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.

13 March 2026

Report of the 49th meeting of the WHO Global Advisory Committee on Vaccine Safety, 27-28 November 2025

11 March 2026

Target product profiles for new antibacterial agents

11 March 2026

Global research agenda on knowledge translation and evidence-informed policy-making: prioritizing research for better decision-making

9 March 2026

Applying communication for health: research tools: most significant change

9 March 2026

Applying communication for health: research tools: focus group discussions

6 March 2026

Applying communication for health: research tools: surveys

6 March 2026

Applying communication for health: research tools: viewing panel sessions

6 March 2026

Applying communication for health: research tools: qualitative interviews

6 March 2026

Applying communication for health: planning guide

5 March 2026

WHO guideline on environmentally friendly and less invasive oral health care for preventing and managing dental caries

2 March 2026

Nurturing care for children with developmental delays and disabilities: thematic brief

26 February 2026

Clinical trials and environmental sustainability: review of key considerations to develop climate change mitigation and adaptation strategies

25 February 2026

Tracking out-of-pocket health expenditure under System of Health Accounts 2011

25 February 2026

Safety evaluation of certain food additives: prepared by the one-hundredth meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA)

25 February 2026

Malaria case management Plasmodium vivax malaria

25 February 2026

04th edition, Epidemiological Bulletin WHO Health Emergencies Programme WHO Regional Office for South-East Asia‎, 25 February 2026. Reporting period: 09 - 22 Feb 2026

20 February 2026

Air quality monitoring for enhanced understanding of health impacts and beyond

20 February 2026

WHO water, sanitation, hygiene and waste strategy 2026-2035

17 February 2026

Maternal mortality in fragile and conflict-affected situations: technical brief

16 February 2026

Evaluation of WHO contribution in Bhutan (2020-2024): Executive summary

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.