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The purpose of this manual is to provide deaf youth and adults, teachers, parents and guardians with a tool for addressing basic health awareness within an independent framework utilising optimal communication. The activities are participatory and interactive, and are designed with and by deaf Kenyans fluent in Sign Language (SL), and acknowledge the use of other SL variations within the various deaf groups. The three main issues addressed cover sexual education, relationships and hygiene. The manual is designed to blend with the school curriculums/co-curriculum activities, plus other issues that affect students while in school. It also befits other settings such as seminars and workshops, and can be used to tackle a specific subject. It is appropriate for varied ages, communities, cultures, religions, and literacy levels