The general objective of the study was to define the content of sexuality counselling and assess factors influencing the quality of counselling that contributes to improved sexual health. Specifically, the study sought to: contextualize counselling services within a broader service delivery environment; document the content of the counselling related to sexuality issues; assess the quality of the counselling related to sexuality issues; assess the way the health system and environmental factors influence the counselling content and quality, and assess, as far as possible, the contribution of the counselling intervention to the success of the broader SRH programme. Both quantitative and qualitative methods were used for data collection and analysis. Desk review of literature on sexuality was carried out to help contextualize the counselling intervention within the broader environment and to understand the assessment results. Data were collected from key informants, focus group discussions, observation of sexuality-related counselling, and exit and in-depth interviews.