive people report better knowledge and attitudes; there is substantially higher safer‐sex practice among those aware of their HIV‐positive status; and the assertion that the epidemic is spread by those aware of their positive sero‐status is unsubstantiated. The overall message is that there is a need to accelerate both HIV testing and positive‐prevention work. |