The case study in this research was chosen for inclusion following a first phase review of the use of livelihoods approaches in Tanzania, Uganda and Southern Africa. SHARP! is a sexual health and rights education programme, implemented by CARE South Africa - Lesotho. The case study is analysed according to a 'SL-grounded audit' and is divided into two sections: the first a general introduction to the intervention; and the second, a structured response to a series of questions adapted from the sustainable livelihoods (SL) principles. SL principles are one element of sustainable livelihoods approaches. This research adopts these principles as a structuring tool and as a means of pinpointing the practical implications of adopting a sustainable livelihoods approach to development.