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This book shows how adult workers perceive their risk of HIV infection in relation to their sexual behavior in a setting of high HIV prevalence. In the setting,59.8% of the respondents knew that HIV is a virus, 21.3% have undergone VCT to know their status, 17.3% have ever used condom, more than 70% have involved in multiple sexual practices, and about 53.3% leveled themselves as higher risk perceivers due to various factors associated to their sexual behaviors). In order to alleviate the prevalent risks, sound and viable information, education and communication and/or behavioral change communication interventions should be initiated and further strengthened by Nazareth Tractor Assembling Factory Management; VCT for HIV should be encouraged by productive sectors and supported by workplace specific functional HIV policy and the intervention in the world of work should necessarily consider adult education to impart an integrated and holistic knowledge; Concerted efforts of all the factory community are critically important to mitigate the spread and devastating impact of HIV/AIDS.