UNICEF and the National AIDS and Health Promotion Agency (NAHPA) worked together from 2018 in Partnership with MTV Staying Alive Foundation to adapt the MTV Shuga Programme as a behaviour change communication strategy to help adolescents and young people adopt safe sexual behaviour by targeting key drivers of new infections and non-adherence to ARV treatment. The programme is based on peer educators delivering MTV sessions to adolescents and young people in and out of school. The main purpose of the evaluation was to evaluate how well the MTV Shuga programme achieved its outcomes. MDS was contracted to conduct the evaluation which measured behaviour change results due to the MTV Shuga programme among adolescents and young people exposed to the interventions in 4 districts in Botswana (Selebi Phikwe, Boteti, Ghanzi and Okavango) during the time of implementation from 2020 to 2022. Though covering the 4 districts, MDS conducted fieldwork for the evaluation in 2 out of the 4 districts, Selebi Phikwe and Okavango. An outcome evaluation was conducted to determine how effective the MTV Shuga programme was in achieving its intended results. The MDS evaluation coincided with the end of UNICEF support and the start of replication of the programme by the government in several districts. The evaluation also considered the effect of gender and geographical location on the intended outcomes of the programme.