This working paper is intended to help build consensus among networks, groups and individuals living with HIV around what positive prevention means and how positive prevention can be better addressed within broader HIV prevention policies and programs. It will review existing conceptions of positive prevention, which have tended to center on the needs of people who are HIV-negative or who are HIV positive but not yet aware of their status, and which have mostly been developed by experts without the involvement of people who know they are living with HIV. This document will propose a different way to think about positive prevention, recommend specific services that should be included in a positive prevention package, and identify areas where further research and/or debate is needed.