During 1988-1990, 32 physicians and 29 nurses from 28 countries of thr
ee WHO regions were trained in the clinical management of HIV/AIDS, at
four WHO international courses conducted by The University of New Sou
th Wales, Sydney. This article briefly describes the curriculum and ev
aluation of the four courses and reports on an impact evaluation throu
gh mailed questionnaires to participants 2.5 to 4.5 years after their
return home. The questionnaire return rate was very high (72.6%). Ther
e were strong indications that most respondents were appropriate selec
tions for the training, with high commitment to HIV/AIDS care. Most re
spondents had duties related to HIV/AIDS and a little more than 3/5 ha
d cared for at least one HIV/AIDS patient. Respondents had a high leve
l of involvement in organizing and implementing training activities. A
quarter had difficulty applying the acquired knowledge and skills to
drug therapy and universal precautions using disposables, due to short
age of funds. The course used adult learning principles with emphasis
on critical and reflective examination of course content by participan
ts. Their positive evaluation of the course confirms the appropriatene
ss of these approaches which are recommended for use in future courses
at regional and national levels.