The Policy document is in four parts. The first outlines the background information and epidemiology of HIV and AIDS in The Gambia. The second part focuses on the policy framework, including the guiding principles, national response, policy revision rationale, goals and objectives. The third section highlights the overall implementation strategies which include four strategic areas; prevention of new infections; reduction of morbidity and mortality; impact mitigation and efficiency and effectiveness of the national response. This sections deals with human rights, legal and ethical issues and the fourth section is the conclusion.