Intra-action review (IAR)

Conducting an IAR during a emergency or a humanitarian crisis is crucial for facilitating real-time course correction, fostering immediate, and sustained learning and improvement within the response systems, allowing countries to continually assess and adapt their strategies. This country-led process enables stakeholders to evaluate the functional capacities of public health and emergency response systems at national or subnational levels during a health emergency or a humanitarian crisis. The aim is to identify best practices, challenges, lessons learned, and propose real-time corrective measures for immediate action or sustained improvement in the outbreak response.

 

 

Key Publication

IAR LOGO

Guidance for Conducting a Country COVID-19 Intra-Action Review (IAR)

The WHO Guidance for Conducting a Country COVID-19 Intra-Action Review (IAR) was developed to guide countries to conduct periodic review(s) of their national and subnational COVID-19 response, so countries do not miss critical opportunities for learning and improvement to better respond to the COVID-19 outbreak in their countries. The IAR is a country-led facilitated process conducted during the COVID-19 outbreak in-country, bringing together a small group of COVID-19 responders with knowledge of the public health response pillars under review. Although IARs can be conducted online or face-to-face, the online format is recommended, especially if community transmission remains high in the country. The IAR will identify practical areas for immediate remediation and sustained improvement of the ongoing response.

22 January 2026

Health in immigration detention: evidence brief for policy and practice

21 January 2026

Guide to creating urban public SPACES for children

21 January 2026

SEAHEARTS 2030: Monitoring Framework

21 January 2026

From Strategy to Actions: Prioritizing NCD prevention and control Regional workshop to advance NCD prevention and control in the WHO South-East Asia Region

16 January 2026

Summary of the Global report on neglected tropical diseases 2025

15 January 2026

Supporting policymakers to overcome opposition to regulatory policies for improving population diets

14 January 2026

01st edition, Epidemiological Bulletin WHO Health Emergencies Programme WHO Regional Office for South-East Asia‎, 14 January 2026. Reporting period: 29 Dec 2025 to 11 Jan 2026

13 January 2026

Global report on the use of sugar-sweetened beverage taxes, 2025

13 January 2026

Global report on the use of alcohol taxes, 2025

13 January 2026

Advancing institutional compliance and continuous improvement in vaccine manufacturing: Virtual training marathon kit 2024

11 January 2026

Malaria surveillance assessment toolkit: implementation reference guide, 2nd ed.

9 January 2026

Improved influenza vaccines: full value vaccine assessment

1 January 2026

Essential care package to address mental health and stigma for persons with neglected tropical diseases

31 December 2025

Global curriculum guide for community health workers

26 December 2025

Dengue: global situation, surveillance and progress – 2024 update

26 December 2025

Midwifery Leadership Programme Facilitator Guide

26 December 2025

Midwifery Leadership Programme Learner’s Package: Participant Manual

25 December 2025

Heat, air pollution and solar ultraviolet radiation: mass gathering-specific considerations and research gaps

24 December 2025

WHO updated recommendations on HIV clinical management: recommendations for a public health approach

22 December 2025

Measuring greenhouse gas emissions in health systems

COVID-19 IAR Online Training

Global Analysis of COVID-19 IARs

WHO Press Conference

Overview: The Country COVID-19 Intra-Action Review (IAR) is a facilitated process that brings together COVID-19 responders from multiple sectors for experience sharing and collective learning, and it has been modelled after the WHO After Action Review (AAR) methodology. This course provides a general introduction to the management and the facilitation of an IAR during the ongoing COVID-19 pandemic through presentations, quizzes and an assessment at the end of the course to test the knowledge acquired. It targets any individuals or entities involved in the preparedness of and response to the COVID-19 outbreak at the national or subnational levels, including but not limited to Government officials, WHO staff, public health professionals, communities and partners.

In line with the advice and temporary recommendations from the 4th, 5th, 11th and 12th IHR (2005) Emergency Committee on COVID-19, a global analysis of IAR reports received by WHO in collaboration with all six WHO regional offices and country offices has been conducted. A total of 83 reports from 57 countries comprising 2556 best practices, 2366 challenges, and 2859 recommendations were analyzed and triangulated with 27 interviews and 29 survey consultations with countries. This global analysis took a solution-oriented angle aimed at consolidating and showcasing the various strategies adopted by countries to address and overcome common challenges to the COVID-19 response, and to bring these learning to the rest of the world to encourage peer learning. 

COVID-19 vaccination IAR

As countries conduct mini COVID-19 vaccine Post-Introduction Evaluation (mini-cPIE), also called the COVID-19 Vaccination Intra-Action Review (IAR), to review and adjust their COVID-19 vaccine roll-out, WHO will be hosting regular clinics for countries to share learnings with peer countries.