HIV/AIDS counselling in medical related programmes focuses upon pre- and post-test counselling. The MRC programme in rural Uganda, a high prevalence area, began with pre- and post-test counselling, but as it was a community based programme this was not found to be adequate. As the programme developed, the counselling service became a way of strengthening the community to withstand the effects of HIV/AIDS. The paper describes the de-centralization of the counselling programme from a medical centre to community centres. To monitor and evaluate the programme a set of quantitative and qualitative indicators were developed, these are introduced and discussed.