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Group behavior risk reduction, skills training interventions that combine risk education, sexual assertiveness, communication skills training, risk reduction problem solving and similar health education and counseling approaches can produce sexual risk behavior changes. A behavior change is always the result of knowledge disseminated on AIDS risk behavior, personal estimation of risk and effectiveness of sexual communication skills. Behavior change include sexual behavior, practice, and skills to use preventive options or negotiate their use and behaviors and practices in the realm of HIV prevention. Deaf are the most underserved population in Tanzania. Deaf have not been getting enough HIV preventive information. Deaf are easily engaged in risk behaviors simply because do not have enough knowledge on how to prevent themselves from HIV infection. Deaf have higher risk of contracting HIV because they cannot access fully preventive knowledge and capture normal voice communications from non-deaf. Visual aids and signed language assist them get intended information. Initial training of Deaf TOT for peer educators (PEs) will be done. TOT will train other PEs to use mobile phone to conduct outreach to deaf community using mobile phones connected to TV screens. Peer educator will down load series of information messages from TOT of HIV prevention training package for peer education, to conduct outreach and group discussion using sign language. To increase uptake and active participations, each deaf who received full curriculum information of peer education outreach will be given opportunity to have mobile phone for cascading to other group. Peer education outreach, can be conducted as, one to one or group discussion outreach to deaf using sign language. Periodic outreach will be done to ensure quality outreach for effective behavior change. The project will start with Morogoro urban district with well-organized structures for deaf care for the period of two years.