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This is a report of the pilot study, or ‘pleasure audit’, that was conducted to understand and unpack what is meant by an environment that is ‘positive towards young people’s sexuality’; what role ‘pleasure’ plays in this; how pleasure is discussed, if at all; which contextual factors affect this discussion and how the sex-positive approach can be strengthened. The pilot study was conducted in Ghana and Kenya. This report presents the findings from the data collected in Ghana.