Table 2 Overview of intervention content for the couples health coop

Workshop 1

•Welcome and introductions

Module 1

•Icebreaker-M

•Reaching couples for HIV-W

•Couple’s risk of HIV-W

•Shebeens**

•Interrelated risk for partners and HIV**

•Linked behaviours-W

•Circle of safety**

•Activity: Positives of being a couple**

•Reasons on being faithful**

•A new way to communicate-C

•Speaker-listener technique (and activity)-C

•Substance use in South Africa –W 15 slides

•Having a balanced life-W

•Healthy social time**

•Alcohol harm reduction-W

•Benefits of substance use treatment-W

Workshop 1

•Interrelated risk for HIV-W

Module 2

•Couples and HIV-W

•HIV facts-W

•Window period-W

•HIV infection and prevention-W

•HIV testing-W

•Other sexually transmitted injections (STIs)-W with 9 pictures**

•Circumcision and decreasing HIV risk-*

•Keeping private parts healthy-W

•Reducing sex risks and condom use-W

•Activity: condom steps-W

•Male and female condoms-W-16 slides

•Oral sex and protection-W-2 slides

•Condom negotiation-W

•Activity: Unwritten rules about condoms-M

•Safe sex negotiation and pleasure-M & W

•Reducing risk-W

•Making a commitment pledge-C

•Homework (sex and relationship discussion)**

Workshop 2

•Gender roles-M

Module 1

•Activity: Act like a man/woman-M

•Gender and HIV risk-W

•Equality vs. equity-M

•Activity: What is good sex?-M

•Gender differences and sex-**3 slides

•Unspoken rules and expectations-**2 slides

•Unspoken expectations about sex**

•What is sexy and safe?**

•Activity: Pleasure brainstorm activity**

•Staying a fit couple-C

•Long-term partners at risk-W-2 slides

•Speaker-listener technique (including DVD)-C-4 slides

•Concerns about abuse-W-2 slides

•Violence prevention-W

•Rape and prevention with others-W-slides

Workshop 2

•Conflict-W-2 slides

Module 2

•Fair fighting-W-3 slides

•Problem solving (including DVD)-C

•Activity: Reducing your alcohol and other drug use as a couple**

•Coping with stress-W

•Neighborhood stressors**

•Community strengths and resources**

•Role models for children**

•Concept of time in shebeens and risks**

•Circle of safety**

•Commitment pledge-C