Like his neighbours in the southern Ethiopian district of Yirgacheffe, Birhanu Gizamu is a smallholder coffee farmer. Unlike the rest of the community, however, he has no hesitation in whipping out a crumpled blue card from the clinic which proclaims his HIV status. "I tested negative," the 42-year-old proudly noted, handing over the card for verification. "I went for [an HIV] test in 2005 after my wife pushed me, so we went together; I'd been in the military before becoming a coffee farmer, so I knew I was at risk."