The information supports and guides the way forward in reducing the spread of HIV and improving the lives of those who are most affected in Nova Scotia. [...] Purpose and Priorities of the Review The purpose of the review is to. [...] The focuses were on obtaining an overview of the actions, achievements, gaps, challenges, and issues within the four components of the Strategy and identifying priorities and opportunities for future collaborative action and policy direction. [...] The 2003 Strategy replaced the Nova Scotia AIDS Strategy(13) released by the Department of Health in 1993 to ensure that the provincial response to HIV/ AIDS reflected the current reality of the epidemic and need for a multi-sectoral approach in addressing priorities and “root causes” and that it was aligned with a renewed federal strategy—the Federal Initiative to Address HIV/AIDS in Canada(14)—t [...] The evaluation framework(2) developed for the Strategy was the foundation for the design and implementation of this review.