The manual is intended to be used in its entirety with peer group participants who work through all sessions, each building on previous sessions. It is designed for use with people of any age and both genders. Originally developed for use in small, rural communities in Uganda, it has now been adapted for South Africa and after well over a decade of use is in its 3rd Edition. The Stepping Stones workshops are designed to be held with two or more peer groups drawn from a community at the same time (although this is not essential).