The Healthy Families pilot project took place in Mbarara, Uganda. Mbarara Municipality (population 195,000) is located in the Mbarara District of Uganda, 275 km southwest of the capital city, Kampala. The Immune Suppression Syndrome (ISS) Clinic, at the Mbarara Regional Referral Hospital, provides care to people living with HIV with a catchment area spanning southwestern Uganda and parts of northern Rwanda. This clinic initiates ART for approximately 1,000 new patients each year. Healthy Families Program services began in November 2016 and are available to HIV-affected adults (≥18 years of age) including men and women who express personal or partner desire for pregnancy. The counselling program includes three counseling sessions for clients with or without their pregnancy partners. We use culturally-appropriate safer conception counseling content based on prior formative work, and adapted to the local context with input from safer conception experts and Ugandan HIV healthcare providers.