Annually, there are 1.8 million global deaths due to alcohol. Alcohol use is rapidly increasing in low and middle-income countries, where it is inexpensive, readily available, poorly regulated, and there are few resources devoted to safe alcohol use behavior. Like many other limited resource settings, there are few treatment facilities or addiction practitioners in the Kilimanjaro region of Tanzania. This project allow for the cultural adaptation, validation, and pilot testing of a brief negotiational interview for alcohol use. To do so, the project will 1) describe the current knowledge and perceptions about alcohol use in Tanzania, 2) adapt an evidence-based intervention to the Tanzanian setting and, 3) pilot this intervention in preparation for a largescale trial. The intervention, a brief negotiational interview, based on a motivational interviewing framework, has proven effective in the US but has not been adapted or implemented in an African context.