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[Unpublished] 1989. 30 p. (WHO/GPA/NPS/89.1)Of the 83 countries whose National Acquired Immunodeficiency Syndrome (AIDS) Program (NAP) which have already implemented a medium-term plan, 7 have carried out a systematic review of program progress and efficiency; 4 more such reviews are planned fo r 1989 and over 60 for 1990. To assess early experiences with NAP reviews, an informal consultation was organized in Geneva in October 1989 by the World Health Organization's Global Program on AIDS. Although the review is a management tool and distinct from evaluations of program effectiveness and management, both processes are required for program assessment and reprogramming. The main areas that should be covered by NAP reviews include management, strategies, financing and policies, and monitoring. The review of the management system should focus on internal administrative capacities, personnel management, program coordination effectiveness, and logistics. The review of strategies should focus on whether management structures for the implementation of various goals are in place. The pertinent areas for the financing review are the use of adequate resources, accountability, potential for program sustainability, and efficient use of resources. Finally, monitoring is achieved through the establishment of a management information system. In addition, there are 3 review grades. Grade 1 is an annual internal review conducted by the program manager and key NAP staff, Grade 2 is a more limited review with participants from outside the NAP with expertise in a specific program area, and a Grade 3 review is a comprehensive exercise aimed at bringing about major changes in the NAP. For this review process to be meaningful, there should be an active exchange of information between NAPs, the World Health Organization, and the international community.