This is a report on a consultancy carried out to identify modalities for OXFAM and Ereto II to engage with tackling the perceived emerging HIV/AIDS crisis in Ngorongoro District. The summary of the HIV/AIDS situation in the District provides a demographic profile and available epidemiological data. The description of factors contributing to risk and vulnerability at community level is sensitive and exceptionally well informed. The scale and nature of the required response is provided and the framework for the envisaged response is proposed.